
Xuanzi (Shirley) Qin, PhD, MSPH
Assistant Professor
Department of Health Policy and Management
University of Maryland School of Public Health
Bio
Xuanzi (Shirley) Qin, PhD, MSPH is an Assistant Professor in the Department of Health Policy and Management at the University of Maryland College Park. Dr. Qin received her PhD degree in Health Services Research, Policy & Administration with a focus on health economics and clinical outcomes from University of Minnesota. She received her MSPH in Health Policy and Health Services Research from Emory University. She received a Bachelor of Engineering degree in Biopharmaceutical Engineering and a Bachelor of Economics degree in Finance from South China University of Technology. During her PhD training, she has worked at the Research Data Assistance Center (ResDAC) for 5 years, providing analytical assistance to CMS Data Training Workshops and developing KnowledgeBase articles about the use of various Medicare and Medicaid administrative data (Medicare enrollment data, Medicare inpatient/skilled nursing facility/carrier/outpatient claims, Medicare Part D event file, Medicare Part D formulary and plan characteristic files, Medicare Advantage encounter data, nursing home assessment data (MDS 2.0/3.0), Medicaid MAX/TAF).
Dr Qin's research has an overarching theme that explores how health decisions were affected by various factors, including patient preferences, physician preferences, clinical factors and market factors. Her previous research investigated how mammography screening utilization was potentially affected by guidelines, women's screening experience, women's perceptions of the harms and benefits of mammograms, and their attitudes about getting a mammogram. Her dissertation examined how drug patent, out-of-pocket costs, subsidies and clinical factors affect cancer treatment decisions, bridging economic perspectives and clinical perspectives. Her ongoing projects focus on Medicare Part D benefit design, genetic testing (tumor sequencing), and the impacts of cancer on aging.
Publications
Peer-Reviewed Journal Articles
Shippee, Tetyana Pylypiv, Romil R. Parikh, Zachary G. Baker, Taylor I. Bucy, Weiwen Ng, Stephanie Jarosek, Xuanzi Qin, Mark Woodhouse, Manka Nkimbeng, and Teresa McCarthy. "Racial Differences in Nursing Home Quality of Life Among Residents Living With Alzheimer’s Disease and Related Dementias." Journal of Aging and Health (2023): 08982643231191164.
Qin, Xuanzi, Peter Huckfeldt, Jean Abraham, Douglas Yee, and Beth A. Virnig. "Was Unstable Medicaid Coverage Among Older Medicare Beneficiaries Associated With Worse Clinical Outcomes? Evidence From the Delivery of Breast Cancer Care." Medical Care (2023): 10-1097.
Joyce, Daniel D., Xuanzi Qin, Vidit Sharma, Stephen A. Boorjian, Daniel A. Barocas, Stacie B. Dusetzina, and Kelvin A. Moses. "The Impact of Medicare Low-income Subsidy on Access to Treatment, Treatment Choice, and Oncologic Outcomes in Patients With Metastatic Prostate Cancer." The Journal of Urology (2023): 10-1097.
Dusetzina, Stacie B., Haiden A. Huskamp, Xuanzi Qin, and Nancy L. Keating. "Prescription Drug Spending in Fee-for-Service Medicare, 2008-2019." JAMA 328, no. 15 (2022): 1515-1522.
Qin, Xuanzi, Peter Huckfeldt, Jean Abraham, Douglas Yee, and Beth A. Virnig. "Hormonal Therapy Drug Switching, Out-of-Pocket Costs, and Adherence among Older Women with Breast Cancer." JNCI: Journal of the National Cancer Institute 114, no. 7 (2022): 1029-1035.
Hwang, Thomas J., Xuanzi Qin, Nancy L. Keating, Haiden A. Huskamp, Stacie B. Dusetzina. "Assessment of Out-of-Pocket Costs With Rebate Pass-through for Brand-name Cancer Drugs Under Medicare Part D." JAMA oncology 8, no. 1 (2022): 155-156.
Qin, Xuanzi, Zachary G. Baker, Stephanie Jarosek, Mark Woodhouse, Haitao Chu, Teresa McCarthy, and Tetyana Pylypiv Shippee. “Longitudinal Comparison of Stability and Sensitivity in Quality of Life Scores Among Nursing Home Residents With and Without Diagnoses of Alzheimer’s Disease and Related Dementias.” Innovation in Aging 5, no. 3 (2021): igab024.
Qin, Xuanzi, Peter Huckfeldt, Jean Abraham, Douglas Yee, and Beth A. Virnig. "Generic Entry of Aromatase Inhibitors and Pharmaceutical Access: Initiation of Hormonal Therapy, Timeliness of Initiation, and Drug Choice." Research in Social and Administrative Pharmacy 17, no. 9 (2021): 1588-1595.
Cross, Dori A., Xuanzi Qin, Peter Huckfeldt, Stephanie Jarosek, Helen Parsons, and Ezra Golberstein. “Use of Medicare’s Behavioral Health Integration Service Codes in the First Two Years: An Observational Study.” Journal of General Internal Medicine 35, no. 12 (2020): 3745-3746.
Qin, Xuanzi, Rebekah H. Nagler, Erika Franklin Fowler, and Sarah E. Gollust. "US women's perceived importance of the harms and benefits of mammograms and associations with screening ambivalence: Results from a national survey." Preventive medicine 123 (2019): 130-137.
Qin, Xuanzi, Florence KL Tangka, Gery P. Guy, and David H. Howard. "Mammography rates after the 2009 revision to the United States Preventive Services Task Force breast cancer screening recommendation." Cancer Causes & Control 28, no. 1 (2017): 41-48.
Gollust, Sarah E., Xuanzi Qin, Andrew D. Wilcock, Laura M. Baum, Colleen L. Barry, Jeff Niederdeppe, Erika Franklin Fowler, and Pinar Karaca-Mandic. "Search and You Shall Find: Geographic Characteristics Associated With Google Searches During the Affordable Care Act’s First Enrollment Period." Medical Care Research and Review 74, no. 6 (2017): 723-735.
ResDAC KnowledgeBase Articles
Difference between Target Date and Submission Date in the Minimum Data Set (MDS)
Missing Data on Pain Items in MDS 3.0 Nursing Home Assessment
Analytical Support for ResDAC Workshops
CMS 101: Introduction to the Use of Medicare Data for Research
Introduction to the Use of Medicare Data for Research
Sources and Use of Medicare Enrollment Information
Using the Carrier and Outpatient Files
Managing the Transition from ICD-9 to ICD-10
CMS 106: Introduction to the use of Medicare Part D Data for Research
PDE File – Medication Utilization; Medication Possession Ratio; Benefit Phase
Sources of Data to Supplement PDE Data: Formulary Files
Medicare Advantage Encounter Data Workshop
Managed Care and the Medicare Program
Understanding Medicare Advantage and Fee-for-service Medicare Populations
Source and Processing
Introduction to the Data Files
Using the Data: the Example of Hip Fractures
Medicaid TAF Claims Data Workshop
