Lauren T. Starr, PhD, MBE, RN, s a NRSA Postdoctoral Research Fellow at the NewCourtland Center for Transitions and Health at the University of Pennsylvania School of Nursing (Penn Nursing), sponsored by the National Institute of Nursing Research (T32NR009365-12). In addition, Dr. Starr is supported by a joint postdoctoral fellowship between Penn Nursing, with co-mentors George Demiris, PhD, FACMI, Salimah Meghani, PhD, MBE, RN, FAAN and Connie Ulrich, PhD, RN, FAAN, and the University of Missouri with co-mentor, Debra Parker Oliver, PhD, MSW.

Dr. Starr’s goal is to improve the dying experience of patients with serious illness and their families and reduce racial/ethnic disparities in end-of-life care. Her postdoctoral research focuses on shared decision-making in end-of-life care and using technology to improve anxiety, depression, and quality of life among family caregivers of persons in hospice. Her other work explores serious illness conversation and palliative care consultation associations with hospice enrollment, future acute care use, and future acute care costs by race/ethnicity; and patient risk factor profiles associated with receiving goals-of-care discussions close to death.

Dr. Starr is a Leonard Davis Institute of Health Economics Associate Fellow, a Hillman Scholar in Nursing Innovation, a Jonas Nurse Leader Scholar, a Henry Luce Foundation Fellow, and a member of the Sigma Theta Tau International Nursing Honor Society. For her dissertation work at Penn, Dr. Starr received the Henry O. Thompson Prize in Ethics. Prior to pursuing nursing, Dr. Starr worked for Google, the Advisory Board Company, Scripps Networks Interactive, the Bioethics Advisory Committee to the Singapore government, and the Genome Institute of Singapore on the Pan-Asia SNPs Initiative.

She has a BA in English from Princeton University, and a BSN, a Masters in Bioethics (MBE), and a PhD in Nursing from Penn.

 

Select Publications

Starr LT, Ulrich CM, Corey KL, Meghani SH. Associations Among End-of-Life Discussions, Health-Care Utilization, and Costs in Persons With Advanced Cancer: A Systematic Review. Am J Hosp Palliat Care. 2019 Oct;36(10):913-926. doi: 10.1177/1049909119848148. Epub 2019 May 9. PMID: 31072109; PMCID: PMC6711813.

Starr LT, Magan KC. Model of Empathic Pain Assessment and Treatment in Persons With Dementia. Res Gerontol Nurs. 2020 Sep 1;13(5):264-276. doi: 10.3928/19404921-20200402-01. Epub 2020 Apr 14. PMID: 32286670.

Starr LT, Ulrich CM, Junker P, Appel SM, O’Connor NR, Meghani SH. Goals-of-Care Consultation Associated With Increased Hospice Enrollment Among Propensity-Matched Cohorts of Seriously Ill African American and White Patients. J Pain Symptom Manage. 2020 Oct;60(4):801-810. doi: 10.1016/j.jpainsymman.2020.05.020. Epub 2020 May 23. PMID: 32454185; PMCID: PMC7508853.

Meghani SH, Levoy K, Magan KC, Starr LT, Yocavitch L, Barg FK. “I’m Dealing With That”: Illness Concerns of African American and White Cancer Patients While Undergoing Active Cancer Treatments. Am J Hosp Palliat Care. 2020 Oct 27:1049909120969121. doi: 10.1177/1049909120969121. Epub ahead of print. PMID: 33107324.

Starr LT, Ulrich CM, Junker P, Huang L, O’Connor NR, Meghani SH. Patient Risk Factor Profiles Associated With the Timing of Goals-of-Care Consultation Before Death: A Classification and Regression Tree Analysis. Am J Hosp Palliat Care. 2020 Oct;37(10):767-778. doi: 10.1177/1049909120934292. Epub 2020 Jun 30. PMID: 32602349.

Starr LT, Ulrich CM, Appel SM, Junker P, O’Connor NR, Meghani SH. Goals-of-Care Consultations Are Associated with Lower Costs and Less Acute Care Use among Propensity-Matched Cohorts of African Americans and Whites with Serious Illness. J Palliat Med. 2020 Sep;23(9):1204-1213. doi: 10.1089/jpm.2019.0522. Epub 2020 Apr 27. PMID: 32345109; PMCID: PMC7469692.

Starr LT, O’Connor NR, Meghani SH. Improved Serious Illness Communication May Help Mitigate Racial Disparities in Care Among Black Americans with COVID-19. J Gen Intern Med. 2021 Jan 19:1–6. doi: 10.1007/s11606-020-06557-9. Epub ahead of print. PMID: 33464466; PMCID: PMC7814859.