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Eric Finkelstein

Executive Director of Lien Center for Palliative Care
Director, NIHA Research Program
Professor, Health Services & Systems Research Program, Duke‐NUS Medical School
Professor of Global Health

(919) 681-7711

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Eric Finkelstein


Dr. Finkelstein is Professor of Health Services and Systems Research Program at the Duke-NUS Medical School and the Executive Director of the Lien Centre for Palliative Care. He also holds appointments at NUS School of Public Health and Duke University Global Health Institute. His research focuses on the economic causes and consequences of health behaviors, with a primary emphasis on the use of traditional and behavioral economic incentives to influence those behaviors in ways to improve the public's health. Recent research also focuses on studies to better understand the complicated decisions that revolve around end of life care. He has published over 160 manuscripts and 2 books in these areas, and also successfully commercialized an Obesity Cost Calculator for employers and insurers. Based on google scholar, he has an h-index of 48 and his publications have been cited over 15,000 times, including in the landmark Supreme Court decision upholding the U.S. Affordable Care Act (aka Obamacare). In 2015, he was selected by Thomson Reuters as one of the World's Most Influential Scientific Minds.



Recent Publications

Luo N., Wang X., Ang M., Finkelstein E.A., Aung T., Wong T.Y., Lamoureux E. (2015) A Vision "Bolt-On" Item Could Increase the discriminatory Power of the EQ-5D Index Score. Value Health 18(8):1037-1042.

Corso P., Finkelstein E.A., Miller T., Fiebelkorn I., Zaloshnja E. (2015) Incidence and lifetime costs of injuries in the United States. Injury Prevention 21(6):434-440.

Flynn T.N., Bilger M., Malhotra C., Finkelstein E.A. (2015) Are Efficient Designs Used In Discrete Choice Experiments Too Difficult For Some Respondents? A Case Study Eliciting Preferences for End-Of-Life Care. PharmacoEconomics. [Epub ahead of print].

Malhotra C., Chan N., Zhou J., Dalager H.B., Finkelstein E.A. (2015) Variation in physician recommendations, knowledge and perceived roles regarding provision of end-of-life care. BMC Palliative Care. 14(1):52. PMCID:PMC4623295

Chen P.Y., Finkelstein E.A., Ng M.J., Yap F., Yeo S.H., Rajadurai V.S., Chong Y.S., Gluckman, P.D., Saw S.M., Kwek Y.C., Tan K.H. (2015) Incremental Cost-effectiveness Analysis of Gestational Diabetes Mellitus Screening Strategies in Singapore. Asia-Pacific Journal of Public Health. [Epub ahead of print].

Epstein L.H., Finkelstein E.A., Katz D., Jankowiak N., Pudlewski C., Paluch R.A. (2015) Effects of nutrient profiling and price changes based on NuVal® scores on food purchasing in an on-line experimental supermarket. Public Health Nutrition. [Epub ahead of print].

Dong D., Tan-Koi W.C., Gim G.T., Finkelstein E.A., Sung C. (2015) Cost-effectiveness analysis of genotyping for HLA-B*5801 and an enhanced safety program in gout patients starting allopurinol in Singapore. Pharmacogenomics- 16(16):1781-1793.

Dong D., Bilger M., Van Dam R.M., Finkelstein E.A. (2015) Consumption Of Specific Foods And Beverages And Excess Weight Gain Among Children And Adolescents. Health Affairs 34(11):1940-1948.

Finkelstein E.A., Bilger M., Flynn T., Malhotra C. (2015) Preferences for end-of-life care among community-dwelling older adults and patients with advanced cancer: A discrete choice experiment. Health Policy119(11):1482-1489.

Lamoureux E., Mcintosh R., Constantinou M., Fenwick E., Xie J., Casson R., Finkelstein E.A. Goldberg I., Healey P, Thomas R., Ang G.S., Pesudovs K., Crowston J.(2015) The Glaucoma Initial Treatment Study: Comparing the effectiveness of selective laser trabeculoplasty with topical medication as initial treatment: study protocol for a randomized controlled trial. Trials. 16:406. PMCID:PMC4567808

Lim W.Y., Chong M., Calder P.C., Kwek K., Chong Y.S., Gluckman P.D., Godfrey K.M., Saw S.M., Pan A., GUSTO Study Group. (2015) Relations of plasma polyunsaturated Fatty acids with blood pressures during the 26th and 28th week of gestation in women of Chinese, Malay, and Indian ethnicity. Medicine (Baltimore) 94(9):e571.

