Research Topics
| Jonathan FinkelsteinSummaryAffiliation: Harvard Medical School and Harvard Pilgrim Health Care Country: USA Publications
Research Grants
| Collaborators
|
Detail Information
Publications
Parent-reported environmental exposures and environmental control measures for children with asthmaJonathan A Finkelstein
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Ave, Sixth Floor, Boston, MA 02215, USA
Arch Pediatr Adolesc Med 156:258-64. 2002..Mounting evidence suggests that indoor allergens and irritants contribute to childhood asthma. National asthma guidelines highlight the importance of their reduction as part of comprehensive asthma treatment...- Watchful waiting for acute otitis media: are parents and physicians ready?Jonathan A Finkelstein
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts, USA
Pediatrics 115:1466-73. 2005..To assess the current use of initial observation ("watchful waiting") of acute otitis media among community physicians and the acceptability of this option to parents of young children... 
Impact of a 16-community trial to promote judicious antibiotic use in MassachusettsJonathan A Finkelstein
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Ave, Sixth Floor Boston, MA 02215, USA
Pediatrics 121:e15-23. 2008..In addition, we sought to compare the intervention's impact on commercially and Medicaid-insured children...- Teaching population health as a basic science at Harvard Medical SchoolJonathan A Finkelstein
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Acad Med 83:332-7. 2008..Preclinical courses represent a progressive step in developing a workforce of physicians who embrace their responsibility to improve the health of the population as a whole, as well as the health of the patient in front of them... - Underuse of controller medications among Medicaid-insured children with asthmaJonathan A Finkelstein
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Ave, 6th Floor, Boston, MA 02215, USA
Arch Pediatr Adolesc Med 156:562-7. 2002..Although studies suggest low rates of controller use, little is known about predictors of underuse among low-income children in whom asthma morbidity is greatest... - Correlates of parental antibiotic knowledge, demand, and reported useMarianne Kuzujanakis
Harvard Pediatric Health Sevices Research Fellowship, The Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Mass 02215, USA
Ambul Pediatr 3:203-10. 2003..Particular attention should be paid to Medicaid-insured patients in whom such misconceptions may contribute to inappropriate prescribing... - Parental knowledge about antibiotic use: results of a cluster-randomized, multicommunity interventionSusan S Huang
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Ave, 6th Floor, Boston, MA 02215, USA
Pediatrics 119:698-706. 2007..The goal was to determine the impact of a community-wide educational intervention on parental misconceptions likely contributing to pediatric antibiotic overprescribing... - Does connection to primary care matter for children with attention-deficit/hyperactivity disorder?Sara L Toomey
Harvard wide Pediatric Health Services Research Fellowship, Boston, Massachusetts, USA
Pediatrics 122:368-74. 2008.... - Trends in otitis media treatment failure and relapseColin M Sox
Center for Child Health Care Studies, Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts, USA
Pediatrics 121:674-9. 2008.... - Clinician attitudes towards prescribing and implications for interventions in a multi-specialty group practiceRobert J Fortuna
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
J Eval Clin Pract 14:969-73. 2008..Although numerous factors influence prescribing, resources to support unbiased evidence-based prescribing are not widely available... - Cultural competence policies and other predictors of asthma care quality for Medicaid-insured childrenTracy A Lieu
Center for Child Health Care Studies, Department of Ambulatory Care and Prevention, Harvard Pilgrim Health Care and Harvard Medical School, Boston, Massachusetts 02215, USA
Pediatrics 114:e102-10. 2004..The objective of this study was to identify practice-site policies and features associated with quality of care for Medicaid-insured children with asthma... - Research during pediatric residency training: outcome of a senior resident block rotationRobert J Vinci
Boston Medical Center, Department of Pediatrics, Boston University School of Medicine, 818 Harrison Ave, Boston, MA 02118, USA
Pediatrics 124:1126-34. 2009..In July 2002, the Boston Combined Residency Program instituted a 3-month career-development block (CDB) rotation. During the rotation residents pursue an academic or clinical project under mentorship by a faculty member... 
