Center for Surgery and Public Health

John Ayanian, M.D., M.P.P.

Medical Director

Dr. John Ayanian is Professor of Medicine and Health Care Policy at Harvard Medical School and Professor of Health Policy and Management at the Harvard School of Public Health.  He is also a practicing general internist in the Division of General Medicine at Brigham and Women’s Hospital, where he sees patients, teaches medical residents, and serves as Director of the General Internal Medicine Fellowship and Medical Director of the Center for Surgery and Public Health.  He received his bachelor’s degree from Duke University, M.D. degree from Harvard Medical School, and Master of Public Policy degree from Harvard’s Kennedy School of Government. 

Dr. Ayanian has published over 130 articles on access to care, quality of care, and racial, ethnic, and socioeconomic disparities related to cancer, diabetes, cardiovascular disease, and renal disease.  As Principal Investigator, he has led research grants from the National Cancer Institute, Agency for Healthcare Research and Quality, Robert Wood Johnson Foundation, and Commonwealth Fund.  Dr. Ayanian chairs the Colorectal Cancer Panel of the National Quality Forum and serves on the Editorial Boards of Circulation and the Journal of Clinical Oncology.  He is a Fellow of the American College of Physicians and an Elected Member of the American Society for Clinical Investigation.

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Publications

Keating NL, Landrum MB, Guadagnoli E, Winer EP, Ayanian JZ.

Care in the Months before Death and Hospice Enrollment Among Older Women with Advanced Breast Cancer. J Gen Intern Med. 2007 Oct 16; [Epub ahead of print] PMID: 17939006 [PubMed - as supplied by publisher]

Mehrotra A, Zaslavsky AM, Ayanian JZ.

Preventive health examinations and preventive gynecological examinations in the United States. Arch Intern Med. 2007 Sep 24;167(17):1876-83. PMID: 17893309 [PubMed - in process

Waikar SS, Curhan GC, Ayanian JZ, Chertow GM.

Race and mortality after acute renal failure. J Am Soc Nephrol. 2007 Oct;18(10):2740-8. Epub 2007 Sep 12. PMID: 17855647 [PubMed - in process]

Keating NL, Zaslavsky AM, Herrinton LJ, Selby JV, Wolf RE, Ayanian JZ.

Quality of diabetes care among cancer survivors with diabetes. Med Care. 2007 Sep;45(9):869-75. PMID: 17712257 [PubMed - indexed for MEDLINE]

McWilliams JM, Meara E, Zaslavsky AM, Ayanian JZ.

Use of health services by previously uninsured Medicare beneficiaries. N Engl J Med. 2007 Jul 12;357(2):143-53. PMID: 17625126 [PubMed - indexed for MEDLINE]

Keating NL, Landrum MB, Landon BE, Ayanian JZ, Borbas C, Guadagnoli E.

The influence of cost containment strategies and physicians' financial arrangements on patients' trust and satisfaction. J Ambul Care Manage. 2007 Apr-Jun;30(2):92-104. PMID: 17495676 [PubMed - indexed for MEDLINE]

Keating NL, Ayanian JZ, Cleary PD, Marsden PV.

Factors affecting influential discussions among physicians: a social network analysis of a primary care practice. J Gen Intern Med. 2007 Jun;22(6):794-8. Epub 2007 Apr 3. PMID: 17404798 [PubMed - indexed for MEDLINE]

Keating NL, Landrum MB, Guadagnoli E, Winer EP, Ayanian JZ.

Surveillance testing among survivors of early-stage breast cancer. J Clin Oncol. 2007 Mar 20;25(9):1074-81. PMID: 17369571 [PubMed - indexed for MEDLINE]

Normand SL, Wolf RE, Ayanian JZ, McNeil BJ.

Assessing the accuracy of hospital clinical performance measures. Med Decis Making. 2007 Jan-Feb;27(1):9-20. PMID: 17237448 [PubMed - indexed for MEDLINE]

Rogers SO Jr, Wolf RE, Zaslavsky AM, Wright WE, Ayanian JZ.

Relation of surgeon and hospital volume to processes and outcomes of colorectal cancer surgery. Ann Surg. 2006 Dec;244(6):1003-11. PMID: 17122626 [PubMed - indexed for MEDLINE]

Levine DA, Kiefe CI, Houston TK, Allison JJ, McCarthy EP, Ayanian JZ.

Younger stroke survivors have reduced access to physician care and medications: National Health Interview Survey from years 1998 to 2002. Arch Neurol. 2007 Jan;64(1):37-42. Epub 2006 Nov 13. PMID: 17101819 [PubMed - indexed for MEDLINE]

Ayanian JZ, Jacobsen PB.

