Michael A Steinman

Summary

Affiliation: University of California
Country: USA

Publications

  1. pmc Patterns of multimorbidity in elderly veterans
    Michael A Steinman
    Division of Geriatrics, University of California at San Francisco, San Francisco, California, USA
    J Am Geriatr Soc 60:1872-80. 2012
  2. pmc A clinically guided approach for improving performance measurement for hypertension
    Michael A Steinman
    Health Services Research and Development Research Enhancement Award Program, San Francisco VA Medical Center, San Francisco, CA 94121, USA
    Med Care 50:399-405. 2012
  3. pmc Influence of patient age and comorbid burden on clinician attitudes toward heart failure guidelines
    Michael A Steinman
    Health Services Research and Development Research Enhancement Award Program, San Francisco VA Medical Center, California, USA
    Am J Geriatr Pharmacother 10:211-8. 2012
  4. pmc Coronary risk assessment by point-based vs. equation-based Framingham models: significant implications for clinical care
    William J Gordon
    Weill Cornell Medical College, New York, NY, USA
    J Gen Intern Med 25:1145-51. 2010
  5. pmc Suicide-related behaviors in older patients with new anti-epileptic drug use: data from the VA hospital system
    Anne C Vancott
    VA Pittsburgh Healthcare System, Neurology Division, Pittsburgh, PA, USA
    BMC Med 8:4. 2010
  6. ncbi request reprint Narrative review: the promotion of gabapentin: an analysis of internal industry documents
    Michael 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
  7. pmc What's in a name? Use of brand versus generic drug names in United States outpatient practice
    Michael 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
  8. pmc Characteristics and impact of drug detailing for gabapentin
    Michael A Steinman
    Affairs Medical Center, San Francisco, California, United States of America
    PLoS Med 4:e134. 2007
  9. pmc When tight blood pressure control is not for everyone: a new model for performance measurement in hypertension
    Michael A Steinman
    San Francisco Veterans Affairs Medical Center, USA
    Jt Comm J Qual Patient Saf 36:164-72. 2010
  10. pmc Do geriatric conditions increase risk of adverse drug reactions in ambulatory elders? Results from the VA GEM Drug Study
    Michael 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