Epstein L.H., Finkelstein E.A., Raynor H., Nederkoorn C., Fletcher K.D., Jankowiak N., Paluch R.A. (2015) Experimental analysis of the effect of taxes and subsides on calories purchased in an on- line supermarket. Appetite 95:245-251.

Boh C., Li H.H., Finkelstein E.A., Haaland B.A., Xin X.H., Yap S., Pasupathi Y., Ong M.E. (2015) Factors Contributing to Inappropriate Visits of Frequent Attenders at the Emergency Department of a Tertiary Hospital. Academic Emergency Medicine. 22(9):1025-1033.

Malhotra C., Farooqui M.A., Kanesvaran R., Bilger M., Finkelstein E.A. (2015) Comparison of preferences for end-of-life care among patients with advanced cancer and their caregivers: A discrete choice experiment. Palliative Medicine 29(9):842-850

Goodwin N.J., O’Farrell S.E., Jagoe K., Rouse J., Roma E., Biran A., Finkelstein E.A. (2015) The Use of Behaviour Change Techniques in Clean Cooking Interventions to Achieve Health, Economic and Environmental Impact. A review of the evidence and scorecard of effectiveness. Journal of Health Communication 20 (sup1):43-54.

Dogra S., Sakwinska O., Soh S.E., Ngom-Bru C., Bruck W.M., Berger B., Brussow H., Lee Y.S., Yap F., Chong Y.S., Godfrey K.M., Holbrook J.D., GUSTO Study Group (2015) Dynamics of infant gut microbiota are influenced by delivery mode and gestational duration and are associated with subsequent adiposity. MBio 6(1). pii:e024919-14. PMCID:PMC4323417

Cai S., Pang W.W., Low Y.L., Sim L.W., Sam S.C., Bruntraeger M.B., Wong E.Q., Fok D., Broekman B.F., Singh L., Richmond J., Agarwal P., Qiu A., Saw S.M., Yap F., Godfrey K.M., Gluckman P.D., Chong Y.S., Meaney M.J., Kramer M.S., Rifkin-Graboi A., GUSTO Study Group (2015) Infant feeding effects on early neurocognitive development in Asian children. Am J Clin Nutr. 101(2):326-336.

Finkelstein E.A., Sahasranaman A., John G., Haaland B.A., Bilger M., Sloan R.A., Khaing N.E., Evenson K.R. (2015) Design and baseline characteristics of participants in the TRial of Economic Incentives to Promote Physical Activity (TRIPPA): A randomized controlled trial of a six month pedometer program with financial incentives. Contemp Clin Trials, 41:238-247.

Lai H., Choong C.V., Fook-Chong S., Ng Y.Y., Finkelstein E.A., Haaland B., Goh E.S., Leong B.S, Gan H.N., Foo D., Tham L.P., Charles R., Ong M.E, PAROS study group. (2015) Interventional strategies associated with improvements in survival for out-of-hospital cardiac arrests in Singapore over 10 years. Resuscitation, 89:155-161.

Tan T.E., Peh G.S.L., Finkelstein E.A., Mehta J.S. (2015) A practical model for economic evaluation of tissue-engineered therapies. WIREs Systems Biology and Medicine, 7(2):91-100.

Ang M., Nguyen H.V., Sieh Y.K., Shu C., Chee S.P., Finkelstein E.A. (2015) Cost-Effectiveness of Alternative Strategies for Interferon-gamma Release Assays and Tuberculin Skin Test in Tuberculous Uveitis. British Journal of Ophthalmology. 99(7):984-989.

