yu-chu shen


Research Areas

Access and Outcomes

Mental Health Readiness in U.S. Military

Organizational Changes and Financial Incentives in Health Care

Other Topics

Access and Outcomes

Hsia, RY., Sarkar, N., and Shen, Y. 2017. Impact of ambulance diversion: black patients with acute myocardial infarction had higher mortality than whites. . Health Affairs 36 (6):1070-1077.

Shen, Y. and Hsia, RY. 2016. The association between emergency department closure and treatment, access, and health outcomes among patients with acute myocardial infarction. Circulation 134 (20):1595-1597 (doi: 10.1161/CIRCULATIONAHA.116.025057).

Shen, Y. and Hsia, RY. 2016. Do patients hospitalized in high-minority hospitals experience more diversion and poorer outcomes? A retrospective multivariate analysis of Medicare patients in California. BMJ Open, 6(3): 1-10 (doi:10.1136/bmjopen-2015-010263). Available here

Hsia, RY. and Shen, Y. 2016. Percutaneous coronary intervention in the United States: Risk factors for untimely access. Health Services Research, 51(2): 592?609 (doi: 10.1111/1475-6773.12335).

Shen, Y. and Hsia, R. 2015. Ambulance diversion is associated with decreased access to technology, reduced likelihood of intervention, and increased mortality for cardiac patients. Health Affairs, 34(8): 1273-1280 (DOI: 10.1377/hlthaff.2014.1462).

Shen, Y. and Hsia, RY. 2012. Does Decreased Access to Emergency Departments Affect Patient Outcomes? Analysis of AMI Population 1996-2005. Health Services Research, 47(1, Part 1): 188-210.

Hsia, R. and Shen, Y. 2011. Rising Closures of Hospital Trauma Centers Disproportionately Burden Vulnerable Populations. Health Affairs, 30 (10): 1912-1920.

Shen, Y. and Hsia, RY. 2011. Association Between Ambulance Diversion And Survival of Patients with Acute Myocardial Infarction. JAMA, 305 (23): 2440-2447.

Hsia, RY., Kellermann, A., and Shen, Y. 2011. Factors Associated With Closures of Emergency Departments in the United States. JAMA, 305 (19): 1978-1985.

Hsia, R. and Shen, Y. 2011. Are There Geographical Barriers to Trauma Center Access for Underserved Patients in the United States? An Analysis of Urban and Rural Communities. Archives of Surgery, 146(1): 46-52.

Shen, Y. and Hsia, R. 2010. Changes in Emergency Department Access Between 2001 and 2005: Are Vulnerable Populations More at Risk for Declines in Access? American Journal of Public Health, 100 (8):1462-1469.

Shen, Y., Hsia, R. and Kuzma, K. 2009.  Understanding the Risk Factors of Trauma Center Closures: Do Financial Pressure and Community Characteristics Matter? Medical Care, 47(9): 968-978.

Zuckerman, S. and Shen, Y. 2004. Characteristics of occasional and frequent emergency department users: Do insurance coverage and access to care matter?  Medical Care 42(2): 176-182.

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Mental Health Readiness in U.S. Military

Cunha, JM, Shen, Y., and Burke, ZR. 2017. Contrasting the impacts of combat and humanitarian assistance/disaster relief missions on the mental health of military service members. Defence and Peace Economics, DOI: 10.1080/10242694.2017.1349365 (available here )

Shen Y, Cunha JM, Williams TV. 2016.Time-varying associations of suicide with deployments, mental health conditions, and stressful life events among current and former US military personnel: a retrospective multivariate analysis. The Lancet Psychiatry, 3(11): 1039-1048. (accepted version available here )

Cunha, J., Arkes, J., Lester, PB, and Shen, Y. 2015. Employee retention and psychological health: Evidence from military recruits. Applied Economics Letters, , 22(18): 1505-1510. (available at here )

Shen, Y., Arkes, J., and Williams, TV. 2012. Effects of Iraq/Afghanistan Deployments on Major Depression and Substance Use Disorder: Analysis of Active Duty Personnel in US Military. American Journal of Public Health, 102 (March, S1): S80-S87.

Shen, Y. Arkes, J. Kwan, B. Tan, L. and Williams, TV. 2010. Effects of Iraq/Afghanistan Deployments on PTSD Diagnoses for Still Active Personnel in All Four Services. Military Medicine, 175 (10): 763-769.

Shen, Y., Arkes J., and Pilgrim, J. 2009. The Effects of Deployment Intensity on Post-traumatic Stress Disorder: 2002-2006. Military Medicine, 174 (3): 217-223.

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Organizational Changes and Financial Incentives in Health Care

Shen, Y. and Wu, VY. 2016. Comparison of Long-run Trends in 30-day Readmission by Degrees of Medicare Payment Cuts. Medical Care, 54(9): 891-898.

Wu, VY., Shen, Y., Yun, M-S, and Melnick, G. 2014. Decomposition of the drivers of the US Hospital spending growth. BMC Health Services Research, 14:230 (DOI:10.1186/1472-6963-14-230). Available at http://www.biomedcentral.com/1472-6963/14/230

Wu, VY. and Shen, Y. 2014. Long-Term Impact of Medicare Payment Reductions on Patient Outcomes. Health Services Research, 49(5): 1596-1615.

Howard, D. and Shen, Y. 2014. Trends in PCI Volume After Negative Results From a Comparative Effectiveness Research Trial. Health Services Research,49 (1, Part I): 153-170.

