Stephan D Fihn

Summary

Country: USA

Publications

  1. ncbi request reprint Insights from advanced analytics at the veterans health administration
    Stephan D Fihn
    Stephan D Fihn is director of the Veterans Health Administration VHA Office of Analytics and Business Intelligence in Washington, D C, and a professor in the Departments of Medicine and Health Services at the Schools of Medicine and Public Health, respectively, at the University of Washington, in Seattle
    Health Aff (Millwood) 33:1203-11. 2014
  2. pmc Factors associated with presenting >12 hours after symptom onset of acute myocardial infarction among Veteran men
    Kelly McDermott
    Osher Center for Integrative Medicine, University of California, San Francisco, 1545 Divisadero St, 3rd Floor, Box 1726, San Francisco, CA 94115, USA
    BMC Cardiovasc Disord 12:82. 2012
  3. pmc Severe mental illness and mortality of hospitalized ACS patients in the VHA
    Mary E Plomondon
    Cardiology Section, Denver VA Medical Center, Denver CO, USA
    BMC Health Serv Res 7:146. 2007
  4. doi request reprint Collaborative care intervention for stable ischemic heart disease
    Stephan D Fihn
    Departments of Medicine, University of Washington, Seattle, USA
    Arch Intern Med 171:1471-9. 2011
  5. pmc Declining mortality following acute myocardial infarction in the Department of Veterans Affairs Health Care System
    Stephan D Fihn
    VA Puget Sound Health Care System, Seattle, WA, USA
    BMC Cardiovasc Disord 9:44. 2009
  6. pmc Functional status and patient satisfaction: a comparison of ischemic heart disease, obstructive lung disease, and diabetes mellitus
    Vincent S Fan
    Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System, Seattle, WA 98108 1597, USA
    J Gen Intern Med 20:452-9. 2005
  7. doi request reprint Predicting risk of hospitalization or death among patients receiving primary care in the Veterans Health Administration
    Li Wang
    VA Puget Sound Health Care System, Seattle, WA 98101, USA
    Med Care 51:368-73. 2013
  8. ncbi request reprint The prevalence and outcomes of in-hospital acute myocardial infarction in the Department of Veterans Affairs Health System
    Charles Maynard
    Health Services Research and Development, VA Puget Sound Health Care System, Seattle, WA 98101, USA
    Arch Intern Med 166:1410-6. 2006
  9. ncbi request reprint Alcohol screening results in elderly male veterans: association with health status and mortality
    Isabelle Peytremann Bridevaux
    Northwest Health Services Research and Development Center of Excellence, Veterans Affairs Puget Sound Health Care System, Seattle, Washington 98108, USA
    J Am Geriatr Soc 52:1510-7. 2004
  10. doi request reprint Predicting risk of hospitalization or death among patients with heart failure in the veterans health administration
    Li Wang
    Health Service and Research Development, Department of Veterans Affairs, Puget Sound Health Care System, Seattle, Washington, USA
    Am J Cardiol 110:1342-9. 2012

Detail Information

Publications69

  1. ncbi request reprint Insights from advanced analytics at the veterans health administration
    Stephan D Fihn
    Stephan D Fihn is director of the Veterans Health Administration VHA Office of Analytics and Business Intelligence in Washington, D C, and a professor in the Departments of Medicine and Health Services at the Schools of Medicine and Public Health, respectively, at the University of Washington, in Seattle
    Health Aff (Millwood) 33:1203-11. 2014
    ..While the VHA is unique in many ways, its experience may offer important insights for other health care systems nationwide as they venture into the realm of big data. ..
  2. pmc Factors associated with presenting >12 hours after symptom onset of acute myocardial infarction among Veteran men
    Kelly McDermott
    Osher Center for Integrative Medicine, University of California, San Francisco, 1545 Divisadero St, 3rd Floor, Box 1726, San Francisco, CA 94115, USA
    BMC Cardiovasc Disord 12:82. 2012
    ..Identifying predictors will help inform and target interventions for Veterans at a high risk of late presentation...
