Research Topics
| M A SteinmanSummaryAffiliation: University of California Country: USA Publications
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Detail Information
Publications
Of principles and pens: attitudes and practices of medicine housestaff toward pharmaceutical industry promotionsM A Steinman
VA National Quality Scholars Program, San Francisco Veterans Affairs Medical Center, California, USA
Am J Med 110:551-7. 2001..We studied these attitudes and practices among internal medicine housestaff...- Clinician awareness of adherence to hypertension guidelinesMichael A Steinman
Division of Geriatrics, San Francisco VA Medical Center and the University of California, San Francisco 94121, USA
Am J Med 117:747-54. 2004..We compared clinicians' beliefs about their adherence to hypertension guidelines with data on their actual performance... - Changing use of antibiotics in community-based outpatient practice, 1991-1999Michael A Steinman
Division of Geriatrics, San Francisco Veterans Affairs Medical Center and University of California, San Francisco 94121, USA
Ann Intern Med 138:525-33. 2003..Judicious use of antibiotics can slow the spread of antimicrobial resistance. However, overall patterns of antibiotic use among ambulatory patients are not well understood... - Predictors of broad-spectrum antibiotic prescribing for acute respiratory tract infections in adult primary careMichael A Steinman
Division of Geriatrics, San Francisco VA Medical Center, 4150 Clement St, Box 181 G, San Francisco, CA 94121, USA
JAMA 289:719-25. 2003..Broad-spectrum antibiotics are commonly prescribed, but little is known about the physicians who prescribe and the patients who take these agents... 
Self-restriction of medications due to cost in seniors without prescription coverageM A Steinman
Division of Geriatrics, San Francisco VA Medical Center, University of California San Francisco 94121, USA
J Gen Intern Med 16:793-9. 2001..We sought to identify which elderly patients are at highest risk of restricting their medications because of cost, and how prescription coverage modifies this risk...
Characteristics and impact of drug detailing for gabapentinMichael A Steinman
Affairs Medical Center, San Francisco, California, United States of America
PLoS Med 4:e134. 2007..In this study, we evaluated the content and impact of detail visits for gabapentin by analyzing market research forms completed by physicians after receiving a detail visit for this drug...- What's in a name? Use of brand versus generic drug names in United States outpatient practiceMichael A Steinman
Division of Geriatrics, San Francisco VA Medical Center and the University of California, San Francisco, CA 94121, USA
J Gen Intern Med 22:645-8. 2007..The use of brand rather than generic names for medications can increase health care costs. However, little is known at a national level about how often physicians refer to drugs using their brand or generic names... - Is continuing medical education a drug-promotion tool?: YESMichael A Steinman
San Francisco VA Medical Center, 4150 Clement St, Box 181G, San Francisco, CA 94121, USA
Can Fam Physician 53:1650-7. 2007 
Interventions to reduce unnecessary antibiotic prescribing: a systematic review and quantitative analysisSumant R Ranji
Department of Medicine, University of California San Francisco, California 94143 0131, USA
Med Care 46:847-62. 2008....- Agreement between drugs-to-avoid criteria and expert assessments of problematic prescribingMichael A Steinman
San Francisco VA Medical Center, San Francisco, CA 94121, USA
Arch Intern Med 169:1326-32. 2009..However, few studies have evaluated the concordance between these criteria and individualized patient assessments as measures of problem prescribing... - Medication prescribing practices for older prisoners in the Texas prison systemBrie A Williams
Department of Medicine, University of California, San Francisco, CA, USA
Am J Public Health 100:756-61. 2010..We sought to assess appropriateness of medication prescribing for older Texas prisoners... - Variation in outpatient antibiotic prescribing in the United StatesMichael A Steinman
San Francisco VA Medical Ctr, 4150 Clement St, Box 181 G, San Francisco, CA 94121, USA