Hoelscher D.M., Butte N.F., Vandewater E.A., Sharma S.V., Huang T., Finkelstein E.A., Pont S., Sacher P., Byrd-Williams C., Oluyomi A., Durand C., Li L.L., Kelder S.H. (2015) Incorporating Primary and Secondary Prevention Approaches to Address Childhood Obesity Prevention and Treatment in a Low-Income, Ethnically Diverse Population: Study Design and Demographic Data from the Texas Child Obesity Research Demonstration (TX CORD) Study. Childhood Obesity, 11(1):71-91.

Finkelstein E.A., Strombotne K.L., Zhen C., Epstein L.H. (2014). Food Prices and Obesity: A Review. Advances in Nutrition. Forthcoming.

Chong MF, Wong JX, Colega M, Chen LW, van Dam RM, Tan CS, Lim AL, Cai S, Broekman BF, Lee YS, Saw SM, Kwek K, Godfrey KM, Chong YS, Gluckman P, Meaney MJ, Chen H; GUSTO study group. (2014). Relationships of maternal folate and vitamin B12 status during pregnancy with perinatal depression: The GUSTO study. J Psychiatr Res., Aug;55:110-116.

Finkelstein E.A., Kruger E. (2014) Meta- and Cost-Effectiveness Analysis (CEA) of Commercial Weight Loss Strategies. Obesity, 22(9):1942-1951.

Finkelstein E.A. (2014) How big of a problem is obesity? Surg Obes Relat Dis, 10(4):569-570.

Tan T.E., Peh S.L., George B.L., Cajucom-Uy H.Y., Dong D., Finkelstein E.A., Mehta J.S. (2014). A Cost-Minimization Analysis of Tissue-Engineered Constructs for Corneal Endothelium Transplantation. PLOS ONE, 9(6):e100563. PMCID: PMC4065108

Finkelstein E.A., Kruger E., Karnawat S. (2014). Cost-effectiveness Analysis of Qsymia for Weight Loss. PharmacoEconomics. [Epub ahead of print].

Finkelstein E.A., Chay J.X., Bajpai S. (2014). The economic burden of self-reported and undiagnosed cardiovascular diseases and diabetes on Indonesian households. PLOS ONE, 9(6):e99572. PMCID: PMC4051736.

Keyserling T.C,, Sheridan S.L., Draeger L.B., Finkelstein E.A., Gizlice Z., Kruger E., Johnston L.F., Sloane P.D., Samuel-Hodge C., Evenson K.R., Gross M.D., Donahue K.E., Pignone M.P., Vu M.B., Steinbacher E.A., Weiner B.J., Bangdiwala S.I., Ammerman A.S. (2014) A Comparison of Live Counseling With a Web-Based Lifestyle and Medication Intervention to Reduce Coronary Heart Disease Risk: A Randomized Clinical Trial. JAMA Internal Medicine, 174(7):1144-1157.

Vedanthan R., Kamano J.H., Naanyu V., Delong A.K., Were M.C., Finkelstein E.A., Menya D., Akwanalo C.O., Bloomfiled G.S., Binanay C.A., Velazquez E.J., Hogan J.W., Horowitz C.R., Inui T.S., Kimaiyo S., Fuster V. (2014). Optimizing Linkage and Retention to Hypertension Care in Rural Kenya (LARK Hypertension Study): study protocol for a randomized controlled trial. Trials, 15(1):143. PMCID: PMC4113229

Epstein L.H., Paluch R.A., Wrotniak B.H., Daniel T.O., Kilanowski C., Wilfley D. Finkelstein E.A. (2014). Cost-effectiveness of family-based group treatment for child and parental obesity. Child Obes., 10(2):114-121.

Farooqui M.A., Tan Y.T., Bilger M., Finklestein E.A. (2014). Effects of financial incentives on motivating physical activity among older adults: results from a discrete choice experiment. BMC Public Health, 14(1):141. PMCID:PMC3933254

Finkelstein E.A., Graham W.C., Malhotra R. (2014). Lifetime Direct Medical Costs of Childhood Obesity. Pediatrics. [Epub ahead of print].

