Research Topics
| A E ShieldsSummaryAffiliation: Massachusetts General Hospital Country: USA Publications
Research Grants
| Collaborators
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Detail Information
Publications
Looking to the future: incorporating genomic information into disparities research to reduce measurement error and selection biasAlexandra E Shields
Harvard MGH Center for Genomics, Vulnerable Populations and Health Disparities, and Mongan Institute for Health Policy, Massachusetts General Hospital, Boston, MA, USA
Health Serv Res 47:1387-410. 2012..To extend recent conceptual and methodological advances in disparities research to include the incorporation of genomic information in analyses of racial/ethnic disparities in health care and health outcomes...- Ethical concerns related to developing pharmacogenomic treatment strategies for addictionAlexandra E Shields
Harvard MGH Center for Genomics, Vulnerable Populations, and Health Disparities, Mongan Institute for Health Policy Massachusetts General Hospital, Boston, Massachusetts, USA
Addict Sci Clin Pract 6:32-43. 2011.... 
Primary care physicians' willingness to offer a new genetic test to tailor smoking treatment, according to test characteristicsAlexandra E Shields
Harvard MGH Center on Genomics, Vulnerable Populations and Health Disparities, Institute for Health Policy, Boston, MA 02111, USA
Nicotine Tob Res 10:1037-45. 2008..0007). Effective education of primary care physicians will be critical to successful integration of promising new pharmacogenetic treatment strategies for smoking...- Trends in private insurance, Medicaid/State Children's Health Insurance Program, and the Healthcare Safety Net: implications for vulnerable populations and health disparitiesAlexandra E Shields
Harvard Medical School, Harvard University, Boston, MA, USA
Ann N Y Acad Sci 1136:137-48. 2008..Our findings suggest that we have a long way to go in reaching these goals... - Differential use of available genetic tests among primary care physicians in the United States: results of a national surveyAlexandra E Shields
Harvard MGH Center on Genomics, Vulnerable Populations, and Health Disparities, Massachusetts General Hospital Partners HealthCare, Boston, Massachusetts, USA
Genet Med 10:404-14. 2008..This study assesses primary care physicians' experience ordering and referring patients for genetic testing, and whether minority-serving physicians are less likely than those serving fewer minorities to offer such services... - Anticipating clinical integration of pharmacogenetic treatment strategies for addiction: are primary care physicians ready?A E Shields
Harvard MGH Center on Genomics, Vulnerable Populations, and Health Disparities, Boston, Massachusetts, USA
Clin Pharmacol Ther 83:635-9. 2008.... 
Trends in private insurance, Medicaid/State Children's Health Insurance Program, and the health-care safety net: implications for asthma disparitiesAlexandra E Shields
Massachusetts General Hospital Partners HealthCare, Institute for Health Policy, 50 Staniford St, 9th Floor, Suite 901, Boston, MA 02114, USA
Chest 132:818S-830S. 2007..It concludes with a discussion of key policy arenas that will have significant influence on the eventual success of efforts to reduce asthma disparities...- Adoption of health information technology in community health centers: results of a national surveyAlexandra E Shields
Harvard Massachusetts General Hospital, Center on Genomics, Vulnerable Populations, and Health Disparities, Boston, Massachusetts, USA
Health Aff (Millwood) 26:1373-83. 2007..Ensuring comparable health IT capacity among providers that disproportionately serve disadvantaged patients will have increasing relevance for disparities; thus, monitoring adoption among such providers should be a priority... - Primary care physicians' concerns about offering a genetic test to tailor smoking cessation treatmentDouglas E Levy
Harvard MGH Center on Genomics, Vulnerable Populations, and Health Disparities, Institute for Health Policy, Massachusetts General Hospital, Boston, MA 02114, USA
Genet Med 9:842-9. 2007..We assessed the importance assigned by primary care physicians to eight factors influencing whether they would order a genetic test to individually tailor smoking cessation treatment... - Electronic health records' limited successes suggest more targeted usesCatherine M DesRoches
Institute for Health Policy, Massachusetts General Hospital, in Boston, Massachusetts, USA
Health Aff (Millwood) 29:639-46. 2010..Instead, policies are needed that encourage the use of electronic health records in ways that will lead to improvements in care... - Anticipating clinical integration of genetically tailored tobacco dependence treatment: perspectives of primary care physiciansElyse R Park
Institute for Health Policy, Massachusetts General Hospital Harvard Medical School, Boston, MA 02114, USA
Nicotine Tob Res 9:271-9. 2007..Primary care physicians will need additional educational inputs and system support prior to integrating genetic testing for a common trait into their routine clinical practice... - Guidelines for genetic risk assessment of hereditary breast and ovarian cancer: early disagreements and low utilizationDouglas E Levy
