Jeffrey S Hoch

Jeffrey S Hoch
University of California, Davis | UCD · Department of Public Health Sciences

44.84
 · 
PhD

About

334
Publications
38,222
Reads
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4,635
Citations
Research Experience
October 2015 - present
University of California, Davis
Position
  • Professor and Chief
Description
  • https://health.ucdavis.edu/phs/divisions/hpm/faculty.html
January 2005 - September 2015
St. Michael's Hospital
Position
  • Research Scientist
September 1999 - present
University of Toronto
Position
  • Professor
Description
  • http://ihpme.utoronto.ca/faculty/jeffrey-hoch/

Publications

Publications (334)
Chapter
Full-text available
The overall objective of this research is to evaluate the use of a mobile health smartphone application (app) to improve the mental health of youth between the ages of 14–25 years, with symptoms of anxiety/depression. This project includes 115 youth who are accessing outpatient mental health services at one of three hospitals and two community agen...
Article
PURPOSE We previously demonstrated lower early mortality for young adults (YAs) with acute lymphoblastic leukemia (ALL) who received induction treatment at specialized cancer centers (SCCs) versus community hospitals. The aim of this study is to determine the impact of inpatient location of treatment throughout therapy on long-term survival, compli...
Article
Purpose The purpose of this systematic literature review (SLR) is to examine the state of knowledge about the cost-effectiveness of return-to-work (RTW) interventions targeted at workers with medically certified sickness absences related to mental disorders. Our SLR addresses the question, “What is the evidence for the cost-effectiveness of RTW int...
Article
Full-text available
Background About 1 in 5 youth have a mental illness, with 75 percent of all mental illnesses having their onset in childhood or adolescence (Kim-Cohen et al., 2003). In Ontario, 157,900 youth rated their mental health as fair or poor, a significant increase from 2007 (Boak et al., 2014). Not only do mental health concerns cause difficulties at onse...
Article
Background: Weight telemonitoring may be an effective way to improve patients' ability to manage heart failure and prevent unnecessary utilization of health services. However, the effectiveness of such interventions is dependent upon patient adherence. Objective: The purpose of this study was to determine how adherence to weight telemonitoring c...
Article
Objectives To review assessments from the Institute for Clinical and Economic Review (ICER) and describe how cost-effectiveness, other benefits or disadvantages, and contextual considerations affect Council members’ assessments of value. Methods Assessments published by the ICER between December 2014 and April 2019 were reviewed. Data on the asses...
Article
Background: Modern therapy for type 1 diabetes (T1D) increasingly utilizes technology such as insulin pumps and continuous glucose monitors (CGMs). Prior analyses suggest that T1D costs are driven by preventable hospitalizations, but recent escalations in insulin prices and use of technology may have changed the cost landscape. Methods: We condu...
Article
Background: Patients with limited English proficiency experience disparities in health care access, quality, costs, and outcomes. Providing qualified medical interpreting services (MIS) in the health care setting can reduce these disparities. Unfortunately, health organizations face logistical and financial difficulties in meeting the need for qual...
Article
Purpose With reduced mortality of neonatal conditions, health-related quality of life (HRQOL) has become an important clinical outcome. However, since the meaning of HRQOL in dependent, non-autonomous infants and neonates remains largely undefined, HRQOL measurement and economic evaluation are limited due to the lack of age-specific methodology. Th...
Article
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Background Oncology therapy is becoming increasingly more expensive and challenging the affordability and sustainability of drug programmes around the world. When new drugs are evaluated, health technology assessment organisations rely on clinical trials to inform funding decisions. However, clinical trials are not able to assess overall survival a...
Article
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Background High orphan drug prices have gained the attention of payers and policy makers. These prices may reflect the need to recoup the cost of drug development from a small patient pool. However, estimates of the cost of orphan drug development are sparse. Methods Using publicly available data, we estimated the differences in trial characterist...
Article
Purpose: End-of-life (EOL) cancer care is costly, with challenges regarding intensity and place of care. We described EOL care and costs for patients with colorectal cancer (CRC) in the United States and the province of Ontario, Canada, to inform better care delivery. Methods: Patients diagnosed with CRC from 2007 to 2013, who died of any cancer...
