Description of Research Expertise:
I am a practicing anesthesiologist and health services researcher. My research seeks to understand the health-system level determinants of long-term outcomes of surgery and acute care among older adults U.S., with an emphasis on examining how variations in care delivered in discrete settings—such as acute-care hospitals and skilled nursing facilities—each ultimately influence the end results of care. In particular, my work focuses on examining variations the care and outcomes of older adults with acute hip fracture, a common and morbid injury that occurs over 300,000 each year in the U.S. and requires the coordination of surgical, anesthetic, medical, rehabilitative, nursing and social work services across a range of care settings. To date, my research output has employed a range of methodologies to obtain a multifaceted view of current patterns of hip fracture care and outcomes. These methodologies have included observational studies using administrative databases, meta-analyses and a telephone- and web-based survey of health care administrators. Additionally, I have conduced qualitative research incorporating interviews of physicians and analyses of documentary evidence. This work has studied the social and cultural influences underlying current patterns of utilization of surgical care services in the U.S. as a means of understanding the mechanisms underlying institutional variations in performance and health care outcomes.
Neuman M, Bitton A: Tobacco industry strategies for influencing European community tobacco advertising legislation Lancet 359 (9314): 1323-30,2002.
Neuman MD, Fleisher LA, Even-Shoshan O, Mi L: Nonoperative care for hip fracture in the elderly: the influence of race, income, and comorbidities Medical Care 48 (4): 314-20,2010.
Surgeons' decisions and the financial and human costs of medical care The New England Journal of Medicine 363 (25): 2382-3,2010.
Wijeysundera DN, Beattie WS, Karkouti K, Neuman MD, Austin PC: Association of echocardiography before major elective non-cardiac surgery with postoperative survival and length of hospital stay: population based cohort study BMJ 342 : d3695,2011.
David G: Physician division of labor and patient selection for outpatient procedures Journal of Health Economics 30 (2): 381-91,2011.
Wijeysundera DN, Mamdani M, Laupacis A, Fleisher LA, Beattie WS, Johnson SR, Kolstad J: Clinical evidence, practice guidelines, and β-blocker utilization before major noncardiac surgery Circulation. Cardiovascular Quality and Outcomes 5 (4): 558-65,2012.
Neuman MD: What we talk about when we talk about risk: refining surgery's hazards in medical thought The Milbank Quarterly 90 (1): 135-59,2012.
Neuman MD, Goldstein JN, Cirullo MA: Durability of class I American College of Cardiology/American Heart Association clinical practice guideline recommendations JAMA 311 (20): 2092-100,2014.