  3. pmc Severe mental illness and mortality of hospitalized ACS patients in the VHA
    Mary E Plomondon
    Cardiology Section, Denver VA Medical Center, Denver CO, USA
    BMC Health Serv Res 7:146. 2007
    ..We tested the hypothesis that SMI is associated with higher one-year mortality following ACS hospitalization...
  4. doi request reprint Collaborative care intervention for stable ischemic heart disease
    Stephan D Fihn
    Departments of Medicine, University of Washington, Seattle, USA
    Arch Intern Med 171:1471-9. 2011
    ....
  5. pmc Declining mortality following acute myocardial infarction in the Department of Veterans Affairs Health Care System
    Stephan D Fihn
    VA Puget Sound Health Care System, Seattle, WA, USA
    BMC Cardiovasc Disord 9:44. 2009
    ..Mortality from acute myocardial infarction (AMI) is declining worldwide. We sought to determine if mortality in the Veterans Health Administration (VHA) has also been declining...
  6. pmc Functional status and patient satisfaction: a comparison of ischemic heart disease, obstructive lung disease, and diabetes mellitus
    Vincent S Fan
    Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System, Seattle, WA 98108 1597, USA
    J Gen Intern Med 20:452-9. 2005
    ..To determine the extent to which chronic illness and disease severity affect patient satisfaction with their primary care provider in general internal medicine clinics...
  7. doi request reprint Predicting risk of hospitalization or death among patients receiving primary care in the Veterans Health Administration
    Li Wang
    VA Puget Sound Health Care System, Seattle, WA 98101, USA
    Med Care 51:368-73. 2013
    ..Most models have limitations for clinical use. Our objective was to develop models that identified high-risk primary care patients...
  8. ncbi request reprint The prevalence and outcomes of in-hospital acute myocardial infarction in the Department of Veterans Affairs Health System
    Charles Maynard
    Health Services Research and Development, VA Puget Sound Health Care System, Seattle, WA 98101, USA
    Arch Intern Med 166:1410-6. 2006
    ....
  9. ncbi request reprint Alcohol screening results in elderly male veterans: association with health status and mortality
    Isabelle Peytremann Bridevaux
    Northwest Health Services Research and Development Center of Excellence, Veterans Affairs Puget Sound Health Care System, Seattle, Washington 98108, USA
    J Am Geriatr Soc 52:1510-7. 2004
    ..To evaluate the association between alcohol screening results and health status or mortality in elderly patients...
  10. doi request reprint Predicting risk of hospitalization or death among patients with heart failure in the veterans health administration
    Li Wang
    Health Service and Research Development, Department of Veterans Affairs, Puget Sound Health Care System, Seattle, Washington, USA
    Am J Cardiol 110:1342-9. 2012
    ..This information can be used to assist care managers in selecting patients for interventions to decrease their risk of hospitalization or death...
  11. pmc Wide clinic-level variation in adherence to oral diabetes medications in the VA
    Chris L Bryson
    Northwest Center for Outcomes Research in Older Adults, VA Puget Sound Health Care System, Seattle, WA, USA
    J Gen Intern Med 28:698-705. 2013
    ..While there has been extensive research into patient-specific predictors of medication adherence and patient-specific interventions to improve adherence, there has been little examination of variation in clinic-level medication adherence...
  12. pmc The use of percutaneous coronary intervention in black and white veterans with acute myocardial infarction
    Charles Maynard
    Department of Veterans Affairs Puget Sound Health Care System, Health Services Research and Development, Seattle, Washington, USA
    BMC Health Serv Res 6:107. 2006
    ..The purpose of this study is to determine if black veterans with acute myocardial infarction (AMI) are less likely to receive PCI than their white counterparts...