Early child care and adiposity at ages 1 and 3 yearsSara E Benjamin
Obesity Prevention Program, Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts 02215, USA
Pediatrics 124:555-62. 2009..The majority of infants in the United States are in nonparental child care, yet little is known about the effect of child care on development of obesity...- Practice-level effects of interventions to improve asthma care in primary care settings: the Pediatric Asthma Care Patient Outcomes Research TeamJonathan A Finkelstein
Department of Ambulatory Care and Prevention, Harvard Medical School, Boston, MA, USA
Health Serv Res 40:1737-57. 2005..Benefits of practice-level interventions may accrue disproportionately to the subgroup of trial enrollees. The effect of such interventions may be less apparent at the level of practices or health plans... - Effects of race, insurance status, and hospital volume on perforated appendicitis in childrenDouglas S Smink
Department of Surgery, Children s Hospital Boston, Boston, Massachusetts, USA
Pediatrics 115:920-5. 2005..We sought to investigate the association of perforated appendicitis in children with minority race, insurance status, and hospital volume... - Evaluation of asthma prescription measures and health system performance based on emergency department utilizationAnne Fuhlbrigge
Channing Laboratory, Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts, USA
Med Care 42:465-71. 2004..Measures based on the use of either antiinflammatory and/or reliever medications have been used to evaluate clinical performance in asthma... - Epidemiology and risk factors for Staphylococcus aureus colonization in children in the post-PCV7 eraGrace M Lee
Department of Population Medicine, Harvard Pilgrim Health Care Institute and Harvard Medical School, Boston, MA, USA
BMC Infect Dis 9:110. 2009..aureus and MRSA colonization in young children in the context of widespread use of PCV7; and (2) examine risk factors for S. aureus colonization in the post-PCV7 era, including the absence of vaccine-type S. pneumoniae colonization... - Racial/ethnic variation in asthma status and management practices among children in managed medicaidTracy A Lieu
Department of Ambulatory Care and Prevention, Harvard Pilgrim Health Care and Harvard Medical School, Boston, Massachusetts 02215, USA
Pediatrics 109:857-65. 2002.... - Acute care and antibiotic seeking for upper respiratory tract infections for children in day care: parental knowledge and day care center policiesJennifer F Friedman
Harvard Pediatric Health Services Research Fellowship Program, The Children's Hospital, Boston, MA, USA
Arch Pediatr Adolesc Med 157:369-74. 2003.... - Serotype specific invasive capacity and persistent reduction in invasive pneumococcal diseaseInci Yildirim
Department of Pediatrics, Boston University, School of Medicine, Boston, MA, USA
Vaccine 29:283-8. 2010..g. 33F, 22F) as successful colonizers resulting in increased IPD incidence due to replacement serotypes... - Emergence of 19A as virulent and multidrug resistant Pneumococcus in Massachusetts following universal immunization of infants with pneumococcal conjugate vaccineStephen I Pelton
Maxwell Finland Laboratory for Infectious Diseases, Boston University School of Medicine, Boston, MA, USA
Pediatr Infect Dis J 26:468-72. 2007..Ongoing surveillance is necessary to identify emerging invasive serotypes and antimicrobial susceptibilities... - Planning for health promotion in low-income preschool child care settings: focus groups of parents and child care providersElsie M Taveras
Center for Child Health Care Studies, Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care and the Division of General Pediatrics, Children s Hospital, Boston, MA 02215, USA
Ambul Pediatr 6:342-6. 2006..To identify potentially successful strategies, barriers, and facilitators for health promotion in preschool child care settings... - Parental perspectives on influenza vaccination among children with asthmaSangeeth K Gnanasekaran
Center for Child and Adolescent Health Policy, Massachusetts General Hospital, 50 Staniford St, Ste 901, Boston, MA 02214, USA
Public Health Rep 121:181-8. 2006..The objectives of this study were to: (1) identify modifiable factors influencing receipt of influenza vaccination among children with asthma, and (2) to evaluate the effect of heightened media attention on vaccination rates... - Antibiotic use following a Korean national policy to prohibit medication dispensing by physiciansSylvia Park
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA, USA
Health Policy Plan 20:302-9. 2005..Prohibiting doctors from dispensing drugs reduced prescribing overall, both of antibiotics and other drugs, and selectively reduced inappropriate antibiotic prescribing in viral illness... - Antibiotic treatment of children with sore throatJeffrey A Linder
Division of General Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, MA 02120, USA
JAMA 294:2315-22. 2005..Penicillin, amoxicillin, erythromycin, and first-generation cephalosporins are the recommended antibiotics for treatment of sore throat due to GABHS... - Pediatricians' self-reported clinical practices and adherence to national immunization guidelines after the introduction of pneumococcal conjugate vaccineKaren C Lee
