A E Shields

Summary

Affiliation: Massachusetts General Hospital
Country: USA

Publications

  1. pmc Looking to the future: incorporating genomic information into disparities research to reduce measurement error and selection bias
    Alexandra 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
  2. pmc Ethical concerns related to developing pharmacogenomic treatment strategies for addiction
    Alexandra 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
  3. doi request reprint Primary care physicians' willingness to offer a new genetic test to tailor smoking treatment, according to test characteristics
    Alexandra 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
  4. doi request reprint Trends in private insurance, Medicaid/State Children's Health Insurance Program, and the Healthcare Safety Net: implications for vulnerable populations and health disparities
    Alexandra E Shields
    Harvard Medical School, Harvard University, Boston, MA, USA
    Ann N Y Acad Sci 1136:137-48. 2008
  5. pmc Differential use of available genetic tests among primary care physicians in the United States: results of a national survey
    Alexandra 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
  6. doi request reprint 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
  7. ncbi request reprint Trends in private insurance, Medicaid/State Children's Health Insurance Program, and the health-care safety net: implications for asthma disparities
    Alexandra 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
  8. ncbi request reprint Adoption of health information technology in community health centers: results of a national survey
    Alexandra E Shields
    Harvard Massachusetts General Hospital, Center on Genomics, Vulnerable Populations, and Health Disparities, Boston, Massachusetts, USA
    Health Aff (Millwood) 26:1373-83. 2007
  9. ncbi request reprint Primary care physicians' concerns about offering a genetic test to tailor smoking cessation treatment
    Douglas 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
  10. doi request reprint Electronic health records' limited successes suggest more targeted uses
    Catherine M DesRoches
    Institute for Health Policy, Massachusetts General Hospital, in Boston, Massachusetts, USA
    Health Aff (Millwood) 29:639-46. 2010

Research Grants

  1. Genetics, Vulnerable Populations and Health Disparities
    Alexandra Shields; Fiscal Year: 2005
  2. Lay Understanding of Race, Addiction and Genetics
    Alexandra Shields; Fiscal Year: 2007
  3. Lay Understanding of Race, Addiction and Genetics
    Alexandra Shields; Fiscal Year: 2007

Detail Information

Publications27

  1. pmc Looking to the future: incorporating genomic information into disparities research to reduce measurement error and selection bias
    Alexandra 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...
  2. pmc Ethical concerns related to developing pharmacogenomic treatment strategies for addiction
    Alexandra 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
    ....
  3. doi request reprint Primary care physicians' willingness to offer a new genetic test to tailor smoking treatment, according to test characteristics
    Alexandra 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...
  4. doi request reprint Trends in private insurance, Medicaid/State Children's Health Insurance Program, and the Healthcare Safety Net: implications for vulnerable populations and health disparities
    Alexandra 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...
  5. pmc Differential use of available genetic tests among primary care physicians in the United States: results of a national survey
    Alexandra 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...
  6. doi request reprint 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
    ....
  7. ncbi request reprint Trends in private insurance, Medicaid/State Children's Health Insurance Program, and the health-care safety net: implications for asthma disparities
    Alexandra 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...
  8. ncbi request reprint Adoption of health information technology in community health centers: results of a national survey
    Alexandra 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...
  9. ncbi request reprint Primary care physicians' concerns about offering a genetic test to tailor smoking cessation treatment
    Douglas 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...
  10. doi request reprint Electronic health records' limited successes suggest more targeted uses
    Catherine 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...
  11. ncbi request reprint Anticipating clinical integration of genetically tailored tobacco dependence treatment: perspectives of primary care physicians
    Elyse 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...
  12. pmc Guidelines for genetic risk assessment of hereditary breast and ovarian cancer: early disagreements and low utilization
    Douglas 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...
  13. pmc Multiple chronic conditions: prevalence, health consequences, and implications for quality, care management, and costs
    Christine Vogeli
    Institute for Health Policy in the Department of Medicine, Massachusetts General Hospital, Boston, MA, USA
    J Gen Intern Med 22:391-5. 2007
    ....
  14. doi request reprint Electronic health records in ambulatory care--a national survey of physicians
    Catherine 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...
  15. ncbi request reprint Comparing asthma care provided to Medicaid-enrolled children in a Primary Care Case Manager plan and a staff model HMO
    Alexandra 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)...
  16. ncbi request reprint Transdisciplinary science applied to the evaluation of treatments for tobacco use
    Timothy 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...
  17. ncbi request reprint Variations in asthma care by race/ethnicity among children enrolled in a state Medicaid program
    Alexandra 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...
  18. ncbi request reprint Smoking cessation treatment: pharmacogenetic assessment
    Marcus 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...
  19. pmc Barriers to translating emerging genetic research on smoking into clinical practice. Perspectives of primary care physicians
    Alexandra 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...
  20. ncbi request reprint Pharmacogenetics and nicotine addiction treatment
    Marcus R Munafo
    University of Bristol, Department of Experimental Psychology, Bristol BS8 ITN, UK
    Pharmacogenomics 6:211-23. 2005
    ....
  21. ncbi request reprint Process of care for Medicaid-enrolled children with asthma: served by community health centers and other providers
    Alexandra 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...
  22. ncbi request reprint Genetic testing for cancer susceptibility: the promise and the pitfalls
    Caryn 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
  23. doi request reprint Translating basic science to improve pharmacotherapy for nicotine dependence
    Jennifer M Phillips
    University of Pennsylvania, Philadelphia, Pennsylvania, USA
    Nicotine Tob Res 9:S583-98. 2007
    ....
  24. pmc Mortality rate in veterans with multiple chronic conditions
    Todd 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...
  25. ncbi request reprint Ethical issues in conducting behavioral genetics research: the case of smoking prevention trials among adolescents
    Benjamin S Wilfond
    Bioethics Research Section, Medical Genetics Branch, National Human Genome Research Institute, USA
    J Health Care Law Policy 6:73-88. 2002
  26. ncbi request reprint Which adolescents are most receptive to tobacco industry marketing? implications for counter-advertising campaigns
    Janet 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...
  27. ncbi request reprint Smoking cessation treatment by primary care physicians: An update and call for training
    Robert 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 Grants5

  1. Genetics, Vulnerable Populations and Health Disparities
    Alexandra Shields; Fiscal Year: 2005
    ..abstract_text> ..
  2. Lay Understanding of Race, Addiction and Genetics
    Alexandra Shields; Fiscal Year: 2007
    ....
  3. Lay Understanding of Race, Addiction and Genetics
    Alexandra Shields; Fiscal Year: 2007
    ..abstract_text> ..