Publications

Dr. Hsia works in many research areas. Click on a category to see listed publications. If you would like to see all of Dr. Hsia's publications, click here.

Historically Underserved Populations and Disparities in Access to Care

  1. Ravikumar D, Hsia RY. Do California counties with lower socioeconomic levels have less access to emergency department care? Acad Emerg Med 2010; 17(5):508-513. 
  2. Shen YC, Hsia, RY. Changes in Emergency Department Access Between 2001 and 2005: Are Vulnerable Populations More at Risk for Declines in Access? Am J Public Health. 2010; 100(8):1462-1469.
  3. Hsia RY, Wang NE, Torres H, Saynina O, Wise P. Disparities in trauma center access despite increasing utilization: Data from California, 1999-2006. J Trauma. 2010; 68(1):217-224.
  4. Hsia RY, Shen YC. Possible Geographical Barriers to Trauma Center Access for Underserved Patients in the United States? Arch Surg. 2011; 146(1):1-7. 
  5. Hsia RY, Wang NE, Saynina O, Wise P, Perez-Stable E, Auerbach A. Factors associated with Trauma Center Utilization for Elderly Patients with Trauma: A Statewide Analysis, 1999-2008. Arch Surg. 2011; 146(5):585-592. 
  6. Hsia RY, Asch SM, Weiss RE, et al. Hospital Determinants of Emergency Department Left Without Being Seen Rates. Ann Emerg Med. 2011; 58(1):24-32.
  7. Hsia RY, Shen YC.  Rising Closures of Trauma Centers Disproportionately Burdens Vulnerable Populations. Health Aff (Millwood). 2011; 30(10):1912-1920. 
  8. Hsia RY, Kellermann A, Shen YC. Factors Associated With Closure of Emergency Departments in the United States. JAMA. 2011; 305(19):1978-1985. 
  9. Hsia RY, Srebotnjak T, Kanzaria HK, McCulloch C, Auerbach AD. System-level health disparities in California emergency departments: minorities and Medicaid patients are at higher risk of losing their emergency departments. Ann Emerg Med. 2012; 59:358-365.
  10. Hsia RY, Asch SM, Weiss RE, et al. California Hospitals Serving Large Minority Populations Were More Likely Than Others to Employ Ambulance Diversion. Health Aff (Millwood). 2012; 31(8):1767-1776.
  11. Raven MC, Lowe RA, Maselli J, Hsia RY. Comparison of Presenting Complaint vs Discharge Diagnosis for Identifying Nonemergency Emergency Department Visits. JAMA. 2013; 309(11):1145-1153.
  12. Wang T, Srebotnjak T, Brownell J, Hsia RY. Emergency department charges for asthma-related outpatient visits by insurance status. J Health Care Poor Underserved. 2014; 25(1):396-405.
  13. Shen YC, Hsia RY. Do Patients Hospitalised in High-Minority Hospitals Experience More Diversion and Poorer Outcomes? A Retrospective Multivariate Analysis of Medicare Patients in California. BMJ Open. 2016; 6(3):e010263.
  14. Singhal A, Tien Y, Hsia RY. Racial-Ethnic Disparities in Opioid Prescriptions at Emergency Department Visits for Conditions Commonly Associated with Prescription Drug Abuse. PLOS ONE. 2016; 11(8):e0159224.
  15. Zhu JM, Singhal A, Hsia RY. Emergency Department Length-Of-Stay For Psychiatric Visits Was Significantly Longer Than For Nonpsychiatric Visits, 2002-11. Health Aff (Millwood). 2016; 35(9):1698-1706.
  16. Shen YC, Hsia RY. Association Between Emergency Department Closure and Treatment, Access, and Health Outcomes Among Patients with Acute Myocardial Infarction. Circulation. 2016;134(20):1597-1599.
  17. Hsia RY, Sarkar N, Shen YC. Impact of Ambulance Diversion: Black Patients with Acute Myocardial Infarction Had Higher Mortality than Whites. Health Affairs. 2017;36(6):1070-1077. 
  18. McConville S, Raven MC, Sabbagh SH, Hsia RY. Frequent Emergency Department Users: A Statewide Comparison Before and After Affordable Care Act Implementation. Health Aff (Millwood). 2018;37(6):881-889.
  19. Niedzwiecki MJ, Hsia RY, Shen YC. Not All Insurance Is Equal: Differential Treatment and Health Outcomes by Insurance Coverage Among Nonelderly Adult Patients With Heart Attack. J Am Heart Assoc. 2018;7(11):e008152.
  20. McConville S, Mooney AC, Williams BA, Hsia RY. How Do ED Patients with Criminal Justice Contact Compare to Other ED Users? A Retrospective Analysis of ED Visits in California. BMJ Open. 2018;8:e020897.
  21. Wei R, Mann NC, Dai M, Hsia RY. Injury-Based Geographic Access to Trauma Centers. Acad Emerg Med. 2019;26(2):192-204.