Article
Objectives The aim of this study was to use Microsoft Excel spreadsheet software to fit parametric survival distributions. We also explain the differences between individual patient data (IPD) and survival data reconstructed in Excel and SAS. Methods Three sets of patient data on overall survival were compared using different methods: ‘original’ I...
Article
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Background: There is an increasing number of Russian economic evaluation studies in oncology, the scope and quality of which are unknown. Objectives: This study aimed to assess the scope and quality of economic evaluations in oncology, with the goal of elucidating implications for improving their use in Russia. Methods: Online databases were s...
Article
Importance Value-based care is increasingly important, with rising health care costs and advances in cancer treatment leading to greater survival for patients with cancer. Regionalization of surgical care for pancreatic cancer has been extensively studied as a strategy to improve perioperative outcomes, but investigation of long-term outcomes relat...
Article
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Importance Telemedicine is increasingly used to provide outpatient pediatric neurology consultations in underserved communities. Although telemedicine clinics have been shown to improve access, little is known about how they alter patients’ utilization of hospital services. Objective To evaluate the association between access to telemedicine clini...
Article
Background: To determine whether telemedicine improves access to outpatient neurology care for underserved patients, we compared appointment completion between urban, in-person clinics and telemedicine clinics held in rural and underserved communities where neurology consultations are provided remotely. Methods: In this retrospective study, we i...
Article
Background: Surgical guidelines for soft tissue sarcoma (STS) emphasize pretreatment evaluation and reports of the perils of unplanned excision exist. Given the paucity of population-based data on this topic, our objective was to analyze clinical outcomes and costs of planned versus unplanned STS excisions in the Medicare population. Methods: We...
Article
Objectives: We evaluated adherence of human epidermal growth factor receptor-2 testing using immunohistochemistry and fluorescence in situ hybridization, as well as adjuvant trastuzumab treatment according to Canadian guidelines, and predictors of trastuzumab use in early-stage breast cancer in Ontario. Methods: Retrospective cohort of early-sta...
Article
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Background: Economic evaluations commonly accompany trials of new treatments or interventions; however, regression methods and their corresponding advantages for the analysis of cost-effectiveness data are not widely appreciated. Methods: To illustrate regression-based economic evaluation, we review a cost-effectiveness analysis conducted by the...
Technical Report
Full-text available
Non-partisan analysis of the medical effectiveness, cost and utilization, and public health impacts of insurance coverage for California Assembly Bill 651 Air Ambulance Services
Article
Introduction: Three pivotal trials have considered the addition of docetaxel (D) chemotherapy to conventional androgen-deprivation therapy (ADT) for the treatment of metastatic hormone- sensitive prostate cancer (HSPC). While an initial small trial was inconclusive, two larger trials demonstrated significant clinical benefit, including pronounced...
Article
Full-text available
Introduction Approximately 400 000 Americans and 36 000 Canadians undergo cardiac surgery annually, and up to 56% will develop chronic postsurgical pain (CPSP). The primary aim of this study is to explore the association of pain-related beliefs and gender-based pain expectations on the development of CPSP. Secondary goals are to: (A) explore risk f...
Article
DISCLOSURES: Funding for this summary was contributed by the Laura and John Arnold Foundation, Blue Shield of California, and California Health Care Foundation to the Institute for Clinical and Economic Review (ICER), an independent organization that evaluates the evidence on the value of health care interventions. ICER's annual policy summit is su...
Chapter
Most organizations feel they have insufficient resources. Budgets never seem to stretch far enough. There always seems to be a shortage of staff, equipment, or both. At the same time, they face significant costs related to covering worker healthcare and mental illness-related work disability costs. Choosing the most cost-effective way to intervene...
Article
Full-text available
Background: Although Dialectical Behaviour Therapy (DBT) is an evidence-based psychosocial treatment for borderline personality disorder (BPD), the demand for it exceeds available resources. The commonly researched 12-month version of DBT is lengthy; this can pose a barrier to its adoption in many health care settings. Further, there are no data o...