Enhancing research on cancer survivors. J Clin Oncol. 2006 Nov 10;24(32):5149-53. Review. PMID: 17093278 [PubMed - indexed for MEDLINE]

Trivedi AN, Zaslavsky AM, Schneider EC, Ayanian JZ.

Relationship between quality of care and racial disparities in Medicare health plans. JAMA. 2006 Oct 25;296(16):1998-2004. PMID: 17062863 [PubMed - indexed for MEDLINE]

Zhang W, Ayanian JZ, Zaslavsky AM.

Patient characteristics and hospital quality for colorectal cancer surgery. Int J Qual Health Care. 2007 Feb;19(1):11-20. Epub 2006 Sep 25. PMID: 17000710 [PubMed - indexed for MEDLINE]

Keating NL, Herrinton LJ, Zaslavsky AM, Liu L, Ayanian JZ.

Variations in hospice use among cancer patients. J Natl Cancer Inst. 2006 Aug 2;98(15):1053-9. PMID: 16882942 [PubMed - indexed for MEDLINE]

Trivedi AN, Ayanian JZ.

Perceived discrimination and use of preventive health services. J Gen Intern Med. 2006 Jun;21(6):553-8. PMID: 16808735 [PubMed - indexed for MEDLINE

Earle A, Ayanian JZ, Heymann J.

Work resumption after newly diagnosed coronary heart disease: findings on the importance of paid leave. J Womens Health (Larchmt). 2006 May;15(4):430-41. PMID: 16724890 [PubMed - indexed for MEDLINE]

Sequist TD, Zaslavsky AM, Galloway JM, Ayanian JZ.

Cardiac procedure use following acute myocardial infarction among American Indians. Am Heart J. 2006 Apr;151(4):909-14. PMID: 16569561 [PubMed - indexed for MEDLINE]

Sequist TD, Adams A, Zhang F, Ross-Degnan D, Ayanian JZ.

Effect of quality improvement on racial disparities in diabetes care. Arch Intern Med. 2006 Mar 27;166(6):675-81. PMID: 16567608 [PubMed - indexed for MEDLINE]

Earle CC, Ayanian JZ.

Looking back from death: the value of retrospective studies of end-of-life care. J Clin Oncol. 2006 Feb 20;24(6):838-40. No abstract available. PMID: 16484691 [PubMed - indexed for MEDLINE]

Malin JL, Ko C, Ayanian JZ, Harrington D, Nerenz DR, Kahn KL, Ganther-Urmie J, Catalano PJ, Zaslavsky AM, Wallace RB, Guadagnoli E, Arora NK, Roudier MD, Ganz PA.

Understanding cancer patients' experience and outcomes: development and pilot study of the Cancer Care Outcomes Research and Surveillance patient survey. Support Care Cancer. 2006 Aug;14(8):837-48. Epub 2006 Feb 16. PMID: 16482448 [PubMed - indexed for MEDLINE]

Ayanian JZ.

Rising rates of cardiac procedures in the United States and Canada: too much of a good thing? Circulation. 2006 Jan 24;113(3):333-5. No abstract available. PMID: 16432064 [PubMed - indexed for MEDLINE]

Trivedi AN, Sequist TD, Ayanian JZ.

Impact of hospital volume on racial disparities in cardiovascular procedure mortality. J Am Coll Cardiol. 2006 Jan 17;47(2):417-24. PMID: 16412871 [PubMed - indexed for MEDLINE]

Keating NL, Landrum MB, Guadagnoli E, Winer EP, Ayanian JZ.

Factors related to underuse of surveillance mammography among breast cancer survivors. J Clin Oncol. 2006 Jan 1;24(1):85-94. PMID: 16382117 [PubMed - indexed for MEDLINE]

Zheng H, Yucel R, Ayanian JZ, Zaslavsky AM.

Profiling providers on use of adjuvant chemotherapy by combining cancer registry and medical record data. Med Care. 2006 Jan;44(1):1-7. PMID: 16365606 [PubMed - indexed for MEDLINE]

Yost KJ, Cella D, Chawla A, Holmgren E, Eton DT, Ayanian JZ, West DW.

Minimally important differences were estimated for the Functional Assessment of Cancer Therapy-Colorectal (FACT-C) instrument using a combination of distribution- and anchor-based approaches. J Clin Epidemiol. 2005 Dec;58(12):1241-51. Epub 2005 Oct 13. PMID: 16291468 [PubMed - indexed for MEDLINE]

Sequist TD, Cullen T, Ayanian JZ.

