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Alex Macario MDAcademic Appointments
Appointment
Organization
Professor - Med Center Line
Professor - Med Center Line (By courtesy)
Member
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Honors & Awards
Title
Organization
Date(s)
1st place, Literature Prize
American Society of Anesthesiology Annual Meeting
2004
Administrative Appointments
Title
Organization
Start Year
End Year
Vice-Chairman for Education
Department of Anesthesia
2006
-
Program Director
Anesthesiology Residency
2006
-
Program Director
Management of Perioperative Services Fellowship
1996
-
Editor
Anesthesiology News
1999
-
Editor
Stanford Anesthesia News (Alumni Publication)
2001
2006
Professional Education
Degree
Awarding Institution
Field of Study
Year of Graduation
Post doctoral
Stanford university
Health Services Research
1995
Chief Resident
Stanford University
Anesthesiology
1994
Residency
Stanford University
Anesthesiology
1994
MD
University of Rochester
Medicine
1990
MBA
University of Rochester
Health Economics
1988
Web Site Links
Research/Lab website:
Personal Web site
Research Interests
Dr. Macario is interested in the economics of health care, in particular the tradeoffs between costs and outcomes for patients having surgery and anesthesia. Dr. Macario has completed internationally recognized studies on the management of the operating room suite, as well as pioneering work on the cost-effectiveness of drugs and devices. He is Founder and Director of a Postgraduate Fellowship for physicians interested in applying quantitative tools to solve health services research questions.
Dr. Macario's research team's current projects include:
1. Economics of external cephalic version for breech presentation
2. Anesthesiologists’ attitudes towards training and working part-time.
3. Clinical efficacy and economics of Radio-Frequency tagged surgical sponges so that patients don't go home with a retained foreign body
4. A validated assessment of top 5 reasons surgeons choose one facility over another.
5. IV PCA vs. IM analgesia: why do some hospitals not offer IV PCA: a survey study of hospitals across the USA
6. Factors influencing physicians when deciding to prescribe a new drug to a patient.
7. International survey of management structures of OR suites
8. Can acute pain management of surgical patients pay for itself? How many anesthesiologists doing anesthesia for TKA in the OR would it take to support an FTE of an anesthesiologist doing all the pain management separately and billing for it.
9. Filters in the anesthesia circuit: are they cost-effective?
10. Does Titration of Sevoflurane using the Physiometrix PSA4000 (PSI) in Elderly Patients undergoing Noncardiac Surgery after Beta-Adrenergic Block Improve Recovery?
11. Acupuncture Service Economics
12. Wastage of disposable surgical supplies/equipment, central lines, and drugs in the OR: can we do better?
13. Does having an induction room reduce costs overall in the OR suite? Economics of patient scheduling in a surgical suite where parallel processes are performed
14. Economics of Cesarean Delivery on Maternal Request
15. Web programming of an OR suite scheduling game to help people learn that they work late because of OR allocations
16. Evolution of science of OR mgmt: when did it start, why, where? How did it evolve over time and what areas were investigated and why
17. Anesthesia resident education: Review of scientific literature to learn what works best
18. rfid tags in medicine: review of the literature
19. cost-effectiveness of performing genetic analysis of products of concepcion in recurring pregnancy loss
20. Operating room cancellations: why do they happen? (literature review)
21. How to set up surgical suites and clinics in the aftermath of natural disaster and war: Impact of a new preliminary curriculum on students' knowledge, attitudes, and level of preparedness
22. Post discharge nausea and vomiting: a survey
23. Teaching anesthesia trainees about the cost of anesthesia care: a web based curriculum
24. Lessons learned from a failure modes effects analysis of retained surgical sponges
25. Practice patterns concerning the use of urine drug testing for monitoring adherence to treatment for chronic pain patients
Dr. Macario's research team's current projects include:
1. Economics of external cephalic version for breech presentation
2. Anesthesiologists’ attitudes towards training and working part-time.
3. Clinical efficacy and economics of Radio-Frequency tagged surgical sponges so that patients don't go home with a retained foreign body
4. A validated assessment of top 5 reasons surgeons choose one facility over another.
5. IV PCA vs. IM analgesia: why do some hospitals not offer IV PCA: a survey study of hospitals across the USA
6. Factors influencing physicians when deciding to prescribe a new drug to a patient.
7. International survey of management structures of OR suites
8. Can acute pain management of surgical patients pay for itself? How many anesthesiologists doing anesthesia for TKA in the OR would it take to support an FTE of an anesthesiologist doing all the pain management separately and billing for it.
9. Filters in the anesthesia circuit: are they cost-effective?
10. Does Titration of Sevoflurane using the Physiometrix PSA4000 (PSI) in Elderly Patients undergoing Noncardiac Surgery after Beta-Adrenergic Block Improve Recovery?
11. Acupuncture Service Economics
12. Wastage of disposable surgical supplies/equipment, central lines, and drugs in the OR: can we do better?
13. Does having an induction room reduce costs overall in the OR suite? Economics of patient scheduling in a surgical suite where parallel processes are performed
14. Economics of Cesarean Delivery on Maternal Request
15. Web programming of an OR suite scheduling game to help people learn that they work late because of OR allocations
16. Evolution of science of OR mgmt: when did it start, why, where? How did it evolve over time and what areas were investigated and why
17. Anesthesia resident education: Review of scientific literature to learn what works best
18. rfid tags in medicine: review of the literature
19. cost-effectiveness of performing genetic analysis of products of concepcion in recurring pregnancy loss
20. Operating room cancellations: why do they happen? (literature review)
21. How to set up surgical suites and clinics in the aftermath of natural disaster and war: Impact of a new preliminary curriculum on students' knowledge, attitudes, and level of preparedness
22. Post discharge nausea and vomiting: a survey
23. Teaching anesthesia trainees about the cost of anesthesia care: a web based curriculum
24. Lessons learned from a failure modes effects analysis of retained surgical sponges
25. Practice patterns concerning the use of urine drug testing for monitoring adherence to treatment for chronic pain patients
Publications
- Macario A, Richmond C, Auster M, Pergolizzi JV "Treatment of 94 outpatients with chronic discogenic low back pain with the DRX9000: a retrospective chart review." Pain Pract 2008; 8: 1: 11-7 More »
- Carvalho B, Saxena A, Butwick A, Macario A "Vaginal twin delivery: a survey and review of location, anesthesia coverage and interventions." Int J Obstet Anesth 2007; More »
- Macario A, "Are your operating rooms 'efficient'?" OR Manager 2007; 23: 12: 16-8 More »
- Egger Halbeis CB, Macario A "Factors affecting supply and demand of anesthesiologists in Western Europe." Curr Opin Anaesthesiol 2006; 19: 2: 207-12 More »
- Archer T, Macario A "The drive for operating room efficiency will increase quality of patient care." Curr Opin Anaesthesiol 2006; 19: 2: 171-6 More »
51 publications: view full list
