Hsia Lab

We conduct health services research with the overarching goal of improving healthcare delivery systems and ensuring equitable access to care for all.

[Hsia Lab @Hsia_Lab]

New by @Hsia_Lab in @JAMANetworkOpen: Opening PCI-capable hospitals ↑ procedures by 7.5% overall and ~20% in underserved communities. Gains in access raise concerns about potential overuse of PCI where it already exists #HealthServicesResearch

Read more: https://t.co/plyVk07bJR

[Hsia Lab @Hsia_Lab]

New article in @JAMAInternalMed by @Hsia_Lab: Access to dialysis facilities declines as community disadvantage rises. The most disadvantaged communities were 5.6× more likely to lack a facility within 30 mins. Coverage ≠ access. #ESKD #Policy

Read more: https://t.co/hhEpCikuwI

[Hsia Lab @Hsia_Lab]

New study in @JournalGIM: ED visits surged 46% in CA, and many hospitals lacked continuous access to anesthesia, operating rooms, and psychiatric emergency services—raising concerns about timely care for high-acuity patients #HealthSystems

Read more:
https://t.co/eosM73pK5I

[Hsia Lab @Hsia_Lab]

New article by @Hsia_Lab: Medicaid ED use increased the most over 15 years, but Medicare outpatient ED visits rose nearly 30%, challenging assumptions that insurance reduces ED reliance🚑🏥policies may miss drivers of demand: access and system capacity

https://t.co/vi1FdgNPIl

[UCSF IHPS @UCSF_IHPS]

@UCSF_IHPS faculty @ReneeYHsia (@Hsia_Lab) study in @JAMANetworkOpen: Black and White stroke patients treated side-by-side in the same certified hospital.

Only White patients saw gains in treatment after certification.

We need more than access—we need action.

[Hsia Lab @Hsia_Lab]

Read @Hsia_Lab’s new @JAMANetworkOpen study:
🏥 Same hospital.
🧠 Same stroke.
❌ Different treatment.
Black patients saw no or minimal gains in stroke treatment after certification, unlike White patients.

See more: https://t.co/qK0S5SRNpP

[JAMA Network Open @JAMANetworkOpen]

While stroke center certification near communities increased admissions for both Black and White patients, only White patients saw an increase in acute stroke treatments in this cohort study. @ReneeYHsia https://t.co/dAdY7pHa43

[Hsia Lab @Hsia_Lab]

New in @JAMANetworkOpen by @Hsia_Lab: Stroke center certification increased access for Black & White patients, but only White patients saw treatment gains. Black patients had declines in thrombolysis & thrombectomy🏥 #StrokeCare #HealthEquity
Read more: https://t.co/ypG397nSqu

[Hsia Lab @Hsia_Lab]

🧠In a new study published by @Hsia_Lab in @AnnalsofEM: Advantaged communities saw gains in stroke treatment and lower 1-year mortality. Disadvantaged communities saw neither. Certification alone won’t close outcome gaps #StrokeCertification #HealthEquity
https://t.co/WbOtp3N9cs

[Hsia Lab @Hsia_Lab]

In a @Hsia_Lab study of nearly 6M CA EMS offloads, communities with higher proportions of Black residents faced up to 11.8 minutes longer ambulance offload times🚑 Delays like these may contribute to disparities in emergency care. #HealthEquity Read more: https://t.co/8eiDZNCjeG

[Hsia Lab @Hsia_Lab]

New @JAMAInternalMed paper by @ReneeYHsia 🚑 found that after #Medicaid cut dental benefits, ED visits for non-traumatic dental conditions (NTDCs) increased. When benefits were restored in 2018, visits declined—but only partially. #EmergencyCare
Read more: https://t.co/yDpM8SckU8

[Hsia Lab @Hsia_Lab]

Ambulances stuck in limbo?🚑New @Forbes editorial by @ReneeYHsia exposes the hidden crisis of ambulance patient offload times (APOT)—why paramedics are waiting & how it impacts patient care. #EmergencyCare #HealthcareCrisis #EMS
Read more:
https://t.co/mdoCkLzIXM

[Hsia Lab @Hsia_Lab]

New @Forbes editorial by @ReneeYHsia 🏥24M Americans now have ACA coverage—a huge step for access. But is our healthcare system truly fixed? Learn how delays, upcoding & fee-for-service drive costs sky-high 💸

Read more:
https://t.co/HEVZckDVAk

[Hsia Lab @Hsia_Lab]

New @Forbes editorial by @ReneeYHsia 🏥 on Americans facing skyrocketing health insurance premiums, shrinking coverage, and rising out-of-pocket costs. Is it time to rethink the system?

Read more:

https://t.co/URBXVXspfz

[Hsia Lab @Hsia_Lab]

New @Forbes editorial by @ReneeYHsia 🚑 on why reforming the US healthcare system is the only true way to address the dysfunction causing so much despair across our country

Read more:
https://t.co/FTv6Mt8vrJ

[Hsia Lab @Hsia_Lab]

New findings in @JAMANetworkOpen by @Hsia_Lab 🚑

79% of ambulance offload times in California exceed the 30-min standard, with offload delays worsening from 2021 to 2023. These delays may strain EMS availability & jeopardize patient outcomes.

Read more:
https://t.co/J6L64ThquP

[Hsia Lab @Hsia_Lab]

@ReneeYHsia's latest editorial explores the Emergency Treatment and Labor Act and the limitations of the ER as a safety net https://t.co/L5rNHkZKNk

[Hsia Lab @Hsia_Lab]

@ReneeYHsia's new editorial uncovers how the U.S. healthcare system misses high returns on investment, particularly in stroke care. Read more here: https://t.co/jZwvWt9uIx

[Hsia Lab @Hsia_Lab]

🏥 Newly certified stroke centers provide greater benefits to patients residing in areas without pre-existing stroke center access. How can we ensure the equitable distribution of stroke care services? Read more in this new article by @ReneeYHsia: https://t.co/hAsorWpgBR

[Hsia Lab @Hsia_Lab]

🫀 New findings: Expanding specialized cardiac services led to the greatest improvements in outcomes for Black patients living in racially integrated communities, regardless of heart attack type. @JAHA_AHA @nih_nhlbi https://t.co/frdSIekRRv