Article
Introduction: We previously demonstrated that receiving all cancer treatment at specialized cancer centers (SCCs; versus community hospitals) through end of therapy is associated with better leukemia-specific survival in children (0-18 years) and young adults (YA; 19-39 years) diagnosed with ALL in California. While both age groups benefit from car...
Article
Objective: Heterogeneity of depression experiences has led to suggestions that interventions focus on depression symptom combinations rather than depression severity alone. Our analyses explores the question, "What is the relationship between different combinations of depression symptoms and work productivity losses?" Methods: These analyses use...
Article
Background Outcomes for pancreatic resection have been studied extensively due to the high morbidity and mortality rates, with high-volume centers achieving superior outcomes. Ongoing investigations include healthcare costs, given the national focus on reducing expenditures. Therefore, we sought to evaluate the relationships between pancreatic surg...
Article
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Introduction Xylitol (or ‘birch sugar’) is a naturally occurring sugar with antibacterial properties that has been used as a natural non-sugar sweetener in chewing gums, confectionery, toothpaste and medicines. In this preventative randomised trial, xylitol will be tested for the prevention of acute otitis media (AOM), a common and costly condition...
Article
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Quitting smoking after a diagnosis of cancer results in greater response to treatment and decreased risk of disease recurrence and second primary cancers. The objective of this study was to evaluate the potential cost‐effectiveness of two smoking cessation approaches: the current basic smoking cessation program consisting of screening for tobacco u...
Chapter
This chapter considers the analysis of a cost-effectiveness dataset from an econometrics perspective. We link cost-effectiveness analysis to the net benefit regression framework and explore insights and opportunities from econometrics and their practical implications. As an empirical illustration, we compare various econometric techniques using a c...
Article
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Because of work’s contribution to recovery, governments have moved to improve employment rates of people with severe mental disorders (SMDs). Social enterprises (SEs) have been identified as a means to achieve employment. In Ontario, Canada, the Ministry of Health and Long-Term Care (MOHLTC) have provided SEs government subsidies. Public funding ar...
Technical Report
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Non-partisan analysis of the medical effectiveness, cost and utilization, and public health impacts of insurance coverage for Comprehensive Medication Management
Technical Report
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Non-partisan literature review of the medical effectiveness, cost and utilization, and public health impacts of insurance coverage for Medi-Cal: Telehealth and Substance Use Disorder Services
Technical Report
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Non-partisan analysis of the medical effectiveness, cost and utilization, and public health impacts of insurance coverage for Advanced Practice Pharmacistberkele
Technical Report
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Non-partisan literature review of the medical effectiveness of dense breast notification legislation
Technical Report
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Non-partisan analysis of the medical effectiveness, cost and utilization, and public health impacts of insurance coverage for Dentistry: General Anesthesia
Technical Report
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Non-partisan analysis of the medical effectiveness, cost and utilization, and public health impacts of insurance coverage for Medication-Assisted Treatment
Technical Report
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Non-partisan analysis of the medical effectiveness, cost and utilization, and public health impacts of insurance coverage for Prescription Drugs
Conference Paper
Introduction Depression is one of the most prevalent mental disorders in the working population. About 10% of workers currently have at least one mental disorder; approximately 2%–7% of the workforce experiences depression. There is growing awareness of the social and economic costs of depression and its heavy workplace burden. Recognising the hete...
Article
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A key component of the current framework for economic evaluation is the measurement and valuation of health outcomes using generic preference-based health-related quality-of-life (HRQoL) instruments. In 2015, a research synthesis reported the absence of conceptual and empirical research regarding the appropriateness of current preference-based inst...
Article
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Background: Resource and cost issues are a growing concern in health care. Thus, it is important to have an accurate estimate of the economic burden of care. Previous work has estimated the economic burden of cancer care for Canada; however, there is some concern this estimate is too low. The objective of this analysis was to provide a comprehensi...
Article
Full-text available
Background Healthcare costs are skyrocketing, with mental health treatment amongst the most expensive, especially when hospitalization is involved. According to the Mental Health Commission of Canada, one in five Canadians is living with a mental disorder in any given year, at an annual cost of $50 billion. In light of this societal burden, alterna...