Zhen C., Finkelstein E.A., Nonnemaker J.M., Karns S.A., Todd J.E. (2014). Predicting the Effects of Sugar-Sweetened Beverage Taxes on Food and Beverage Demand in a Large Demand System. American Journal of Agricultural Economics, 96(1):1-25. PMCID: PMC4022288

Finkelstein E.A., Malhotra C, Yee C.P (2014). Improving the End-of-Life Experience in Singapore: Building Capacity in Palliative Care Research and Education. Annals Academy of Medicine Singapore, 43(1)Editorial.

Dixon J.B., Egger G., Finkelstein E.A., Kral J., Lambert G.W. (2013). "Obesity Paradox" misunderstands the biology of optimal weight throughout the life cycle. International Journal of Obesity. Forthcoming.

Ngo C.S., Pan C.W., Finkelstein E.A., Lee C.F., Wong B.Y., Ong J., Ang M., Wong T.Y., Saw S.M. (2013). A cluster randomized controlled trial evaluating an incentive-based outdoor physical activity program to increase outdoor time and prevent myopia in children. Ophthalmic and Physiological Optics. Forthcoming.

Epstein L.H., Jankowiak N., Fletcher K.D., Carr K.A., Nederkoorn C., Raynor H., Finkelstein E.A. (2013) Women who are motivated to eat and discount the future are more obese. Obesity. Forthcoming.

Zheng Y.F., Chen W.P., Chay J.X., Wong T.Y., Finkelstein E.A., Saw S.M. (2013). The Economic Cost of Myopia in Adults Aged over 40 Years in Singapore. IOVS-, 54(12):7532-7537.

Hanoch Y., Finkelstein E.A. (2013) Health psychology meets behavioral economics: Introduction to special issue. Health Psychol, 32(9):929-931.

Dreyer N.A., Dixon J.B., Okerson T., Finkelstein E.A., Globe D. (2013) Prevalence of Comorbidities and Baseline Characteristics of LAP-BAND AP Subjects in the Helping Evaluate Reduction in Obesity (HERO) Study. PLOS ONE. PMCID: PMC3829819.

Finkelstein E.A., Allaire B.T., Globe D., Dixon J.B. (2013) The Business Case for Bariatric Surgery Revisited: A Non-Randomized Case-Control Study. PLOS ONE. PMCID: PMC3777948.

Dong D., Tan A., Mehta J.S., Tan D., Finkelstein E.A. (2013) Cost-effectiveness of Osteo-odonto Keratoprosthesis in Singapore. American Journal of Ophthalmology. [Epub ahead of print].

Sheridan S.L., Draeger L.B., Pignone M.P., Sloane P.D., Samuel-Hodge C., Finkelstein E.A., Gizlice Z., Vu M., Gitterman D.P., Bangdiwala S.I., Donahue K.E., Evenson K., Ammerman A.S., Keyserling T.C. (2013) Designing and Implementing a Comparative Effectiveness Study of Two Strategies for Delivering High Quality CHD Prevention: Methods and Participant Characteristics for the Heart to Health Study. Contemporary Clinical Trials, 36(2):394-405.

Soh S.E., Tint M.T., Gluckman P.D., Godfrey K.M., Rifkin-Graboi A., Chan Y.H., Stunkel W., Holbrook J.D., Kwek K., Chong Y.S., Saw S.M., the GUSTO Study Group, (2013) Cohort Profile: Growing Up in Singapore Towards healthy Outcomes (GUSTO) birth cohort study. Int J Epidemiol, [Epub ahead of print].

Dharani R., Lee C.F., Finkelstein E.A., Saw S.M. (2013) Response to Mahroo et al., Eye(Lond), 27(8):991.

Drury V.B., Saw S.M., Finkelstein E.A., Wong T.Y., Tay K.C. (2013) A new community-based outdoor intervention to prevent myopia and increase physical activity in Singapore children: findings from focus groups, Annals Academy of Medicine Singapore, 42(5):225-231.

Bose S., Ang M., Mehta J.S., Tan D.T., Finkelstein E.A. (2013) Cost-Effectiveness of Descemet's Stripping Endothelial Keratoplasty Versus Penetrating Keratoplasty, Ophthalmology,120(3):464-470.