  22. Mooney AC, McConville S, Rappaport AJ, Hsia RY. Association of Legal Intervention Injuries with Race and Ethnicity Among Patients Treated in Emergency Departments in California. JAMA Network Open. 2018;1(5):e182150.
  23. Hsia RY, Huang D, Mann NC, Colwell C, Mercer MP, Dai M, Niedzwiecki MJ. A US National Study of the Association Between Income and Ambulance Response Time in Cardiac Arrest. JAMA Netw Open. 2018;1(7):e185202.
  24. Supat B, Brennan JJ, Vilke GM, Ishimine P, Hsia RY, Castillo EM. Characterizing Pediatric High Frequency Users of California Emergency Departments. Am J Emerg Med. 2018;pii: S0735-6757(18)30977-X. doi: 10.1016/j.ajem.2018.12.015. [Epub ahead of print]
  25. Niedzwiecki MJ, Kanzaria HK, Montoy JC, Hsia RY, Raven MC. Past Frequent Emergency Department Use Predicts Mortality. Health Aff (Millwood). 2019;38(1):155-158.
  26. Nath JB, Costigan S, Lin F, Vittinghoff E, Hsia RY. Access to Federally Qualified Health Centers and Emergency Department Use Among Uninsured and Medicaid-insured Adults: California, 2005 to 2013. Acad Emerg Med. 2019; doi: 10.1111/acem.13494.
  27. Castillo EM, Brennan JJ, Howard J, Hsia RY, Chalmers C, Chan TC, Ko KJ. Factors Associated with Geriatric Frequent Users of Emergency Departments. Ann Emerg Med. 2019; pii: S0196-0644(18)31577-4. doi: 10.1016/j.annemergmed.2018.12.013. [Epub ahead of print]
  28. Hsuan C, Hsia RY, Horwitz J, Ponce NA, Rice T, Needleman J. Ambulance Diversions Following Public Hospital Emergency Department Closures. Health Serv Res. 2019; 00:1-10. doi.org/10.1111/1475-6773.13147.
  29. Shen YC, Chen G, Hsia RY. Community and Hospital Factors Associated with Stroke Center Certification in the United States, 2009-2017. JAMA Netw Open. 2019; 2(7): e197855. doi:10.1001/jamanetworkopen.2019.7855.
  30. Hsia RY, Sarkar N, Shen YC. Impact of Ambulance Diversion: Black Patients With Acute Myocardial Infarction Had Higher Mortality Than Whites. Health Aff (Millwood). 2017;36(6):1070-1077. 
  31. Hsia RY, Niedzwiecki M. Avoidable Emergency Department Visits: A Starting Point. Int J Qual Health Care. 2017;29(5):642-645.
  32. Kanzaria HK, Niedzwiecki MJ, Montoy JC, Raven MC, Hsia RY. Persistent Frequent Emergency Department Use: Core Group Exhibits Extreme Levels of Use for More Than a Decade. Health Aff (Millwood). 2017;36(10):1720-1728.
  33. Rothman A, McConville S, Hsia RY, Metzger L, Ahalt C, Williams BA. Differences Between Incarcerated and Non-Incarcerated Patients Who Die in Community Hospitals Highlight the Need for Palliative Care Services for Seriously Ill Prisoners in Correctional Facilities and in Community Hospitals: A Cross-Sectional Study. Palliat Med. 2018;32(1):17-22.
  34. McConville S, Raven MC, Sabbagh SH, Hsia RY. Frequent Emergency Department Users: A Statewide Comparison Before and After Affordable Care Act Implementation. Health Aff (Millwood). 2018;37(6):881-889.
  35. Niedzwiecki MJ, Hsia RY, Shen YC. Not All Insurance Is Equal: Differential Treatment and Health Outcomes by Insurance Coverage Among Nonelderly Adult Patients With Heart Attack. J Am Heart Assoc. 2018;7(11):e008152.
  36. McConville S, Mooney AC, Williams BA, Hsia RY. How Do ED Patients with Criminal Justice Contact Compare to Other ED Users? A Retrospective Analysis of ED Visits in California. BMJ Open. 2018;8:e020897.
  37. Mooney AC, McConville S, Rappaport AJ, Hsia RY. Association of Legal Intervention Injuries with Race and Ethnicity Among Patients Treated in Emergency Departments in California. JAMA Netw Open. 2018;1(5):e182150.
  38. Niedzwiecki MJ, Sharma P, Kanzaria HK, McConville S, Hsia RY. Factors Associated With Emergency Department Use by Patients With and Without Mental Health Diagnoses. JAMA Netw Open. 2018;1(6);e183528.
  39. Hsia RY, Huang D, Mann NC, Colwell C, Mercer MP, Dai M, Niedzwiecki MJ. A US National Study of the Association Between Income and Ambulance Response Time in Cardiac Arrest. JAMA Netw Open. 2018;1(7):e185202.
  40. Niedzwiecki MJ, Kanzaria HK, Montoy JC, Hsia RY, Raven MC. Past Frequent Emergency Department Use Predicts Mortality. Health Aff (Millwood). 2019;38(1):155-158.