Information technology as a tool to improve the quality of American Indian health care. Am J Public Health. 2005 Dec;95(12):2173-9. Epub 2005 Oct 27. PMID: 16257947 [PubMed - indexed for MEDLINE]

Zhao Y, Ellis RP, Ash AS, Calabrese D, Ayanian JZ, Slaughter JP, Weyuker L, Bowen B.

Measuring population health risks using inpatient diagnoses and outpatient pharmacy data. Health Serv Res. 2001 Dec;36(6 Pt 2):180-93. PMID: 16148968 [PubMed - indexed for MEDLINE]

Arora NK, Ayanian JZ, Guadagnoli E.

Examining the relationship of patients' attitudes and beliefs with their self-reported level of participation in medical decision-making. Med Care. 2005 Sep;43(9):865-72. PMID: 16116351 [PubMed - indexed for MEDLINE]

Ayanian JZ, Zaslavsky AM, Guadagnoli E, Fuchs CS, Yost KJ, Creech CM, Cress RD, O'Connor LC, West DW, Wright WE.

Patients' perceptions of quality of care for colorectal cancer by race, ethnicity, and language. J Clin Oncol. 2005 Sep 20;23(27):6576-86. Epub 2005 Aug 22. PMID: 16116149 [PubMed - indexed for MEDLINE]

Trivedi AN, Zaslavsky AM, Schneider EC, Ayanian JZ.

Trends in the quality of care and racial disparities in Medicare managed care. N Engl J Med. 2005 Aug 18;353(7):692-700. PMID: 16107622 [PubMed - indexed for MEDLINE]

Jha AK, Perlin JB, Steinman MA, Peabody JW, Ayanian JZ.

Quality of ambulatory care for women and men in the Veterans Affairs Health Care System. J Gen Intern Med. 2005 Aug;20(8):762-5. PMID: 16050889 [PubMed - indexed for MEDLINE]

Earle CC, Neville BA, Landrum MB, Souza JM, Weeks JC, Block SD, Grunfeld E, Ayanian JZ.

Evaluating claims-based indicators of the intensity of end-of-life cancer care. Int J Qual Health Care. 2005 Dec;17(6):505-9. Epub 2005 Jun 28. PMID: 15985505 [PubMed - indexed for MEDLINE]

Hicks LS, Shaykevich S, Bates DW, Ayanian JZ.

Determinants of racial/ethnic differences in blood pressure management among hypertensive patients. BMC Cardiovasc Disord. 2005 Jun 22;5(1):16. PMID: 15972095 [PubMed - indexed for MEDLINE]

Krumholz HM, Peterson ED, Ayanian JZ, Chin MH, DeBusk RF, Goldman L, Kiefe CI, Powe NR, Rumsfeld JS, Spertus JA, Weintraub WS; National Heart, Lung, and Blood Institute working group.

Report of the National Heart, Lung, and Blood Institute working group on outcomes research in cardiovascular disease. Circulation. 2005 Jun 14;111(23):3158-66. PMID: 15956152 [PubMed - indexed for MEDLINE]

Ma J, Sehgal NL, Ayanian JZ, Stafford RS.

National trends in statin use by coronary heart disease risk category. PLoS Med. 2005 May;2(5):e123. Epub 2005 May 31. PMID: 15916463 [PubMed - indexed for MEDLINE]

Hicks LS, Ayanian JZ, Orav EJ, Soukup J, McWilliams JM, Choi SS, Johnson PA.

Is hospital service associated with racial and ethnic disparities in experiences with hospital care? Am J Med. 2005 May;118(5):529-35. PMID: 15866256 [PubMed - indexed for MEDLINE]

Peralta CA, Hicks LS, Chertow GM, Ayanian JZ, Vittinghoff E, Lin F, Shlipak MG.

Control of hypertension in adults with chronic kidney disease in the United States. Hypertension. 2005 Jun;45(6):1119-24. Epub 2005 Apr 25. PMID: 15851626 [PubMed - indexed for MEDLINE]

Persell SD, Maviglia SM, Bates DW, Ayanian JZ.

Ambulatory hypercholesterolemia management in patients with atherosclerosis. Gender and race differences in processes and outcomes. J Gen Intern Med. 2005 Feb;20(2):123-30. PMID: 15836544 [PubMed - indexed for MEDLINE]

Zaslavsky AM, Ayanian JZ.

Integrating research on racial and ethnic disparities in health care over place and time. Med Care. 2005 Apr;43(4):303-7. No abstract available. PMID: 15778633 [PubMed - indexed for MEDLINE]

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