L
Lee H. Hilborne
Researcher at University of California, Los Angeles
Publications - 94
Citations - 3507
Lee H. Hilborne is an academic researcher from University of California, Los Angeles. The author has contributed to research in topics: Health care & Patient safety. The author has an hindex of 33, co-authored 93 publications receiving 3391 citations. Previous affiliations of Lee H. Hilborne include University of California, Berkeley & RAND Corporation.
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Journal ArticleDOI
The Appropriateness of Use of Coronary Artery Bypass Graft Surgery in New York State
Lucian L. Leape,Lee H. Hilborne,Rolla Edward Park,Steven J. Bernstein,Caren Kamberg,Marjorie J. Sherwood,Robert H. Brook +6 more
TL;DR: The rates of inappropriate and uncertain use of coronary artery bypass graft surgery in New York State were very low and did not vary significantly among hospitals, or according to region, volume of bypass operations performed, or teaching status.
Journal ArticleDOI
Validity of criteria used for detecting underuse of coronary revascularization
Richard L. Kravitz,Marianne Laouri,James P. Kahan,Peter M. Guzy,Todd Sherman,Lee H. Hilborne,Robert H. Brook +6 more
TL;DR: Those receiving a revascularization procedure within 1 year of angiography had lower mortality than those treated medically, and this association persisted after adjustment for extent of coronary artery disease, clinical symptom complex, ejection fraction, and cardiac surgical risk index.
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Variations by Specialty in Physician Ratings of the Appropriateness and Necessity of Indications for Procedures
James P. Kahan,Rolla Edward Park,Lucian L. Leape,Steven J. Bernstein,Lee H. Hilborne,Lori Parker,Caren Kamberg,David J. Ballard,Robert H. Brook,Robert H. Brook +9 more
TL;DR: Divergence in appropriateness ratings and mutual influence of panelists from different specialties rating a comprehensive set of indications for six surgical procedures means that fewer actual procedures are deemed performed for appropriate or necessary indications.
Journal ArticleDOI
Measuring the necessity of medical procedures.
James P. Kahan,Steven J. Bernstein,Lucian L. Leape,Lee H. Hilborne,Rolla Edward Park,Lori Parker,Caren Kamberg,Robert H. Brook +7 more
TL;DR: In conclusion, necessity ratings can be used together with appropriateness ratings to address not only the overuse of procedures, but also to indicate limited access to care through under use of procedures.
Journal ArticleDOI
The Appropriateness of Use of Percutaneous Transluminal Coronary Angioplasty in New York State
Lee H. Hilborne,Lucian L. Leape,Steven J. Bernstein,Rolla Edward Park,Mary E. Fiske,Caren Kamberg,Carol P. Roth,Robert H. Brook +7 more
TL;DR: Few PTCAs were performed for inappropriate indications in New York State, but the large number of procedures performed for indications that were rated uncertain as to their net benefit requires further study and justification at both clinical and policy levels.