  41. Nath JB, Costigan S, Lin F, Vittinghoff E, Hsia RY. Access to Federally Qualified Health Centers and Emergency Department Use Among Uninsured and Medicaid-insured Adults: California, 2005 to 2013. Acad Emerg Med. 2019; doi: 10.1111/acem.13494.
  42. Hsuan C, Hsia RY, Horwitz J, Ponce NA, Rice T, Needleman J. Ambulance Diversions Following Public Hospital Emergency Department Closures. Health Serv Res. 2019; 00:1-10. doi.org/10.1111/1475-6773.13147.
  43. Valdovinos EM, Niedzwiecki MJ, Guo J, Hsia RY. Effects of Medicaid Expansion on Access, Treatment and Outcomes for Patients With Acute Myocardial Infarction. PLoS ONE. 2020;15(4):e0232097.
  44. Valdovinos EM, Niedzwiecki MJ, Guo, J, Hsia RY. The association of Medicaid expansion and racial/ethnic inequities in access, treatment, and outcomes for patients with acute myocardial infarction. PLOS ONE. 2020;15(11):e0241785. 
  45. Hsia RY, Krumholz H, Shen Y-C. Evaluations of STEMI Regionalization on Access, Treatment, and Outcomes Among Adults Living in Nonminority and Minority Communities. JAMA Netw Open. 2020;3(11):e2025874. 
  46. Baehr A, Fought AJ, Hsia RY, Wiler JL, Ginde AA. The association between area deprivation index and emergency department discharge rates and revisits. Academic Emergency Medicine. 2022. doi:10.1111/acem.14486
  47. Shen YC, Sarkar N, Hsia RY. Structural inequities for historically underserved communities in the adoption of stroke certification in the United States. JAMA Neurology. 2022;79(8):777-786. Online ahead of print.
  48. Montoy JCC, Shen YC, Hsia RY. Trends in inequities in the treatment of and outcomes for women and minorities with myocardial infarction. Annals of Emergency Medicine. 2022 Aug;80(2):108-117. Epub 2022 Jun 21.
  49. Wang C, Lindquist K, Krumholz H, Hsia RY. Trends in the likelihood of receiving percutaneous coronary intervention in a low-volume hospital and disparities by sociodemographic communities. PLoS One. 2023;18(1):e0279905. eCollection 2023.
  50. Shen YC, Krumholz HM, Hsia RY. Do PCI Facility Openings and Closures Affect AMI Outcomes Differently in High- vs Average-Capacity Markets? JACC Cardiovasc Interv. 2023;16(10):1129-1140. 
  51. Ward, M. J., Nikpay, S., Shermeyer, A., Nallamothu, B. K., Rokos, I., Self, W. H., & Hsia, R. Y. (2023). Interfacility Transfer of Uninsured vs Insured Patients With ST-Segment Elevation Myocardial Infarction in California. JAMA Network Open, 6(6), e2317831.
  52. Shen Y, Sarkar N, Hsia RY. Differential Treatment and Outcomes for Patients With Heart Attacks in Advantaged and Disadvantaged Communities. Journal of the American Heart Association. 0(0):e030506.
  53. Hsia RY, Shen YC. Structural Inequities In The Adoption Of Percutaneous Coronary Intervention Services By US Hospitals, 2000–20. Health Aff (Millwood). 2024;43(7):1011-1020.
  54. Hsia RY, Sarkar N, Shen YC. Provision of Stroke Care Services by Community Disadvantage Status in the US, 2009-2022. JAMA Netw Open. 2024;7(7):e2421010.
  55. Shen Y, Feldmeier M, Hsia RY. Non–ST‐Segment–Elevation Myocardial Infarction and ST‐Segment–Elevation Myocardial Infarction Outcomes After a Percutaneous Coronary Intervention–Capable Facility Opening by Patient Race and Community Segregation. Journal of the American Heart Association. 0(0):e035853.

Stroke and Neurologic Emergencies

  1. Shen YC, Chen G, Hsia RY. Community and Hospital Factors Associated with Stroke Center Certification in the United States, 2009-2017. JAMA Netw Open. 2019; 2(7): e197855. doi:10.1001/jamanetworkopen.2019.7855.
  2. Shen YC, Sarkar N, Hsia RY. Structural inequities for historically underserved communities in the adoption of stroke certification in the United States. JAMA Neurology. 2022;79(8):777-786. Online ahead of print.
  3. Feldmeier M, Kim AS, Zachrison KS, Alberts MJ, Shen YC, Hsia RY. Heterogeneity of State Stroke Center Certification and Designation Processes. Stroke. 2024;55(4):1051-1058.
  4. Hsia RY, Sarkar N, Shen YC. Provision of Stroke Care Services by Community Disadvantage Status in the US, 2009-2022. JAMA Netw Open. 2024;7(7):e2421010.
  5. Shen YC, Kim AS, Hsia RY. Treatments and Patient Outcomes Following Stroke Center Expansion. JAMA Network Open. 2024;7(11):e2444683.