Harvard Pediatric Health Services Research Fellowship, Boston, MA 02215, USA
Arch Pediatr Adolesc Med 158:695-701. 2004..Special efforts may be warranted to ensure that pediatricians remain current with changing recommendations... - Pediatricians' views on financial barriers and values for pneumococcal vaccine for childrenTracy A Lieu
Department of Ambulatory Care and Prevention, Harvard Pilgrim Health Care and Harvard Medical School, 133 Brookline Avenue, 6th Floor, Boston, MA 02215, USA
Ambul Pediatr 2:358-66. 2002..To 1) describe barriers to pneumococcal conjugate vaccine adoption and 2) estimate the value of the vaccine based on pediatricians' responses to willingness-to-pay questions... - Influenza vaccination among children with asthma in medicaid managed careSangeeth K Gnanasekaran
Center for Child Health Care Studies, Department of Ambulatory Care and Prevention, Harvard Pilgrim Health Care and Harvard Medical School, Boston, Massachusetts, USA
Ambul Pediatr 6:1-7. 2006..To describe influenza vaccination rates and identify risk factors for missing vaccination among children with asthma in managed Medicaid... - The prevalence and geographic distribution of Crohn's disease and ulcerative colitis in the United StatesMichael D Kappelman
Center for Inflammatory Bowel Disease, Division of Gastroenterology and Nutrition, Children s Hospital Boston and Harvard Medical School, Boston, Massachusetts, USA
Clin Gastroenterol Hepatol 5:1424-9. 2007..This study sought to determine the prevalence of Crohn's disease (CD) and ulcerative colitis (UC) in a large national sample and to compare the prevalence across geographic regions and other sociodemographic characteristics... - Reducing the prescribing of heavily marketed medications: a randomized controlled trialRobert J Fortuna
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA, USA
J Gen Intern Med 24:897-903. 2009..Prescription drug costs are a major component of health care expenditures, yet resources to support evidence-based prescribing are not widely available... - Predictors of hospital charges for children admitted with asthmaRuchi S Gupta
Harvard Pediatric Health Services Research Fellowship, Children s Hospital Boston, Massachusetts, USA
Ambul Pediatr 6:15-20. 2006..To examine patient and hospital characteristics associated with varying hospital charges for children admitted with asthma... - The effect of hospital volume of pediatric appendectomies on the misdiagnosis of appendicitis in childrenDouglas S Smink
Harvard Pediatric Health Services Research Fellowship, Department of Surgery, Children's Hospital Boston, Boston, Massachusetts 02115, USA
Pediatrics 113:18-23. 2004..Lower hospital volume of pediatric appendectomies is associated with a significantly increased likelihood of misdiagnosis of appendicitis in children... - Reduction in antibiotic use among US children, 1996-2000Jonathan A Finkelstein
HMO Research Network Centers for Education and Research on Therapeutics Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts 02215, USA
Pediatrics 112:620-7. 2003..The Centers for Disease Control and Prevention, in collaboration with other national and state level organizations, have actively promoted more judicious prescribing for children... - Community-level predictors of pneumococcal carriage and resistance in young childrenSusan S Huang
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA, USA
Am J Epidemiol 159:645-54. 2004..5, 95% confidence interval: 1.0, 11.7). The two- to threefold odds of pneumococcal carriage conferred by certain community characteristics suggest that these measures may target communities for interventions to decrease transmission... - Clinical effectiveness research in managed-care systems: lessons from the Pediatric Asthma Care PORT. Patient Outcomes Research TeamJonathan A Finkelstein
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Health Serv Res 37:775-89. 2002..With attention to these delivery system issues, as well as the usual design features of randomized trials, we believe managed-care organizations can serve as important laboratories to test care improvement strategies... - Child care center policies and practices for management of ill childrenJennifer F Friedman
Harvard Pediatric Health Services Research Fellowship Program, Children s Hospital Boston, Boston, MA, USA
Ambul Pediatr 4:455-60. 2004.... - Effect of a pediatric hospitalist system on housestaff education and experienceChristopher P Landrigan
Department of Medicine, Children s Hospital, Main 10E, Room 1032 2, 300 Longwood Ave, Boston, MA 02115, USA
Arch Pediatr Adolesc Med 156:877-83. 2002..To determine the effect of a pediatric hospitalist system on housestaff education and experience... - Are performance measures based on automated medical records valid for physician/practice profiling of asthma care?Anne Fuhlbrigge
Channing Laboratory, Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA
Med Care 46:620-6. 2008..The use of physician profiles in "pay for performance" initiatives depend on their reliability and accuracy... - Validity of the HEDIS criteria to identify children with persistent asthma and sustained high utilizationAnne L Fuhlbrigge
