CIRA - Yale Center for Interdisciplinary Research on AIDS

PEOPLE AT CIRA

Brief Bio | Areas of Expertise | Affiliated Projects | Publications | Courses

A. David Paltiel, Ph.D.

Professor of Public Health and of Managerial Sciences, Epidemiology & Public Health

Co-Director, Cost Effectiveness and Mathematical Modeling, Interdisciplinary Research Methods Core

Investigator, Clinical and Health Services Research (CHSR) Core

Investigator, Law, Policy and Ethics Core

Contact:

david.paltiel@yale.edu

Ph: (203) 785-2854

Brief Bio:

A. David Paltiel, M.B.A. Ph,D, is Professor in the HPA division in YSPH. He is also appointed at the School of Management. Trained in the field of operations research, Dr. Paltiel develops mathematical simulation models of chronic diseases and uses those models to conduct cost-effectiveness analyses on a variety of medical technologies and public health activities. In a series of recent studies, he established the economic evidence base in support of expanded HIV testing in the United States. He played a leading role in drafting the CDC's 2006 Revised Recommendations for HIV Screening. In the last five years, Dr. Paltiel's service at the national and international levels has included: membership on three expert committees for the Institute of Medicine; permanent membership on two NIH study sections; Co-Editor of Value in Health; Editorial Board of Medical Decision Making; and election as Secretary-Treasurer for the Society for Medical Decision Making. As a model-based decision analyst, Dr. Paltiel occupies a unique intellectual niche at Yale. His expertise in both the theory of choice under uncertainty and its practical adaptation to policy-relevant applications provides substantial opportunity for pre-doctoral and post-doctoral trainees interested in promoting a more reasoned approach to clinical practice and priority setting in health and medicine.

Areas of Expertise:

HIV Counseling and Testing,

Law/Policy

CIRA Affiliated Projects:

Evaluating the Link between HIV Prevention and Treatment
Funder:	National Institute of Mental Health	Status: Active
Region:	U.S. - Outside of CT.
Making Better Decisions: Policy Modeling for AIDS and Drug Abuse
Funder:	National Institute on Drug Abuse	Status: Active
Region:	U.S. - Outside of CT.
Public Health Impact and Cost Effectiveness of HIV Intervention
Funder:	National Institute on Drug Abuse	Status: Completed
Region:	U.S. - Outside of CT.
Syringe Exchange Based Hepatitis B Vaccination of IDUs
Funder:	National Institute on Drug Abuse	Status: Completed
Region:	U.S. - Connecticut, U.S. - Outside of CT.

Selected Publications:

2008

Bae, S.J., Paltiel, A.D., Fuhlbrigge, A.L., Weiss, S.T., and Kuntz, K.M. (2008). Modeling the Potential Impact of a Prescription Drug Copayment Increase on the Adult Asthmatic Medicaid Population. Value in Health, 11(1), 110.

Walensky, R.P., Wood, R., Weinstein, M.C., Martinson, N.A., Losina, E., Fofana, M.O., Goldie, S.J., Divi, N., Yazdanpanah, Y., Wang, B., Paltiel, A.D. Freedberg, K.A. (2008). Scaling Up Antiretroviral Therapy in South Africa: The impact of speed on survival. Journal of Infectious Diseases, 197(9), 1324-32.

2007

Walensky, R.P., Freedberg, K.A., Weinstein, M.C., and Paltiel, A.D. (2007). Cost-effectiveness of HIV Screening and Care in the United States. Clinical Infectious Diseases, 45(12), S248-S254.

Wu, A.C., Paltiel, A.D., Kuntz, K.M., Weiss, S.T., Fuhlbrigge, A.L. (2007). Cost-Effectiveness of Omalizumab in Adults with Sever Asthma: Results from the Asthma Policy Model. Journal of Allergy & Clinical Immunology, 120(5), 1146-52.

Andersson, K.M., Owens, D.K., Vardas, E., Gray, G.E., McIntyre, J.A., Paltiel, A.D. (2007). Predicting the impact of a partially effective HIV vaccine and subsequent risk behavior change on the heterosexual HIV epidemic: A South African example. Journal of Acquired Immune Deficiency Syndromes, 46(1), 78-90.