Malhotra R., Ostbye T., Riley C.M., Finkelstein E.A. (2013) Young adult weight trajectories through midlife by body mass category, Obesity. [Epub ahead of print]. (2011 Journal IF: 4.3).

Chan S.L., Low J.W., Lim Y.W., Finkelstein E.A., Farooqui M.A., Chia K.S., Wee H.L. (2013) Willingness-to-pay and preferences for warfarin pharmacogenetic testing in Chinese warfarin patients and general public, Personalized Medicine. Forthcoming.

Finkelstein E.A., Tan Y.T., Malhotra R., Lee C.F., Goh S.S., Saw S.M. (2013) A Cluster Randomized Controlled Trial of an Incentive-Based Outdoor Physical Activity Program, The Journal of Pediatrics. [Epub ahead of print].

Rees G., Holloway E.E., Mellor D., Sturrock B.A., Hegel M.T., Casten R., Xie J., Finkelstein E.A., Keefee J.E. (2013) Integrated depression management: a trial of a new model of care in a low vision rehabilitation setting, Ophthalmic Epidemiology. Forthcoming.

Bilger M., Finkelstein E.A., Kruger E., Linnan L.A., Tate D.F. (2013) The Effect of Weight Loss on Health, Productivity and Medical Expenditures among Overweight Employees, Medical Care. Forthcoming.

Finkelstein E.A., Zhen C., Bilger M., Nonnemaker J., Farooqui M.A., Todd J.E. (2013) Implications of a Sugar-Sweetened Beverage (SSB) Tax When Substitutions to Non-Beverage Items Are Considered, Journal of Health Economics, 32(1):219-239.

Rahman A.K.M., Bose S., Linnan M., Rahman A., Mashreky S., Haaland B., Finkelstein E.A. (2012) Cost-Effectiveness of an Injury and Drowning Prevention Program in Low-and-Middle-Income Countries, Pediatrics. 130(6):1621-1628. (2010 Journal IF:5.39, NUS Tier 1)

Jakicic, J.M., Tate, D.F., Lang, W., Davis, K.K., Polzien, K., Rickman, A.D., Erickson K., Neiberg R.H., Finkelstein, E.A. (2012)Effect of a Stepped-Care intervention approach on weight loss in adults: a randomized clinical trial. Journal of the American Medical Association, 2012 Jun 27;307(24), 2617-2626.

Finkelstein E.A., Zhen C., Bilger M., Nonnemaker J., Farooqui M.A., Todd J.E. (2012) Implications of a Sugar-Sweetened Beverage (SSB) Tax When Substitutions to Non-Beverage Items Are Considered, Journal of Health Economics. Forthcoming. (2012 Journal IF: 3.16, NUS Tier 2).

Bose S., Ang M., Mehta J.S., Tan D.T., Finkelstein E.A. (2012) Cost-Effectiveness of Descemet's Stripping Endothelial Keratoplasty Versus Penetrating Keratoplasty, Ophthalmology.Forthcoming. (2012 Journal IF:5.45, NUS Tier 1)

Rahman A.K.M., Bose S., Linnan M., Rahman A., Mashreky S., Haaland B., Finkelstein E.A.(2012) Cost-Effectiveness of an Injury and Drowning Prevention Program in Low-and-MiddleIncome Countries, Pediatrics. Forthcoming. (2010 Journal IF:5.39, NUS Tier 1)

Dong, D., Sung, C., & Finkelstein, E.A. (2012). Cost-effectiveness of HLA-B*1502 genotyping newly diagnosed adult epilepsy patients in Singapore. Neurology, 2012 Sep 18;79(12),1259-1267. (2011 Journal IF: 8.312, NUS Tier 1)

Dharani, R., Lee, C.F., Theng, Z.X., Drury, V.B., Ngo, C., Sandar, M., Wong, T.Y., Finkelstein, E.A., & Saw, S.M. (2012). Comparison of measurements of time outdoors and light levels as risk factors for myopia in young Singapore children. Eye, 2012 Jul;26(7):911-918. (2011 Journal IF: 1.851)

Crane M.M., Tate D.F., Finkelstein E.A., & Linnan L.A. (2012). Motivation for participating in a weight loss program and financial incentives: An analysis from a randomized trial. Journal of Obesity, PMCID: PMC3345232.