Article
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Background Falls among older adults can cause serious morbidity and pose economic burdens on society. Older age is a known risk factor for falls and age has been shown to influence the effectiveness of fall prevention programs. To our knowledge, no studies have explicitly investigated whether cost-effectiveness of a multifactorial fall prevention i...
Article
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In evaluating new oncology medicines, two common modeling approaches are state transition (e.g., Markov and semi-Markov) and partitioned survival. Partitioned survival models have become more prominent in oncology health technology assessment processes in recent years. Our experience in conducting and evaluating models for economic evaluation has h...
Article
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Objective: We estimated the frequency of occult gynecologic primary tumours (gpts) in patients with metastatic cancer from an uncertain primary and evaluated the effect on disease management and overall survival (os). Methods: We used Manitoba administrative health databases to identify all patients initially diagnosed with metastatic cancer dur...
Article
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Objectives: Diagnostic assessment programs (daps) appear to improve the diagnosis of cancer, but evidence of their cost-effectiveness is lacking. Given that no earlier study used secondary financial data to estimate the cost of diagnostic tests in the province of Ontario, we explored how to use secondary financial data to retrieve the cost of key...
Article
Background: Androgen deprivation therapy (ADT) is an effective treatment for men with advanced prostate cancer, but loss of bone mineral density (BMD) is a major risk factor for fractures. This analysis evaluated the relative effectiveness of osteoporosis treatments using BMD as a surrogate endpoint for fragility fractures in men on continuous ADT...
Article
Full-text available
Purpose: Several genomic tests have recently been developed to identify the primary tumour in cancer of unknown primary tumour (CUP). However, the value of identifying the primary tumour in clinical practice for CUP patients remains questionable and difficult to prove in randomized trials. Objective: We aimed to assess the clinical and economic...
Article
Objectives: The Priorities and Evaluation Committee (PEC) funding recommendations for new cancer drugs in British Columbia, Canada have been based on both clinical and economic evidence. The British Columbia Ministry of Health makes funding decisions. We assessed the association between cost-effectiveness of cancer drugs considered from 1998 to 200...
Article
Importance Epidemiological studies support a link between low 25-hydroxyvitamin D levels and a higher risk of viral upper respiratory tract infections. However, whether winter supplementation of vitamin D reduces the risk among children is unknown. Objective To determine whether high-dose vs standard-dose vitamin D supplementation reduces the inci...
Article
Background: Telemedicine in the intensive care unit (tele-ICU) is expected to address geographic health disparities through more efficient resource allocation. Our previous economic evaluation demonstrated tele-ICU to be cost-effective in most cases and cost saving in some cases, compared to conventional intensive care unit (ICU) care without adeq...
Article
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Background Widespread increases in caesarean section (CS) rates have sparked concerns about risks to mothers and infants and rising healthcare costs. A multicentre, two-arm, cluster-randomized trial in Quebec, Canada assessed whether an audit and feedback intervention targeting health professionals would reduce CS rates for pregnant women compared...
Research
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Non-partisan analysis of the medical effectiveness, cost and utilization, and public health impacts of proposed health insurance benefit coverage for telehealth services in California.
Article
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Background Incremental cost-effectiveness ratios (ICERs) are used to assess the value for money of new drugs. Many believe that ICERs for drugs that treat rare diseases are much higher than those of common drugs. Our objective was to compare the proportion of ICERs that are cost effective for rare and common cancers. Methods We used the Tufts Medic...
Technical Report
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Non-partisan analysis of the medical effectiveness, cost and utilization, and public health impacts of insurance coverage for Drug Utilization Management Exceptions
Technical Report
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Non-partisan analysis of the medical effectiveness, cost and utilization, and public health impacts of insurance coverage for Pervasive Developmental Disorder or Autism
Technical Report
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The version of California Assembly Bill (AB) 1107 analyzed by CHBRP would require a health plan or insurer that develops and implements a clinical pathway for cancer treatment, as defined, to comply with certain requirements. In addition, the bill would prohibit a plan/insurer from developing and implementing an oncology clinical pathway (OCP) that...
Technical Report
Full-text available
Non-partisan analysis of the medical effectiveness, cost and utilization, and public health impacts of insurance coverage for Pervasive Developmental Disorder or Autism