Am J Manag Care 15:861-8. 2009..To evaluate variation in outpatient antibiotic utilization among US commercial health plans and the implications of this variation for cost and quality... - Commercial influence and learner-perceived bias in continuing medical educationMichael A Steinman
San Francisco VA Medical Center, San Francisco, California 94121, USA
Acad Med 85:74-9. 2010..To directly examine the relationship between commercial support of continuing medical education (CME) and perceived bias in the content of these activities... - When tight blood pressure control is not for everyone: a new model for performance measurement in hypertensionMichael A Steinman
San Francisco Veterans Affairs Medical Center, USA
Jt Comm J Qual Patient Saf 36:164-72. 2010..An approach to performance measurement incorporating clinical reasoning was developed to determine which patients to include in a performance measure... - Managing medications in clinically complex elders: "There's got to be a happy medium"Michael A Steinman
Division of Geriatrics, University of California, San Francisco, and the San Francisco VA Medical Center, San Francisco, California 94121, USA
JAMA 304:1592-601. 2010..It also describes a systematic approach for how health professionals can assess and improve medication regimens to benefit patients and their caregivers and families... - Volunteering, driving status, and mortality in U.S. retireesSei J Lee
Division of Geriatrics, San Francisco Veterans Affairs Medical Center, University of California at San Francisco, San Francisco, California, USA
J Am Geriatr Soc 59:274-80. 2011..To evaluate how accounting for driving status altered the relationship between volunteering and mortality in U.S. retirees... - Evolution of medication use in Jerusalem elders: Results from the Jerusalem Longitudinal StudyMichael A Steinman
Division of Geriatrics, San Francisco Veterans Affairs VA Medical Center and University of California, San Francisco, California 94121, USA
Drugs Aging 24:133-45. 2007..While overall rates of medication use have been increasing over time, less is known about how medication use changes within individuals as they age... - Conflicts and concordance between measures of medication prescribing qualityMichael A Steinman
Division of Geriatrics, San Francisco VA Medical Center and UCSF, San Franciso, California 94121, USA
Med Care 45:95-9. 2007..However, little is known about the relationship between these instruments or the concordance of their quality assessments when applied to the same group of patients... - Do geriatric conditions increase risk of adverse drug reactions in ambulatory elders? Results from the VA GEM Drug StudyMichael A Steinman
Division of Geriatrics, Department of Medicine, University of California, San Francisco, and San Francisco VA Medical Center, San Francisco, CA 94121, USA
J Gerontol A Biol Sci Med Sci 66:444-51. 2011..Many clinicians prescribe cautiously to older adults with common geriatric conditions for fear of causing adverse drug reactions (ADRs). However, little is known about the association between these conditions and risk of ADRs... - Polypharmacy and prescribing quality in older peopleMichael A Steinman
Division of Geriatrics, San Francisco Veterans Affairs Medical Center, and Department of Medicine, University of California at San Francisco, California 94121, USA
J Am Geriatr Soc 54:1516-23. 2006..To evaluate the relationship between inappropriate prescribing, medication underuse, and the total number of medications used by patients... - Narrative review: the promotion of gabapentin: an analysis of internal industry documentsMichael A Steinman
San Francisco Veterans Affairs Medical Center and University of California, San Francisco, San Francisco, California 94143, USA
Ann Intern Med 145:284-93. 2006..Such documents have become available through litigation concerning the promotion of gabapentin (Neurontin, Pfizer, Inc., New York, New York) for off-label uses... - Improving antibiotic selection: a systematic review and quantitative analysis of quality improvement strategiesMichael A Steinman
Division of Geriatrics, San Francisco VA Medical Center Department of Medicine, University of California San Francisco, 4150 Clement Street, San Francisco, CA 94121, USA