Mohan, A., Fazel, R., Huang, P., Shen, Y. and D. Howard. 2013. Changes in Geographic Variation in Percutaneous Coronary Intervention (PCI) for Stable Ischemic Heart Disease Following Publication of the COURAGE Trial. Circulation: Cardiovascular Quality and Outcomes, 7:125-130.

Shen, Y. and Wu, VY. 2013. Reductions in Medicare Payments and Patient Outcomes: An Analysis of Five Leading Medicare Conditions. Medical Care, 51(11): 970-977.

Wu, V., Shen, Y., and Melnick, G. 2013. Competitive Market Forces and Trends in US Hospital Spending, 2001-2009. Health, 5(7): 1195-1200.

Shen, Y., Sim, W., Caughey, AB., Howard, DH. 2013. Can Major Systematic Reviews Influence Practice Patterns? A Case Study of Episiotomy Trends. Archives of Gynecology and Obstetrics, 288 (6): 1285-1293.

Howard, D. and Shen, Y. 2012. Comparative Effectiveness Research, Technological Abandonment, and Health Care Spending. Advances in Health Economics and Health Services Research, Volume 23: 103-121.

Melnick, G., Shen, Y., and Wu, Vivian. 2011. The Increased Concentration of Health Plan Markets Can Benefit Consumers Through Lower Hospital Prices. Health Affairs 30 (9): 1728-1733.

Eggleston, K. and Shen, Y. 2011. Soft Budget Constraints and Ownership: Empirical Evidence from US Hospitals. Economics Letters, 110 (1): 7-11.

Shen, Y., Wu, V., and Melnick, G.  2010. Trends in Hospital Cost and Revenue, 1994-2005: How Are They Related to HMO Penetration, Concentration and For-Profit Ownership. Health Services Research, 45 (1): 42-61.

Shen, Y. and Eggleston, K. 2009.  The Effect of Soft Budget Constraints on Access and Quality in Hospital Care. International Journal of Healthcare Finance and Economics, 9(2): 211-232.

Eggleston, K., Shen, Y., Lu, M., Li, C., Wang, J., Yang, Z., and Zhang, J. 2009. Soft Budget Constraints In China: Evidence From The Guangdong Hospital Industry. International Journal of Healthcare Finance and Economics, 9(2): 233-242.

Shen, Y. 2009. Do HMO and Its For-Profit Expansion Jeopardize The Survival Of Hospital Safety Net Services? Health Economics, 18(3): 305-320.  

Eggleston, K., Shen, Y., Schmid, C. and Lau, J., Chan, J. 2008. Hospital Ownership and Quality of Care: What Explains the Different Results in the Literature? Health Economics, 17(12): 1345-1362.

Shen, Y. and Melnick, G.A. 2007. Is Managed Care Still An Effective Cost Containment Device? Forum for Health Economics & Policy: Vol. 9: Iss. 1 (Frontiers in Health Policy Research), Article 3. http://www.bepress.com/fhep/9/1/3.

Shen, Y., Eggleston, K., Schmid, C. and Lau, J. 2007. Hospital Ownership and Financial Performance:  What Explains the Different Empirical Literature Findings? Inquiry, 44 (1): 41-68.

Shen, Y. and Long, S. 2006. What's Driving The Downward Trend In Employer Sponsored Health Insurance? Health Services Research, 41(6): 2074-2096.

Shen, Y. and McFeeters, J. 2006.  Out-of-pocket Health Spending Between Low- And High-Income Populations: Who is at Risk of Having High Expenses And Financial Burdens? Medical Care 44(3): 200-209.

Coughlin, T., Long, S., Shen, Y. 2005. Assessing Access To Care Under Medicaid: Evidence For The Nation And Thirteen States. Health Affairs 24 (4): 1073-1083.

Shen, Y. and Zuckerman, S. 2005.  The Effect of Medicaid Payment Generosity on Access and Use Among Medicaid Beneficiaries. Health Services Research 40(3): 723-744.

Shen, Y. and Melnick, G.A. 2004. The effects of HMO ownership on hospital costs and revenues: is there a difference between for-profit and not-for-profit plan? Inquiry 41(3): 255-267.

Long, S. and Shen, Y. 2004. Low-income workers with employer-sponsored insurance: who's at risk when employers drop coverage? Medical Care Research and Review 61(4): 474-494.

Shen, Y. 2003. Changes in hospital performance after ownership conversions. Inquiry 40 (3): 217-234.

Holahan, J. Nichols, L.M., Blumberg, L.J., and Shen, Y. 2003. A new approach to risk spreading via coverage expansion subsidies.  American Economic Review 93 (2): 277-282.

Shen, Y. 2003. The effect of financial pressure on the quality of care in hospitals.  Journal of Health Economics 22 (2): 243-269.

Shen, Y. and Zuckerman, S. 2003. Why is there state variations in employer-sponsored insurance? Health Affairs 22 (1): 241-251.

Shen, Y. 2002. The effect of ownership choice on patient outcomes after treatment for acute myocardial infarction.  Journal of Health Economics 21 (5): 901-922.

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Other Topics

Arkes, J. and Shen Y. 2014. For Better or for Worse, but What About a Recession? Contemporary Economic Policy, 32(2): 275-287.

Barnett, R., and Shen, Y. 1997. Gender, high- low-schedule-control household tasks and psychological distress: a study of dual-earner couples. Journal of Family Issues 18 (4): 403-428.

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