  13. doi request reprint Urinary incontinence and urinary tract infection: temporal relationships in postmenopausal women
    Elya E Moore
    Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System, Department of Medicine, University of Washington, Seattle, USA
    Obstet Gynecol 111:317-23. 2008
    ..To estimate the temporal relationship between self-reported urine loss and incident, symptomatic, microbiologically confirmed urinary tract infection (UTI)...
  14. doi request reprint Measures of adherence to oral hypoglycemic agents at the primary care clinic level: the role of risk adjustment
    Edwin S Wong
    Northwest Center for Outcomes Research in Older Adults, VA Puget Sound Health Care System, WA 98101, USA
    Med Care 50:591-8. 2012
    ..This study examined whether variation in patient and facility characteristics determined those differences...
  15. ncbi request reprint Differences in health care utilization at the end of life among patients with chronic obstructive pulmonary disease and patients with lung cancer
    David H Au
    Health Services Research and Development, VA Puget Sound Health Care System, Seattle, Wash, USA
    Arch Intern Med 166:326-31. 2006
    ....
  16. ncbi request reprint Urinary incontinence and diabetes in postmenopausal women
    Sara L Jackson
    Northwest Health Services Reserach and Development Program, VA Puget Sound, 1825 N 52nd St, Seattle, WA 98103, USA
    Diabetes Care 28:1730-8. 2005
    ..This study evaluates diabetes characteristics and other risk factors for urinary incontinence among community-dwelling postmenopausal women...
  17. pmc Continuity of care and other determinants of patient satisfaction with primary care
    Vincent S Fan
    Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System, Seattle, WA 98108 1597, USA
    J Gen Intern Med 20:226-33. 2005
    ..The objective of this study was to evaluate the extent to which continuity of care and other factors are related to patient satisfaction...
  18. ncbi request reprint Predictors of urinary incontinence in a prospective cohort of postmenopausal women
    Sara L Jackson
    Northwest Health Services Research and Development Program, Veterans Administration Puget Sound, Seattle, Washington, USA
    Obstet Gynecol 108:855-62. 2006
    ..To prospectively assess risk factors associated with occurrence of urinary incontinence among postmenopausal women...
  19. ncbi request reprint Beta-blockers as single-agent therapy for hypertension and the risk of mortality among patients with chronic obstructive pulmonary disease
    David H Au
    Health Services Research and Development Northwest Center of Excellence, Veterans Affairs Puget Sound Health Care System, Seattle, Washington 98108, USA
    Am J Med 117:925-31. 2004
    ..To assess the association between the type of antihypertensive medication and all-cause mortality among patients with chronic obstructive pulmonary disease (COPD)...
  20. doi request reprint Women veterans and outcomes after acute myocardial infarction
    Stephanie Wheeler
    VA Northwest Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System, S 111 GIMC, 1660 South Columbian Way, Seattle, WA 98108, USA
    J Womens Health (Larchmt) 18:613-8. 2009
    ..The objective of this study is to describe clinical characteristics, treatment, and survival in women veterans compared with men after admission to VA hospitals for AMI...
  21. pmc Adherence to heart-healthy behaviors in a sample of the U.S. population
    Rosalie R Miller
    Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System, Seattle, WA 98101, USA
    Prev Chronic Dis 2:A18. 2005
    ....
  22. pmc The performance of administrative and self-reported measures for risk adjustment of Veterans Affairs expenditures
    Matthew L Maciejewski
    Health Services Research and Development Northwest Center of Excellence, Veterans Affairs Puget Sound Health Care System, Seattle, WA, USA
    Health Serv Res 40:887-904. 2005
    ..To evaluate the performance of different prospective risk adjustment models of outpatient, inpatient, and total expenditures of veterans who regularly use Veterans Affairs (VA) primary care...