Institute for Health Policy, Massachusetts General Hospital, 50 Staniford St, Suite 901, Boston, MA 02114, USA
J Gen Intern Med 24:822-8. 2009..BRCA1/2 testing is one of the most well-established genetic tests to predict cancer risk. Guidelines are available to help clinicians determine who will benefit most from testing... - Multiple chronic conditions: prevalence, health consequences, and implications for quality, care management, and costsChristine Vogeli
Institute for Health Policy in the Department of Medicine, Massachusetts General Hospital, Boston, MA, USA
J Gen Intern Med 22:391-5. 2007.... - Electronic health records in ambulatory care--a national survey of physiciansCatherine M DesRoches
Institute for Health Policy, Massachusetts General Hospital, Boston 02114, USA
N Engl J Med 359:50-60. 2008..This study assessed physicians' adoption of outpatient electronic health records, their satisfaction with such systems, the perceived effect of the systems on the quality of care, and the perceived barriers to adoption... - 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)... - Transdisciplinary science applied to the evaluation of treatments for tobacco useTimothy B Baker
University of Wisconsin Medical School, USA
Nicotine Tob Res 5:S89-99. 2003..The potential benefits and costs of a transdisciplinary approach are discussed, along with selected research projects from the Transdisciplinary Tobacco Use Research Centers... - Variations in asthma care by race/ethnicity among children enrolled in a state Medicaid programAlexandra E Shields
Health Policy Institute, Georgetown Public Policy Institute, Georgetown University, Washington, DC 20007, USA
Pediatrics 113:496-504. 2004..To examine differences in the process of care for Medicaid-enrolled white, Hispanic, and black children with asthma... - Smoking cessation treatment: pharmacogenetic assessmentMarcus R Munafo
University of Bristol, Department of Experimental Psychology Bristol, UK
Curr Opin Mol Ther 7:202-8. 2005..In particular, future studies that need to be conducted before such research is translated into clinical practice and potential limitations and barriers to this translation are described... - Barriers to translating emerging genetic research on smoking into clinical practice. Perspectives of primary care physiciansAlexandra E Shields
Health Policy Institute, Georgetown Public Policy Institute, Georgetown University, Washington, DC 20007, USA
J Gen Intern Med 20:131-8. 2005..Our objective was to assess primary care physicians' attitudes toward new genetic-based approaches to smoking treatment... - Pharmacogenetics and nicotine addiction treatmentMarcus R Munafo
University of Bristol, Department of Experimental Psychology, Bristol BS8 ITN, UK
Pharmacogenomics 6:211-23. 2005.... - 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... - Genetic testing for cancer susceptibility: the promise and the pitfallsCaryn Lerman
Department of Psychiatry, Abramson Cancer Center, University of Pennsylvania, 3535 Market Street, Suite 4100, Philadelphia, Pennsylvania 19104, USA
Nat Rev Cancer 4:235-41. 2004 - Translating basic science to improve pharmacotherapy for nicotine dependenceJennifer M Phillips
University of Pennsylvania, Philadelphia, Pennsylvania, USA
Nicotine Tob Res 9:S583-98. 2007.... - Mortality rate in veterans with multiple chronic conditionsTodd A Lee
Center for Management of Complex Chronic Care, Hines VA Hospital, P O Box 5000, 151 H, Hines, IL, 60141, USA
J Gen Intern Med 22:403-7. 2007..Previous studies have focused on the prevalence and economic burden associated with multiple chronic conditions, much less is known about the mortality rate associated with specific combinations of multiple diseases... - Ethical issues in conducting behavioral genetics research: the case of smoking prevention trials among adolescentsBenjamin S Wilfond
Bioethics Research Section, Medical Genetics Branch, National Human Genome Research Institute, USA
J Health Care Law Policy 6:73-88. 2002 - Which adolescents are most receptive to tobacco industry marketing? implications for counter-advertising campaignsJanet Audrain-McGovern
Department of Psychiatry, University of Pennsylvania, Philadelphia, PA 19104, USA
Health Commun 15:499-513. 2003..Counter-advertising messages should consider individual differences in novelty-seeking, because novelty-seekers may be most receptive to tobacco industry promotional campaigns... - Smoking cessation treatment by primary care physicians: An update and call for trainingRobert A Schnoll
Transdisciplinary Tobacco Use Research Center, Department of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
Am J Prev Med 31:233-9. 2006..Public health and government organizations have invested considerably to increase physician adherence to smoking-cessation practice guidelines...
Research Grants
- Genetics, Vulnerable Populations and Health DisparitiesAlexandra Shields; Fiscal Year: 2005..abstract_text> ..
- Lay Understanding of Race, Addiction and GeneticsAlexandra Shields; Fiscal Year: 2007....
- Lay Understanding of Race, Addiction and GeneticsAlexandra Shields; Fiscal Year: 2007..abstract_text> ..