PhD, Health Services Research, Policy and Administration, 1998, University of Minnesota

MPH, Health Planning and Administration, 1981, University of Michigan

BA, Environmental Science, 1974, State University of New York at Binghamton

Bruce Friedman, PhD, MPH

Associate Professor,
Community & Preventive Medicine

Director, Doctoral Program in Health Services Research & Policy

Contact Information:

University of Rochester
Community & Preventive Medicine
601 Elmwood Avenue, Box 644
Rochester, NY 14642

Office: 4-W305
Phone: (585) 273-2618

Email: bruce_friedman@urmc.rochester.edu

Research:

The provision of health care to the elderly population, focusing on the development of more effective and efficient ways to deliver services to the functionally impaired aged.

Dr. Friedman has wide-ranging research interests in the health and health care of the elderly. He is the current recipient of a 5-year Career Academic Award from the National Institute of Mental Health through which he is studying the relationship between depression and function and their effects on healthcare service use and expenditures among older people. He was recently Co-Principal Investigator on a study sponsored by the Robert Wood Johnson Foundation on depression in primary care. Dr. Friedman has worked on several Medicare demonstration projects, including ACCESS:Medicare, the Medicare Alzheimer's Disease Demonstration, and the Medicare Primary and Consumer-Directed Care Demonstration. He is continuing investigations on the latter, which included the following interventions: (1) a chronic disease self-management/health promotion nurse intervention, (2) a consumer-directed voucher for in-home supportive goods and services not normally covered by Medicare, and (3) the combination of the two interventions. Dr. Friedman has conducted research examining case management, geriatric practice in Medicare health maintenance organizations, variations in Medicare spending across the states, and differences in Medicare services utilization between a Social Health Maintenance Organization (Social HMO) and a Medicare risk HMO. Since 2003 he has been the Director of the PhD Program in Health Services Research and Policy.

• Crilly, J, Caine, E, Lamberti, JS, Brown, T, and Friedman, B. Mental Health Services Utilization and Symptom Prevalence In an Adult Probation Cohort. Psychiatric Services, Accepted for Publication.
• Liebel, DV, Friedman, B, Powers, B, and Watson, N. Review of Nurse Home Visiting Interventions for Community-Dwelling Older Persons with Existing Disability. Medical Care Research and Review, Accepted for Publication.
• Friedman, B, Delavan, RL, Sheeran, T, and Bruce, ML. The Effect of Major and Minor Depression on Medicare Home Healthcare Services Use. Journal of the American Geriatrics Society, Accepted for Publication.
• Lee, BW, Conwell, Y, Shah, MN, Barker, WH, Delavan, RL, and Friedman, B. Major Depression and Emergency Medical Services Utilization in Community-Dwelling Elderly Persons with Disabilities. International Journal of Geriatric Psychiatry, Accepted for Publication.
• Walsh, P, Currier, G, Shah, M, Lyness, J, and Friedman, B. Psychiatric Emergency Services for the U.S. Elderly: 2008 and Beyond. American Journal of Geriatric Psychiatry, 16: 706-717, 2008.
• Shah, MN, Cushman, JT, Davis, CO, Bazarian, JJ, Auinger, P, and Friedman, B. The Epidemiology of Emergency Medical Services Use by Children: An Analysis of the National Hospital Ambulatory Medical Care Survey. Prehospital Emergency Care, 12: 269-276, 2008.
• Friedman, B, Lyness, J, Delavan, RL, Li, C, and Barker, WH. Major Depression and Disability in Older Primary Care Patients with Heart Failure. Journal of Geriatric Psychiatry and Neurology, 21(2): 111-122, 2008.
• Jensen, PM, Saunders, RL, Thierer, T, and Friedman, B. Factors Associated with Oral Health-Related Quality of Life in Community-Dwelling Elderly Persons with Disabilities. Journal of the American Geriatrics Society, 56:711–717, 2008.
• Saunders, RL, and Friedman, B. Oral Health Conditions of Non-Institutionalized, Cognitively Intact, Disabled Aged Persons. Gerodontology, 24: 67-76, 2007.
• Shah, MN, Bazarian, JJ, Lerner, EB, Fairbanks, RJ, Barker, WH, Auinger, P, and Friedman, B. The Epidemiology of Emergency Medical Services Use by Older Adults: An Analysis of the National Hospital Ambulatory Medical Care Survey. Academic Emergency Medicine 14:441-448, 2007.
• Li, C, Friedman, B, Conwell, Y, and Fiscella, K. Validity of the Patient Health Questionnaire 2 in Identifying Major Depression in Older People. Journal of the American Geriatrics Society, 55: 596-602, 2007.
• Friedman, B, Conwell, Y, and Delavan, RL. Correlates of Late Life Major Depression: A Comparison of Urban and Rural Primary Care Patients. American Journal of Geriatric Psychiatry, 15: 28-41, 2007.
• Thierer, T, and Friedman, B. Preferences for Oral Health States in a U.S. Community-Dwelling Functionally Impaired Older Adult Population: 2000-2001. Journal of Public Health Dentistry, 66(4): 248-54, 2006. (click for pdf file)
• Meng H, Friedman B, Dick A, Wamsley BR, Eggert GM and Mukamel D. "Effect of a Voucher Benefit on the Demand for Paid Personal Assistance." The Gerontologist 46(2):183-192, 2006. (click for pdf file)
• Friedman, B, Heisel, MJ and Delavan, RL . "Validity of the SF-36 MHI-5 for Major Depression in Functionally Impaired, Community-Dwelling Elderly Patients." Journal of the American Geriatrics Society 53(11):1978-85, 2005. (click for pdf file)
• Friedman, B, Heisel, MJ, and Delavan, RL. “Psychometric Properties of the 15-Item Geriatric Depression Scale in Functionally Impaired, Cognitively Intact, Community-Dwelling, Elderly Primary Care Patients.” Journal of the American Geriatrics Society 53:1570-76, 2005. (click for pdf file)
• Friedman B, Conwell Y, Delavan RR, Wamsley BR, and Eggert GM. "Depression and Suicidal Behaviors in Medicare Beneficiaries under Age 65." Journal of General Internal Medicine 20(5):397-403, 2005. (click for pdf file)
• Meng H, Friedman B, Wamsley B, et al. “The Effect of a Consumer-Directed Voucher and a Disease Management/Health Promotion Nurse Intervention on Home Care Use.” The Gerontologist 45:167-176, 2005. (click for pdf file)