  23. ncbi request reprint Intraindividual change in SF-36 in ambulatory clinic primary care patients predicted mortality and hospitalizations
    Vincent S Fan
    Health Services Research and Development 152, Center of Excellence, VA Puget Sound Health Care System, 1600 South Columbian Way, Seattle, WA 98108 1597, USA
    J Clin Epidemiol 57:277-83. 2004
    ..We sought to determine whether change in SF-36 scores over time is associated with the risk of adverse outcomes...
  24. ncbi request reprint Suboptimal pharmacotherapeutic management of chronic stable angina in the primary care setting
    Francine C Wiest
    Health Services Research and Development Center of Excellence, Veterans Affairs Puget Sound Health Care System, Seattle, WA 98108, USA
    Am J Med 117:234-41. 2004
    ..To assess the adequacy of symptomatic treatment for chronic stable angina among primary care patients who receive care from the Department of Veterans Affairs (VA)...
  25. ncbi request reprint Effects of sustained audit/feedback on self-reported health status of primary care patients
    Stephan D Fihn
    Northwest VA Health Services Research and Development Center of Excellence, Seattle, Washington 98108, USA
    Am J Med 116:241-8. 2004
    ..Because limited audit/feedback of health status information has yielded mixed results, we evaluated the effects of a sustained program of audit/feedback on patient health and satisfaction...
  26. ncbi request reprint Risk factors for urinary tract infections in postmenopausal women
    Kent K Hu
    Northwest Health Services Research and Development Center of Excellence, Veterans Affairs Puget Sound Health Care System, Seattle, WA 98108, USA
    Arch Intern Med 164:989-93. 2004
    ..Although extensively studied in younger women and older, debilitated women, the risk factors for UTI among healthy community-dwelling postmenopausal women have not been well described...
  27. ncbi request reprint Predictors of urinary tract infection after menopause: a prospective study
    Sara L Jackson
    Northwest Health Services Research and Development Program, VA Puget Sound, Seattle, Washington, USA
    Am J Med 117:903-11. 2004
    ..To describe the incidence of and risk factors for acute cystitis among nondiabetic and diabetic postmenopausal women...
  28. doi request reprint Regional variation in health status among chronic obstructive pulmonary disease patients
    Vincent S Fan
    Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System, Seattle, WA 98101, USA
    Respiration 81:9-17. 2011
    ..Little is known about geographic differences in health status among patients with chronic obstructive pulmonary disease (COPD)...
  29. ncbi request reprint Using alcohol screening results and treatment history to assess the severity of at-risk drinking in Veterans Affairs primary care patients
    Katharine A Bradley
    Northwest Health Services Research and Development Center of Excellence, Primary and Specialty Medical Care Service, VA Puget Sound Health Care System, Seattle, WA 98108, USA
    Alcohol Clin Exp Res 28:448-55. 2004
    ..We evaluated whether scores on brief alcohol screening questionnaires and patient reports of prior alcohol treatment reflect the severity of recent problems due to drinking...
  30. ncbi request reprint Association between chronic heart failure and inhaled beta-2-adrenoceptor agonists
    David H Au
    Health Services Research and Development, Division of Pulmonary and Critical Care Medicine, VA Puget Sound Health Care System, Seattle, Wash 98108, USA
    Am Heart J 148:915-20. 2004
    ..Recent reports suggest an association between beta-agonists and the risk of incident chronic heart failure (CHF). We sought to examine the association between inhaled beta-agonists and risk of incident and nonincident heart failure...
  31. pmc Neighborhood environment and health status and mortality among veterans
    Karin Nelson
    Health Services Research and Development, VA Puget Sound Health Care System, Seattle, WA 98108, USA
    J Gen Intern Med 26:862-7. 2011
    ..Veterans who utilize the VA for their care have worse health status than the general population. However, there is limited evidence about the association of neighborhood environment and health outcomes among veterans...