Channing Laboratory, Brigham and Women s Hospital, Harvard Medical School, Boston, MA 02115, USA
Am J Manag Care 11:325-30. 2005.... - Antibiotic-resistant Streptococcus pneumoniae in the heptavalent pneumococcal conjugate vaccine era: predictors of carriage in a multicommunity sampleJonathan A Finkelstein
Department of Ambulatory Care and Prevention, Harvard Medical School HPHC, Boston, Massachusetts 02215, USA
Pediatrics 112:862-9. 2003..Data on carriage of resistant organisms by healthy children in communities in which immunization with PCV7 has been implemented will help to define and decrease these risks further... - Diagnosis of acute appendicitis in children using a clinical practice guidelineDouglas S Smink
Department of Surgery, Children's Hospital Boston, Boston, MA 02115, USA
J Pediatr Surg 39:458-63; discussion 458-63. 2004..4% and 99.0%, respectively. CONCLUSIONS: A clinical practice guideline selectively utilizing CT and US is highly accurate in the diagnosis of acute appendicitis, minimizing the need for inpatient admission for serial examinations... - Resource costs for asthma-related care among pediatric patients in managed careKarna Gendo
School of Pharmacy, University of Washington, Seattle, Washington, USA
Ann Allergy Asthma Immunol 91:251-7. 2003..Understanding the relationship between total costs of asthma-related care and morbidity can assist in designing the most cost-effective asthma care strategies to improve patient outcomes and minimize total costs... - Adverse events associated with prolonged antibiotic useSharon B Meropol
Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA
Pharmacoepidemiol Drug Saf 17:523-32. 2008.... - Comparing asthma care provided to Medicaid-enrolled children in a Primary Care Case Manager plan and a staff model HMOAlexandra E Shields
Health Policy Institute, Georgetown University, Washington, DC 20007, USA
Ambul Pediatr 3:253-62. 2003..To examine differences in selected processes of asthma care provided to Medicaid-enrolled children in a state-administered Primary Care Case Manager (PCCM) plan and a staff model health maintenance organization (HMO)... - Process of care for Medicaid-enrolled children with asthma: served by community health centers and other providersAlexandra E Shields
Institute for Health Care Research and Policy, Georgetown Public Policy Institute, Georgetown University, 2233 Wisconsin Avenue NW, Suite 525, Washington, DC 20007, USA
Med Care 40:303-14. 2002..To compare the process of care received by Medicaid-enrolled children with asthma served by community health centers (CHCs) and other Medicaid providers... - Misunderstanding of asthma controller medications: association with nonadherenceHarold J Farber
Department of Pediatrics, Kaiser Permanente Vallejo Medical Center, Vallejo, California 94589, USA
J Asthma 40:17-25. 2003..This study's aims are to 1) test the hypothesis that misunderstanding is associated with decreased adherence to its daily use and 2) identify factors associated with increased risk of misunderstanding... - Asthma medication use and disease burden in children in a primary care populationPaula Lozano
Center for Health Studies, Group Health Cooperative, 1730 Minor Ave, Suite 1600, Seattle, WA 98101, USA
Arch Pediatr Adolesc Med 157:81-8. 2003..Children with persistent asthma underuse controller medications and overuse relievers. A better understanding of the appropriateness of regimens, medication adherence, and adequacy of asthma control is needed... - A multisite randomized trial of the effects of physician education and organizational change in chronic asthma care: cost-effectiveness analysis of the Pediatric Asthma Care Patient Outcomes Research Team II (PAC-PORT II)Sean D Sullivan
Pharmaceutical Outcomes Research and Policy Program and Department of Pediatrics, University of Washington, Seattle, WA 98195, USA
Arch Pediatr Adolesc Med 159:428-34. 2005.... - Physician responses to a community-level trial promoting judicious antibiotic useChristopher J Stille
Meyers Primary Care Institute, Worcester, Massachusetts 01655, USA
Ann Fam Med 6:206-12. 2008..We assessed physician responses to a community-level intervention with respect to antibiotic prescribing, related practices, and perceived effectiveness... - Opportunities for health promotion education in child careRuchi S Gupta
Institute for Healthcare Studies, Children s Memorial Hospital, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA
Pediatrics 116:e499-505. 2005..We also sought to understand the health consultants' (health professionals serving as consultants to child care centers) current and desired roles in leading health promotion activities in child care settings... - Use of asthma medication dispensing patterns to predict risk of adverse health outcomes: a study of Medicaid-insured children in managed care programsHarold J Farber
Department of Pediatrics, Kaiser Permanente Medical Center, Vallejo, California 94589 2485, USA
