PIPages
Labs

Mary Landrum

Harvard University, MA·Public Health & Epidemiology

After cancer surgery or a serious hospital stay, many patients move to skilled nursing facilities, inpatient rehabilitation facilities or home health care. Those near the end of life may enter hospice.

Fields

Public Health & Epidemiology

Medicine & Clinical Research

Social Science

Topics

health services research

health policy

cancer care

Grants
1 known grant, through Feb 2030

What they work on

  1. Adapt an existing framework to describe structural, functional, normative, interpersonal and process integration in post-acute and hospice care for cancer patients, and identify how each could improve care.
  2. Measure care integration through case studies, clinician interviews and surveys of a random sample of post-acute and hospice facilities, and determine how relationships among integration types vary with agency and market factors.
  3. Use Medicare administrative data to test how integration relates to readmissions, spending, complications and patient and family experiences for cancer patients, including low-income and rural subgroups.

More about the research

Care across these settings is often fragmented. Meanwhile, ownership has consolidated, including a sharp rise in for-profit chains and ties to hospitals and health systems. It is unclear whether this structural integration helps cancer patients or harms them.

Why it matters

Findings could help clinicians, cancer care leaders and policymakers identify which kinds of integration actually improve care for patients with cancer in skilled nursing, rehabilitation, home health and hospice settings. They could also show where consolidation may worsen care. This could guide efforts toward higher-quality care, including for low-income and rural patients.

Known grants

From NIH and NSF research grants. Labs often have other funding we can't see.

Project 3: Care Integration for Patients with Cancer Receiving Post-Acute Care and Hospice

NIH · Sep 2024 – Feb 2030

Closest labs

Raj Kumar

Icahn School of Medicine at Mount Sinai, NY·Public Health & Epidemiology·Early-career

Identify patient characteristics that predict the share of time older adults spend in different health care settings during the first year after post-acute TBI care admission, using Medicare claims linked to the National Trauma Databank.

Olga Jarrín Montaner

Rutgers University-New Brunswick, NJ·Public Health & Epidemiology

Harmonize and merge multiple datasets into a repository of aging trajectories linking care settings, geriatric syndromes and physical function to patient, community, health-system and environmental risk factors such as air pollution.

Krista Harrison

University of California-San Francisco, CA·Public Health & Epidemiology

Identify how Black, Latinx and Asian American care partners define high-quality end-of-life dementia care, through interviews with 90 people about hospice and other home-based supportive care.

The school

Harvard University: 42 labs on PI Pages, $1.5B a year on research, 712 research doctorates a year.

More about Harvard University

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