  32. ncbi request reprint Risk of urinary tract infection and asymptomatic bacteriuria among diabetic and nondiabetic postmenopausal women
    Edward J Boyko
    Epidemiologic Research and Information Center, VA Puget Sound Health Care System S 152E, 1660 South Columbian Way, Seattle, WA 98108, USA
    Am J Epidemiol 161:557-64. 2005
    ..No clear linear trend between hemoglobin A1c and UTI or AB risk was seen. Postmenopausal women with diabetes have higher risks of UTI and AB in relation to diabetes duration and severity but not to recent glucose control...
  33. ncbi request reprint Using quality of life to predict hospitalization and mortality in patients with obstructive lung diseases
    Vincent S Fan
    Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System, Seattle, WA 98108 1597, USA
    Chest 122:429-36. 2002
    ..Condition-specific measures of quality of life (QOL) for patients with COPD have been demonstrated to be highly reliable and valid, but they have not conclusively been shown to predict hospitalization or death...
  34. ncbi request reprint Patient-centered medical home initiative produced modest economic results for veterans health administration, 2010-12
    Paul L Hebert
    Paul L Hebert is an investigator in the Veterans Affairs VA Health Services Research and Development Center for Veteran Centered, Value Driven Health, VA Puget Sound Health Care System, and a research associate professor in the Department of Health Services, School of Public Health, University of Washington, both in Seattle
    Health Aff (Millwood) 33:980-7. 2014
    ..Although PACT has not generated a positive return, it is still maturing, and trends in costs and use are favorable. Adopting patient-centered care does not appear to have been a major financial risk for the VHA. ..
  35. ncbi request reprint A refill adherence algorithm for multiple short intervals to estimate refill compliance (ReComp)
    Chris L Bryson
    Health Services Research and Development Northwest Center of Excellence, Seattle, Washington 98101, USA
    Med Care 45:497-504. 2007
    ..There are many measures of refill adherence available, but few have been designed or validated for use with repeated measures designs and short observation periods...
  36. ncbi request reprint Prevalence and determinants of vaginal flora alterations in postmenopausal women
    Wendy L Pabich
    University of Washington School of Medicine, Seattle, Washington, USA
    J Infect Dis 188:1054-8. 2003
    ..coli. Thus, postmenopausal women have a relative depletion of vaginal lactobacilli and an increase in vaginal E. coli compared with premenopausal women...
  37. ncbi request reprint Depression diagnosis and antidepressant treatment among depressed VA primary care patients
    Chuan Fen Liu
    Department of Veterans Affairs, Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System, 1100 Olive Way, Suite 1400, Seattle, WA 98101, USA
    Adm Policy Ment Health 33:331-41. 2006
    ..Depression treatment performance measures dependent on diagnoses and antidepressant prescriptions from administrative databases exclude undiagnosed patients with significant, treatable, symptomatology...
  38. ncbi request reprint Alcohol-related advice for Veterans Affairs primary care patients: Who gets it? Who gives it?
    Marcia L Burman
    Northwest Health Services Research and Development Center of Excellence, Veterans Affairs Puget Sound Health Care System, Seattle, Washington 98108 1597, USA
    J Stud Alcohol 65:621-30. 2004
    ..This study evaluated primary care patient and provider characteristics associated with receipt of alcohol-related advice and whether patients were advised to drink less or to abstain...
  39. ncbi request reprint Inhaled corticosteroids in chronic obstructive pulmonary disease and risk of death and hospitalization: time-dependent analysis
    Vincent S Fan
    Department of Medicine, University of Washington, Seattle, WA 98108
    Am J Respir Crit Care Med 168:1488-94. 2003
    ..64-1.13) or COPD exacerbations (HR, 1.13; 95% CI, 0.94-1.36). In a time-dependent study of outpatients with COPD, adherence to inhaled corticosteroid use was not associated with a decreased risk of mortality or exacerbations...