Ann Allergy Asthma Immunol 92:319-28. 2004..Regular use of inhaled anti-inflammatory (AI) medication improves outcomes for children with persistent asthma... - Screening for type 2 diabetes mellitus in children and adolescents: attitudes, barriers, and practices among pediatric cliniciansErinn T Rhodes
Division of Endocrinology, Children s Hospital Boston, MA 02115, USA
Ambul Pediatr 6:110-4. 2006..The purpose of this study was to describe attitudes, barriers, and practices related to type 2 diabetes screening in children among pediatric clinicians... - Diversity and antibiotic resistance among nonvaccine serotypes of Streptococcus pneumoniae carriage isolates in the post-heptavalent conjugate vaccine eraWilliam P Hanage
Department of Infectious Disease Epidemiology, Imperial College, London, UK
J Infect Dis 195:347-52. 2007..Possible mechanisms include de novo acquisition of resistance, serotype switching, introduction of new clones, and expansion of existing clones... - Intercenter variation in initial management of children with Crohn's diseaseMichael D Kappelman
Center for Inflammatory Bowel Disease, Division of Gastroenterology and Nutrition, Children s Hospital Boston, Massachusetts 02115, USA
Inflamm Bowel Dis 13:890-5. 2007..We undertook this study to determine the extent of intercenter variation in the initial management of children newly diagnosed with Crohn's disease... - Use of prescription medications with a potential for fetal harm among pregnant womenSusan E Andrade
Meyers Primary Care Institute University of Massachusetts Medical School, the Fallon Foundation, and Fallon Community Health Plan, Worcester, MA 01605, USA
Pharmacoepidemiol Drug Saf 15:546-54. 2006..To estimate the prevalence of use of prescription drugs with a potential for fetal harm among pregnant women in the United States... - Intranasal steroids and the risk of emergency department visits for asthmaRobert J Adams
Department of Medicine, University of Adelaide, The Queen Elizabeth Hospital Campus, Woodville, Australia
J Allergy Clin Immunol 109:636-42. 2002..These results support the use of intranasal steroids by individuals with asthma and upper airways conditions... - Increased use of second-generation macrolide antibiotics for children in nine health plans in the United StatesChristopher J Stille
HMO Research Network Center for Education and Research on Therapeutics, University of Massachusetts Medical School, Worcester, MA 01655, USA
Pediatrics 114:1206-11. 2004.... - Variability in asthma care and services for low-income populations among practice sites in managed Medicaid systemsPaula Lozano
Center for Health Studies, Group Health Cooperative, Seattle, WA 98101, USA
Health Serv Res 38:1563-78. 2003..The lack of consistency within MCOs on many processes of care suggests that care may be driven more at the practice site level than the MCO level, which has implications for quality improvement efforts... - A multisite randomized trial of the effects of physician education and organizational change in chronic-asthma care: health outcomes of the Pediatric Asthma Care Patient Outcomes Research Team II StudyPaula Lozano
Center for Health Studies, Group Health Cooperative, 1730 Minor Avenue, Seattle, WA 98101, USA
Arch Pediatr Adolesc Med 158:875-83. 2004..Traditional primary care practice change approaches have not led to full implementation of national asthma guidelines... - Prescription drug use in pregnancySusan E Andrade
Meyers Primary Care Institute Fallon Healthcare System and University of Massachusetts Medical School, 630 Plantation Street, Worcester, MA, USA
Am J Obstet Gynecol 191:398-407. 2004..The purpose of this study was to provide information on the prevalence of the use of prescription drugs among pregnant women in the United States... - Senior resident autonomy in a pediatric hospitalist systemChristopher P Landrigan
Arch Pediatr Adolesc Med 157:206-7. 2003 - Agreement between caregiver reported healthcare utilization and administrative data for children with asthmaTodd A Lee
Midwest Center for Health Services and Policy Research, Hines VA Hospital, Hines, IL 60141, USA
J Asthma 44:189-94. 2007....
Research Grants
- REDUCING ANTIMICROBIAL RESISTANCE: A RANDOMIZED TRIALJonathan Finkelstein; Fiscal Year: 2003..Cost-effectiveness analysis will estimate the financial and other costs per resistant infection avoided. ..
- Post-PCV pneumococcal population genetics and resistanceJonathan Finkelstein; Fiscal Year: 2007..Continuing assessment of the epidemiology and population genetics of the community reservoir of SP will inform future expectations regarding localized and invasive pneumococcal disease. ..
- Post-PCV pneumococcal population genetics and resistanceJonathan Finkelstein; Fiscal Year: 2009..Continuing assessment of the epidemiology and population genetics of the community reservoir of SP will inform future expectations regarding localized and invasive pneumococcal disease. ..
- Conjugate vaccine impact on pneumococcal carriage, disease, and population genetiJonathan A Finkelstein; Fiscal Year: 2010..These results will inform development and implementation of future vaccines, for pneumococcus and other organisms, by providing data on possible responses of bacterial populations that may blunt their intended clinical impact. ..