Research Topics
| Stephen D FlachSummaryAffiliation: University of Iowa Country: USA Publications
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Detail Information
Publications
The effects of proficiency and bias on residents' interpretation of the microscopic urinalysisStephen D Flach
Department of Internal Medicine, University of Nebraska Medical Center College of Medicine, Omaha, USA
Med Decis Making 22:318-25. 2002....- The relationship between treatment objectives and practice patterns in the management of urinary tract infectionsStephen D Flach
Section of General Internal Medicine, Department of Internal Medicine, University of Nebraska Medical Center College of Medicine, Omaha, USA
Med Decis Making 23:131-9. 2003..To describe physicians' goals when treating uncomplicated urinary tract infections (UTIs) and the relationship between goals and practice patterns... - Variation in the use of procedures to monitor antimicrobial resistance in U.S. hospitalsStephen D Flach
Department of Internal Medicine, Iowa City Veterans Affairs Medical Center, Iowa City, Iowa 52242, USA
Infect Control Hosp Epidemiol 26:31-8. 2005..Antimicrobial resistance is a growing clinical and public health crisis. Experts have recommended measures to monitor antimicrobial resistance; however, little is known regarding their use... - Eliciting patients' preferences for cigarette and alcohol cessation: an application of conjoint analysisStephen D Flach
Section of General Internal Medicine, Department of Internal Medicine, University of Nebraska Medical Center College of Medicine, Omaha, NE, USA
Addict Behav 29:791-9. 2004..2% and 17.6% decreased their preference for cigarette and alcohol cessation. Preferences for stopping alcohol were stronger than for stopping cigarettes, and many preferences changed after a treatment program... - Does patient-centered care improve provision of preventive services?Stephen D Flach
Iowa City Veterans Affairs Medical Center, Public Policy Center, University of Iowa, Iowa City, Iowa, USA
J Gen Intern Med 19:1019-26. 2004..While patient-centered care (PCC) is desirable for many reasons, its relationship to treatment outcomes is controversial. We evaluated the relationship between PCC and the provision of preventive services... - Can internal medicine residents master microscopic urinalysis? Results of an evaluation and teaching interventionGay J Canaris
Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE 68198 3331, USA
Acad Med 78:525-9. 2003..Although microscopic urinalysis (micro UA) is commonly used in clinical practice, and residents are trained in micro UA, proficiency in this procedure has not been studied... - Are United States hospitals following national guidelines for the analysis and presentation of cumulative antimicrobial susceptibility data?Erika J Ernst
University of Iowa College of Pharmacy, Iowa City, IA, USA
Diagn Microbiol Infect Dis 49:141-5. 2004..0031). Adherence to guidelines for preparation and dissemination of antibiograms could be improved. Institutional commitment to high quality, on-site microbiology laboratory services will improve adherence to these guidelines... - Classifying the effectiveness of Veterans Affairs guideline implementation approachesBonnie J BootsMiller
Center for Research in the Implementation of Innovative Strategies in Practice, Iowa City Veterans Affairs Medical Center, Iowa City, IA 52246, USA
Am J Med Qual 19:248-54. 2004..However, VA hospitals should consider selective combinations of approaches to ensure the use of the most effective implementation methods... - Physician process and patient outcome measures for diabetes care: relationships to organizational characteristicsMarcia M Ward
Department of Health Management and Policy, University of Iowa, Iowa City, Iowa 52242 1008, USA
Med Care 42:840-50. 2004..Optimal diabetes management relies on providers adhering to evidence-based practice guidelines in the processes of care delivery and patients adhering to self-management recommendations to maximize patient outcomes... - Provider adherence to COPD guidelines: relationship to organizational factorsMarcia M Ward
Department of Health Management and Policy, University of Iowa, Iowa City, IA 52242 1008, USA
J Eval Clin Pract 11:379-87. 2005..The aim of the current analyses is to describe current adherence rates and the organizational factors related to provider adherence to the COPD guideline... - Antimicrobial resistance trends and outbreak frequency in United States hospitalsDaniel J Diekema
Iowa City Veterans Affairs Medical Center, Dept of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA
Clin Infect Dis 38:78-85. 2004..The most common resistant pathogen in US hospitals is ORSA, which accounts for many recognized outbreaks and is increasing in frequency in most facilities. Current practices to prevent and control antimicrobial resistance are inadequate... - What factors influence provider knowledge of a congestive heart failure guideline in a national health care system?Karl F Welke
Division of Cardiothoracic Surgery, The University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
Am J Med Qual 18:122-7. 2003..Guideline implementation efforts that target multiple organizational levels may increase provider knowledge... - A cost analysis of the Iowa Medicaid primary care case management programElizabeth T Momany
Public Policy Center, The University of Iowa, 227 South Quad, Iowa City, IA 52242, USA
Health Serv Res 41:1357-71. 2006..Cost reductions appear to have been mediated by substituting outpatient care for inpatient care... - The cost-effectiveness of large amalgam and crown restorations over a 10-year periodJustine L Kolker
University of Iowa, College of Dentistry, Department of Operative Dentistry, S229 DSB, Iowa City, IA 52242, USA
J Public Health Dent 66:57-63. 2006.... - Natural history of treatment outcomes of permanent first molars: a study of sealant effectivenessPatita Bhuridej
Department of Community Dentistry, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
J Am Dent Assoc 136:1265-72. 2005..Few studies have used insurance claims data to retrospectively assess the natural history--a natural process or flow of events without any special interventions--and treatment outcomes of teeth with dental sealants... - Teeth with large amalgam restorations and crowns: factors affecting the receipt of subsequent treatment after 10 yearsJustine L Kolker
Detroit Center for Research on Oral Health Disparities, Department of Cariology, Restorative Sciences and Endodontics, University of Michigan, USA
J Am Dent Assoc 136:738-48; quiz 805-6. 2005..The authors evaluated the factors associated with the receipt of subsequent treatment by teeth restored with a large amalgam restoration or a large amalgam restoration and crown restoration after 10 years... - Natural history of treatment outcomes for teeth with large amalgam and crown restorationsJustine L Kolker
Detroit Center for Research on Oral Health Disparities, University of Michigan, Ann Arbor, MI, USA
Oper Dent 29:614-22. 2004..The use of a TOT was found to be an effective observational approach for evaluating the natural history of teeth with alternative restorative treatment... - Predictors of urinary tract infection based on artificial neural networks and genetic algorithmsPaul S Heckerling
Department of Medicine, University of Illinois at Chicago, IL 60612, USA
Int J Med Inform 76:289-96. 2007..Among women who present with urinary complaints, only 50% are found to have urinary tract infection. Individual urinary symptoms and urinalysis are not sufficiently accurate to discriminate those with and without the diagnosis... - Four-year cost-utility analyses of sealed and nonsealed first permanent molars in Iowa Medicaid-enrolled childrenPatita Bhuridej
Department of Community Dentistry, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
J Public Health Dent 67:191-8. 2007....