  40. ncbi request reprint Provider response to computer-based care suggestions for chronic heart failure
    Brian Keeffe
    Northwest Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System, Seattle, Washington, USA
    Med Care 43:461-5. 2005
    ..We sought to assess the responses of providers to recommendations generated by a computer-management system for chronic heart failure (CHF)...
  41. ncbi request reprint Risk of mortality and heart failure exacerbations associated with inhaled beta-adrenoceptor agonists among patients with known left ventricular systolic dysfunction
    David H Au
    Health Services Research and Development, Northwest Center of Excellence, VA Puget Sound Health Care System, Department of Veterans Affairs, Seattle, WA 98108, USA
    Chest 123:1964-9. 2003
    ..We sought to determine if use of selective beta(2)-agonists was associated with hospitalization for heart failure and all-cause mortality...
  42. ncbi request reprint Cardiovascular risk factor control among veterans with diabetes: the ambulatory care quality improvement project
    Nicholas L Smith
    Seattle Epidemiologic Research and Information Center, VA Puget Sound Health Care System, Seattle, Washington, USA
    Diabetes Care 27:B33-8. 2004
    ..To describe the extent to which hyperglycemia, hypertension, and dyslipidemia are currently detected, treated, and controlled in U.S. veterans with diabetes with and without ischemic heart disease (IHD)...
  43. pmc Sexual intercourse and risk of symptomatic urinary tract infection in post-menopausal women
    Elya E Moore
    Department of Epidemiology, University of Washington School of Public Health and Community Medicine, Seattle, WA, USA
    J Gen Intern Med 23:595-9. 2008
    ..Sexual intercourse increases the risk of symptomatic urinary tract infections (UTI) in young women, but its role among post-menopausal women is unclear...
  44. ncbi request reprint Diabetes quality improvement in Department of Veterans Affairs Ambulatory Care Clinics: a group-randomized clinical trial
    Gayle E Reiber
    Seattle Epidemiologic Research and Information Center, Department of Veterans Affairs, Puget Sound Health Care System, Seattle, Washington, USA
    Diabetes Care 27:B61-8. 2004
    ....
  45. pmc Recent hospitalization for non-coronary events and use of preventive medications for coronary artery disease: an observational cohort study
    Steven M Bradley
    Health Services Research and Development Northwest Center of Excellence, Veterans Affairs Puget Sound Health Care System, and University of Washington, Seattle, WA, USA
    BMC Cardiovasc Disord 11:42. 2011
    ....
  46. ncbi request reprint Accounting for deaths in longitudinal studies using the SF-36: the performance of the Physical Component Scale of the Short Form 36-item health survey and the PCTD
    Paula Diehr
    Department of Biostatistics, University of Washington, Seattle 98195 7232, USA
    Med Care 41:1065-73. 2003
    ..Data missing for other reasons than death have not been considered...
  47. ncbi request reprint Treatment delay associated with alternative medicine use among veterans with head and neck cancer
    Greg E Davis
    Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System, Seattle, Washington, USA
    Head Neck 28:926-31. 2006
    ..Use of complementary and alternative medicine (CAM) is increasing in the United States. This study investigates whether the use of alternative medicine is associated with a delay of treatment in head and neck cancer...
  48. ncbi request reprint Anginal symptoms consistently predict total mortality among outpatients with coronary artery disease
    Dariush Mozaffarian
    Health Services Research and Development Center of Excellence, Veterans Affairs Puget Sound Health Care System, University of Washington, Seattle, Wash, USA
    Am Heart J 146:1015-22. 2003
    ....
  49. ncbi request reprint Association between local area unemployment rates and use of Veterans Affairs outpatient health services
    Edwin S Wong
    Northwest Center for Outcomes Research in Older Adults, VA Puget Sound Health Care System Department of Health Services, University of Washington Office of Analytics and Business Intelligence, Veterans Health Administration, Seattle, WA
    Med Care 52:137-43. 2014
    ..Prior research indicates that federal spending on Medicare, Medicaid, and other government health programs accelerated during the Great Recession...