Med Care 44:617-28. 2006..We sought to assess which interventions are most effective at improving the prescribing of recommended antibiotics for acute outpatient infections... - Age and rising rates of cyclooxygenase-2 inhibitor use. Results from a national surveyMichael A Steinman
Division of Geriatrics, San Francisco VA Medical Center, University of California, San Francisco, CA, USA
J Gen Intern Med 21:245-50. 2006..Cyclooxygenase-2 (COX-2) inhibitors were widely prescribed in the years following their introduction, but little is known about the frequency and context of their use across different age groups... - Office evaluation and treatment of elderly patients with acute bronchitisMichael A Steinman
Division of Geriatrics, San Francisco VA Medical Center, San Francisco, California, USA
J Am Geriatr Soc 52:875-9. 2004..Reducing inappropriate antibiotic use in seniors with acute bronchitis may depend on improving the evaluation of these patients and encouraging clinicians to act appropriately on the results... - Interactions between pharmaceutical representatives and doctors in training. A thematic reviewDaniella A Zipkin
Department of Internal Medicine, California Pacific Medical Center, San Francisco, CA, USA
J Gen Intern Med 20:777-86. 2005.... - Rebuttal: Is CME a drug-promotion tool?: YESMichael A Steinman
Division of Geriatrics at the San Francisco VA Medical Center and the University of California, San Francisco, USA
Can Fam Physician 53:1877, 1878-9. 2007 - Mortality risk stratification in chronic kidney disease: one size for all ages?ANN M O'HARE
Department of Medicine, University of California San Francisco, VA Medical Center, San Francisco, 111J Nephrology, 4150 Clement Street, San Francisco, CA 94121, USA
J Am Soc Nephrol 17:846-53. 2006..73 m2 eGFR group... - Physician use of brand versus generic drug names in 1993-1994 and 2003-2004Elizabeth C Kwo
Harvard Medical School The Medical Student Training in Aging Research Program, University of California, San Francisco, CA, USA
Ann Pharmacother 43:459-68. 2009..As a result, use of brand-name terminology may result in increased drug costs... - Finding the target: getting started with quality of care and health services researchMichael A Steinman
San Francisco VA Medical Center, Division of Geriatrics, University of California at San Francisco, USA
Qual Manag Health Care 10:19-24. 2002..By providing specific strategies and examples, the authors highlight the importance of conceptual vision, an inquisitive perspective, and scientific rigor in both project and career development... - Polypharmacy and the balance of medication benefits and risksMichael A Steinman
Am J Geriatr Pharmacother 5:314-6. 2007 - Quality of ambulatory care for women and men in the Veterans Affairs Health Care SystemAshish K Jha
Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
J Gen Intern Med 20:762-5. 2005..Gender differences in inpatient quality of care are well known. However, whether men and women receive equivalent ambulatory care is less well understood... - Fluoroquinolone prescribing in the United States: 1995 to 2002Jeffrey A Linder
Division of General Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, Massachusetts 02120, USA
Am J Med 118:259-68. 2005..To measure changes in the rate and type of fluoroquinolones prescribed in the United States from 1995 to 2002... - Attitudes of preclinical and clinical medical students toward interactions with the pharmaceutical industryPaul L Hyman
Harvard Medical School, Boston, MA 02114, USA
Acad Med 82:94-9. 2007..This study sought to determine students' opinions about pharmaceutical industry interactions with medical students and whether these opinions differ between preclinical and clinical students... - Number of medical conditions and quality of careMichael A Steinman
N Engl J Med 357:1350-1; author reply 1351. 2007 - Age affects outcomes in chronic kidney diseaseANN M O'HARE
Department of Medicine, University of Washington, VA Puget Sound Healthcare System, Division of Nephrology, Building 100 Room 5B113, 1660 S Columbian Way, Seattle, WA 98108, USA
J Am Soc Nephrol 18:2758-65. 2007..73 m(2). In conclusion, age is a major effect modifier among patients with an eGFR of <60 ml/min per 1.73 m(2), challenging us to move beyond a uniform stage-based approach to managing CKD... - The costs of making practice more cost-effectiveMichael A Steinman
JAMA 287:1648; author reply 1649-50. 2002