Do, Y.K., & Finkelstein, E.A. (2012). Youth employment, income and smoking initiation: Results from Korean Panel Data. Journal of Adolescent Health, 2012 Sep;51(3),226-232. (2011 Journal IF: 3.334)

Finkelstein, E.A., & Bilger M. (2012). Hard truths and a new strategy for addressing childhood obesity. Childhood Obesity, 2012 Apr;8(2), 106-109.

Linnan, L.A., Tate, D.F., Harrington, C., Brooks, A., Finkelstein, E.A., Bangdiwala, S.I., Britt A. (2012). Organizational- and employee-level recruitment into a worksite-based weight loss study. Journal of Clinical Trials, 9(2), 215-225. (2011 Journal IF: 2.362)

Dixon J.B., Murphy D.K., Segel J.E., Finkelstein E.A. Impact of Laparoscopic Adjustable Gastric Banding on Type 2 Diabetes. Obesity Reviews. 2011 Aug 31.

Lopes G.L., Segel J.E., Tan D.S., Do Y.K., Mok T., Finkelstein E.A. Cost Effectiveness of Epidermal Growth Factor Receptor Mutation Testing and First Line Treatment With Gefitinib for Patients With Advanced Adenocarcinoma of The Lung. CANCER. 2011 Jul 26.

Ferdinand K.C., Orenstein D., Hong Y., Journigan J.G., Trogdon J.G., Bowman J., Zohrabian A., Kilgore M., White A., Mokdad A., Pechacek T.F., Goetzel R.Z., Labarthe D.R., Puckrein G.A., Finkelstein E.A., Wang G., French M.E., Vaccarino V. Health Economics of Cardiovascular Disease: Defining the Research Agenda. CVD Prevention and Control. 2011 Forthcoming.

Finkelstein E.A., Allaire B.T., DiBonaventura M., Burgess S.M., Direct and Indirect Costs and Potential Cost Savings of Laparoscopic Adjustable Gastric Banding among Obese Patients with Diabetes. Journal of Occupational and Environmental Medicine. 2011 Sep; 53(9), 1025-1029.

Li J., Linnan L.A., Finkelstein E.A., Tate D.F., Naseer C., Evenson K.R. Knowledge and Perceptions of Overweight Employees about Lifestyle-Related Health Benefit Changes. North Carolina Medical Journal. 2011 May-Jun; 72(3),183-190.

Trogdon J.G., Cohen J.W., Feagan C.W., Finkelstein E.A.. State and Payer Specific Estimates of Annual Medical Expenditures Attributable to Obesity. Obesity (Silver Spring), 2011 Jun 16

Koo T.S., Finkelstein E.A., Tan D., Mehta J.S. Incremental Cost-Utility Analysis of Deep Anterior Lamellar Keratoplasty Compared to Penetrating Keratoplasty for the Treatment of Keratoconus. American Journal of Ophthalmology. 2011 May 11.

Anderson W.L., Armour B.K., Wiener J.M. , Finkelstein E.A., Estimates of National Health Care Expenditures Associated with Disability. Journal of Disability Policy Studies, 2011 Forthcoming.

Heidenreich P.A., Trogdon J.G., Khavjou O.A., Butler J., Dracup K., Ezekowitz M.D., Finkelstein E.A., Hong Y., Johnston S.C., Khera A., Lloyd-Jones D.M., Nelson S.A., Nichol G., Orenstein D., Wilson P.W., Woo Y.J. Forecasting the Future of Cardiovascular Disease in the United States: A Policy Statement From the American Heart Association. Circulation. 2011 Mar 1;123(8), 933-944.

Finkelstein E.A., Strombotne K.L., Chan N.L., Krieger J. The Impact of Mandatory Menu Labeling In One Fast Food Chain in King County, Washington. American Journal of Preventive Medicine, 2011 Feb; 40(2), 122-127.