  50. pmc Effectiveness of collaborative care depression treatment in Veterans' Affairs primary care
    Susan C Hedrick
    Health Services Research and Development Center of Excellence, the VA Puget Sound Health Care System, Seattle, Wash 98108, USA
    J Gen Intern Med 18:9-16. 2003
    ..In CL care, study clinicians informed the primary care provider of the diagnosis and facilitated referrals to psychiatry residents practicing in the primary care clinic...
  51. ncbi request reprint Underuse of cardioprotective medications in patients prior to acute myocardial infarction
    Rosalie R Miller
    Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System 152, 1660 South Columbian Way, Seattle, WA 98108, USA
    Am J Cardiol 92:209-11. 2003
  52. pmc Strategies from a nationwide health information technology implementation: the VA CART story
    Tamara L Box
    VA Eastern Colorado Health Care System, Cardiovascular Outcomes Research, 1055 Clermont Street, Denver, CO 80220, USA
    J Gen Intern Med 25:72-6. 2010
    ..We offer strategies developed through CART implementation which are broadly applicable to technology projects aimed at improving the quality, reliability, and efficiency of health care...
  53. pmc Toward a VA Women's Health Research Agenda: setting evidence-based priorities to improve the health and health care of women veterans
    Elizabeth M Yano
    HSR and D Center of Excellence, VA Greater Los Angeles Healthcare System, Sepulveda, CA 91343, USA
    J Gen Intern Med 21:S93-101. 2006
    ..This paper summarizes the process and outcomes of this effort, outlining VA's research priorities for biomedical, clinical, rehabilitation, and health services research...
  54. ncbi request reprint Risk of adverse outcomes associated with concomitant use of clopidogrel and proton pump inhibitors following acute coronary syndrome
    P Michael Ho
    Denver VA Medical Center, Denver, Colorado, USA
    JAMA 301:937-44. 2009
    ..Prior mechanistic studies reported that omeprazole decreases the platelet inhibitory effects of clopidogrel, yet the clinical significance of these findings is not clear...
  55. pmc Performance of comorbidity, risk adjustment, and functional status measures in expenditure prediction for patients with diabetes
    Matthew L Maciejewski
    Health Services Research and Development, Durham VA Medical Center, Department of Veterans Affairs, Durham, North Carolina, USA
    Diabetes Care 32:75-80. 2009
    ..To compare the ability of generic comorbidity and risk adjustment measures, a diabetes-specific measure, and a self-reported functional status measure to explain variation in health care expenditures for individuals with diabetes...
  56. pmc Evaluation of a weight management program for veterans
    Alyson J Littman
    Seattle Epidemiologic Research and Information Center, VA Puget Sound Health Care System 152E, 1100 Olive Way, Ste 1400, Seattle, Washington 98101, USA
    Prev Chronic Dis 9:E99. 2012
    ..To improve the health of overweight and obese veterans, the Department of Veterans Affairs (VA) developed the MOVE! Weight Management Program for Veterans. The aim of this evaluation was to assess its reach and effectiveness...
  57. pmc Cause of death in Washington state veterans hospitalized with acute coronary syndromes in the veterans health administration
    Charles Maynard
    Department of Veterans Affairs Puget Sound Health Care System, Seattle, WA, USA
    Popul Health Metr 6:3. 2008
    ..abstract:..
  58. ncbi request reprint Validation of case-mix measures derived from self-reports of diagnoses and health
    Vincent S Fan
    Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System, Seattle, WA 98108 1597, USA
    J Clin Epidemiol 55:371-80. 2002
    ....
  59. pmc A review of interventions and system changes to improve time to reperfusion for ST-segment elevation myocardial infarction
    KELLY A MCDERMOTT
    VA Puget Sound Health Care System, Seattle, WA, USA
    J Gen Intern Med 23:1246-56. 2008
    ..Identify and describe interventions to reduce time to reperfusion for patients with ST-segment elevation myocardial infarction (STEMI)...