Basu, A., Paltiel, A.D., Pollack, H.A. (2007). Social Costs of Robbery and the Cost-Effectiveness of substance Abuse Treatment ; In Health Economics. Lancet, 17(8), 927-46.

McCormick, A.W., Walensky, R.P., Lipsitch, M., Losina, E., Hsu, H., Weinstein, M.C., Paltiel, A.D. Freedberg, K.A., and Seage, G.R.III. (2007). The Effect of Antiretroviral Therapy on Secondary Transmission of HIV among Men Who Have Sex with Men. Clinical Infectious Diseases, 44(8), 1115-1122.

2006

Freedberg, K.A., Hirschhorn, L.R., Schackman, B.R., Wolf, L.L., Martin, L.A., Weinstein, M.C., Goldin, S., Paltiel, A.D., Katz, C., Goldie, S.J, and Losina, E. (2006). Cost-Effectiveness of an Intervention to Improve Adherence to Antiretroviral Therapy in HIV-Infected Patients. Journal of Acquired Immune Deficiency Syndromes, 43(s11), 113-118.

Fuhlbrigge, A.L., Bae, S.J., Weiss, S.T., Kuntz, K.M., and Paltiel, A.D. (2006). Cost-effectiveness of Inhaled Steroids in Asthma: Impact of Effect on Bone Mineral Density. Journal of Allergy & Clinical Immunology, 117(2), 359-366.

Paltiel, A.D., Walensky, R.P., Schackman, B.R., Seage, G.R. 3rd, Mercincavage, L.M., Weinstein, M.C., and Freedberg, K.A. (2006). Expanded HIV Screening in the United States: Effect on Clinical Outcomes, HIV Transmission, and Costs. Annals of Internal Medicine, 145(11), 797-W227.

Martin, E.G., Pollack, H.A., and Paltiel, A.D. (2006). Fact, Fiction, And Fairness: Resource Allocation Under The Ryan White CARE Act. Health Affairs, 25(4), 1103-1112.

Fuhlbrigge, A.L., Weiss, S.T., Kuntz, K.M., Paltiel, A.D., and the CAMP Research Group (2006). Forced Expiratory Volume in 1 Second Percentage Improves the Classification of Severity Among Children With Asthma. Pediatrics, 118(2), 347-355.

Walensky, R.P., and Paltiel, A.D. (2006). Rapid HIV Testing at Home: Does It Solve a Problem or Create One?. Annals of Internal Medicine, 145(6), 459-462.

Gross, C.P., McAvay, G.J., Krumholz, H.M., Paltiel, A.D., Bhasin, D., and Tinetti, M.E. (2006). The Effect of Age and Chronic Illness on Life Expectancy after a Diagnosis of Colorectal Cancer: Implications for Screening. Annals of Internal Medicine, 145(9), 646-653.

Walensky, R.P., Paltiel, A.D., Losina, E., Mercincavage, L.M., Schackman, B.R., Sax, P.E., Weinstein, M.C., and Freedberg, K.A. (2006). The Survival Benefits of AIDS Treatment in the United States. Journal of Infectious Diseases, 194(1), 11-19.

2005

Resch, S., Altice, F.L., and Paltiel, A.D. (2005). Cost-Effectiveness of HIV Screening for Incarcerated Pregnant Women. Journal of Acquired Immune Deficiency Syndromes, 38(2), 163-173.

Paltiel, A.D., Weinstein, M.C., Kimmel, A.D., Seage, G.R., 3rd, Losina, E., Zhang, H., Freedberg, K.A., Walensky, R.P (2005). Expanded Screening for HIV in the United States: An Analysis of Cost-Effectiveness. New England Journal of Medicine, 352(6), 586-595.

Walensky, R.P., Weinstein, M.C., Smith, H.E., Freedberg, K.A., and Paltiel, A.D. (2005). Optimal Allocation of Testing Dollars: The Example of HIV Counseling, Testing, and Referral. Medical Decision Making, 25(3), 321-329.

Walensky, R.P., Weinstein, M.C., Kimmel, A.D., Seage, G.R., Losina, E., Sax, P.E., Zhang, H., Smith, H.E., Freedberg, K.A., and Paltiel, A.D. (2005). Routine Human Immunodeficiency Virus Testing: An Economic Evaluation of Current Guidelines. American Journal of Medicine, 118(3), 292-300.

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