  60. pmc The future of general internal medicine. Report and recommendations from the Society of General Internal Medicine (SGIM) Task Force on the Domain of General Internal Medicine
    Eric B Larson
    Group Health Center for Health Studies, Seattle, Washington 98101 1448, USA
    J Gen Intern Med 19:69-77. 2004
    ..We believe these changes constitute a paradigm shift that can benefit patients and the public and reenergize general internal medicine...
  61. pmc High total serum cholesterol, medication coverage and therapeutic control: an analysis of national health examination survey data from eight countries
    Gregory A Roth
    Division of Cardiology, University of Washington, 1959 NE Pacific Street room AA522, Seattle, WA 98195 6422, United States of America
    Bull World Health Organ 89:92-101. 2011
    ..To determine the fraction of individuals with high total serum cholesterol who get diagnosed and effectively treated in eight high- and middle-income countries...
  62. ncbi request reprint Diabetes and the risk of acute urinary tract infection among postmenopausal women
    Edward J Boyko
    Epidemiologic Research and Information Center ERIC, VA Puget Sound, Seattle, Washington 98108, USA
    Diabetes Care 25:1778-83. 2002
    ..To examine whether the presence of diabetes alters the risk of acute urinary tract infection (UTI) in postmenopausal women...
  63. pmc Alcohol-related discussions during general medicine appointments of male VA patients who screen positive for at-risk drinking
    Katharine A Bradley
    Northwest Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System, Seattle, WA 98108, USA
    J Gen Intern Med 17:315-26. 2002
    ..This study describes primary care discussions with patients who screened positive for at-risk drinking. In addition, discussions about alcohol use from 2 clinic firms, one with a provider-prompting intervention, are compared...
  64. ncbi request reprint Association between inhaled beta-agonists and the risk of unstable angina and myocardial infarction
    David H Au
    Department of Medicine, University of Washington, Seattle 98108, USA
    Chest 121:846-51. 2002
    ..We further examined the association between acute coronary syndromes and inhaled beta-agonist therapy...
  65. ncbi request reprint Elements of Team-Based Care in a Patient-Centered Medical Home Are Associated with Lower Burnout Among VA Primary Care Employees
    Christian D Helfrich
    VA Puget Sound Health Services Research and Development Center of Excellence, US Department of Veterans Affairs, Seattle, WA, USA
    J Gen Intern Med 29:659-66. 2014
    ..The existing literature on the effects of PCMH on burnout is limited, with most findings based on small-scale demonstration projects with data collected only among physicians, and the results are mixed...
  66. ncbi request reprint Questions and answers. I am a 65-year-old woman who gets frequent urinary tract infections. What can I do to prevent recurrences?
    Stephan D Fihn
    University of Washington, Seattle, USA
    Health News 9:12. 2003
  67. ncbi request reprint Update in general internal medicine
    Christopher L Knight
    University of Washington Medical Center and Veterans Affairs Puget Sound Health Care System, Seattle, Washington 98105, USA
    Ann Intern Med 145:52-61. 2006
  68. ncbi request reprint Comparison of control and stability of oral anticoagulant therapy using acenocoumarol versus phenprocoumon
    Stephan D Fihn
    Northwest Health Services Research Center of Excellence, Veterans Affairs Puget Sound Health Care System and Department of Medicine, University of Washington, Seattle, USA
    Thromb Haemost 90:260-6. 2003
    ..The differences observed among clinics suggest that certain clinics employ policies and practices resulting in better control of anticoagulation...
  69. ncbi request reprint Clinical practice. Acute uncomplicated urinary tract infection in women
    Stephan D Fihn
    Northwest Health Services Research and Development Center of Excellence, Veterans Affairs Puget Sound Health Care System, and the University of Washington, Seattle 98108, USA
    N Engl J Med 349:259-66. 2003