Detail Information

Publications51

  1. pmc Patterns of multimorbidity in elderly veterans
    Michael A Steinman
    Division of Geriatrics, University of California at San Francisco, San Francisco, California, USA
    J Am Geriatr Soc 60:1872-80. 2012
    ..To determine patterns of co-occurring diseases in older adults and the extent to which these patterns vary between the young-old and the old-old...
  2. pmc A clinically guided approach for improving performance measurement for hypertension
    Michael A Steinman
    Health Services Research and Development Research Enhancement Award Program, San Francisco VA Medical Center, San Francisco, CA 94121, USA
    Med Care 50:399-405. 2012
    ..Performance measures often fail to account for legitimate reasons why patients do not achieve recommended treatment targets...
  3. pmc Influence of patient age and comorbid burden on clinician attitudes toward heart failure guidelines
    Michael A Steinman
    Health Services Research and Development Research Enhancement Award Program, San Francisco VA Medical Center, California, USA
    Am J Geriatr Pharmacother 10:211-8. 2012
    ..Clinical practice guidelines have been criticized for insufficient attention to the unique needs of patients of advanced age and with multiple comorbid conditions. However, little empiric research is available to inform this topic...
  4. pmc Coronary risk assessment by point-based vs. equation-based Framingham models: significant implications for clinical care
    William J Gordon
    Weill Cornell Medical College, New York, NY, USA
    J Gen Intern Med 25:1145-51. 2010
    ..We sought to compare risk estimates and risk group classification generated by the original, complex Framingham model and the simplified, point-based version...
  5. pmc Suicide-related behaviors in older patients with new anti-epileptic drug use: data from the VA hospital system
    Anne C Vancott
    VA Pittsburgh Healthcare System, Neurology Division, Pittsburgh, PA, USA
    BMC Med 8:4. 2010
    ..We examined the relationship between suicide-related behaviors and different AEDs in older veterans receiving new AED monotherapy from the Veterans Health Administration (VA), controlling for potential confounders...
  6. ncbi request reprint Narrative review: the promotion of gabapentin: an analysis of internal industry documents
    Michael 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...
  7. pmc What's in a name? Use of brand versus generic drug names in United States outpatient practice
    Michael 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...
  8. pmc Characteristics and impact of drug detailing for gabapentin
    Michael 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...
  9. pmc When tight blood pressure control is not for everyone: a new model for performance measurement in hypertension
    Michael 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...
  10. pmc Do geriatric conditions increase risk of adverse drug reactions in ambulatory elders? Results from the VA GEM Drug Study
    Michael 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...
  11. pmc Is continuing medical education a drug-promotion tool?: YES
    Michael A Steinman
    San Francisco VA Medical Center, 4150 Clement St, Box 181G, San Francisco, CA 94121, USA
    Can Fam Physician 53:1650-7. 2007
  12. pmc 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...
  13. pmc Commercial influence and learner-perceived bias in continuing medical education
    Michael 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...
  14. pmc Agreement between drugs-to-avoid criteria and expert assessments of problematic prescribing
    Michael 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...
  15. ncbi request reprint Evolution of medication use in Jerusalem elders: Results from the Jerusalem Longitudinal Study
    Michael 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...
  16. ncbi request reprint Conflicts and concordance between measures of medication prescribing quality
    Michael 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...
  17. pmc A taxonomy of reasons for not prescribing guideline-recommended medications for patients with heart failure
    Michael A Steinman
    Health Services Research and Development Research Enhancement Award Program, San Francisco VA Medical Center, San Francisco, California 94121, USA
    Am J Geriatr Pharmacother 8:583-94. 2010
    ..Performance-measurement systems may work best when they account for the reasons why physicians do not provide guideline-recommended interventions...
  18. pmc Geriatric conditions, medication use, and risk of adverse drug events in a predominantly male, older veteran population
    Michael A Steinman
    San Francisco Veterans Affairs Medical Center, San Francisco, California, USA
    J Am Geriatr Soc 59:615-21. 2011
    ..To determine whether geriatric conditions and functional impairment are independent risk factors for adverse drug events (ADEs)...
  19. pmc Beyond the prescription: medication monitoring and adverse drug events in older adults
    Michael A Steinman
    Division of Geriatrics, University of California San Francisco, San Francisco, California, USA
    J Am Geriatr Soc 59:1513-20. 2011
    ....
  20. pmc Age and receipt of guideline-recommended medications for heart failure: a nationwide study of veterans
    Michael A Steinman
    San Francisco VA Medical Center, San Francisco, CA 94121, USA
    J Gen Intern Med 26:1152-9. 2011
    ..Older patients often receive less guideline-concordant care for heart failure than younger patients...
  21. pmc Age and rising rates of cyclooxygenase-2 inhibitor use. Results from a national survey
    Michael 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...
  22. ncbi request reprint Improving antibiotic selection: a systematic review and quantitative analysis of quality improvement strategies
    Michael 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...
  23. ncbi request reprint Polypharmacy and prescribing quality in older people
    Michael 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...
  24. pmc Variation in outpatient antibiotic prescribing in the United States
    Michael 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...
  25. ncbi request reprint 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...
  26. ncbi request reprint Changing use of antibiotics in community-based outpatient practice, 1991-1999
    Michael 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...
  27. pmc Reasons for not prescribing guideline-recommended medications to adults with heart failure
    Michael A Steinman
    Health Services Research and Development Research Enhancement Award Program, San Francisco VA Medical Center Division of Geriatrics, University of California, San Francisco, CA Department of Psychology, University of Oregon, Eugene, OR Department of Medicine, Palo Alto VA Health Care System, Stanford University, Stanford, CA Veterans Affairs Office of Research and Development Departments of Psychiatry and Urology, University of California, San Francisco, CA Comprehensive Access and Delivery Research and Evaluation CADRE Center, Iowa City VA Healthcare System Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA
    Med Care 51:901-7. 2013
    ....
  28. pmc Age and sex variation in prevalence of chronic medical conditions in older residents of U.S. nursing homes
    Kelly L Moore
    Center for Research on Aging of Jewish Home, San Francisco, California, USA
    J Am Geriatr Soc 60:756-64. 2012
    ..To investigate patterns in prevalences of chronic medical conditions over the age span of long-term stay nursing home residents and between the sexes with data from the 2004 National Nursing Home Survey (NNHS)...
  29. ncbi request reprint Age affects outcomes in chronic kidney disease
    ANN 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...
  30. ncbi request reprint Interventions to reduce unnecessary antibiotic prescribing: a systematic review and quantitative analysis
    Sumant R Ranji
    Department of Medicine, University of California San Francisco, California 94143 0131, USA
    Med Care 46:847-62. 2008
    ....
  31. ncbi request reprint Clinician awareness of adherence to hypertension guidelines
    Michael 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...
  32. pmc Medication prescribing practices for older prisoners in the Texas prison system
    Brie 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...
  33. ncbi request reprint Predictors of broad-spectrum antibiotic prescribing for acute respiratory tract infections in adult primary care
    Michael 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...
  34. ncbi request reprint Office evaluation and treatment of elderly patients with acute bronchitis
    Michael A Steinman
    Division of Geriatrics, San Francisco VA Medical Center, San Francisco, California, USA
    J Am Geriatr Soc 52:875-9. 2004
    ..To assess the office evaluation of seniors with uncomplicated acute bronchitis and to determine the association between elements of the clinical evaluation and antibiotic prescribing decisions...
  35. pmc Volunteering, driving status, and mortality in U.S. retirees
    Sei 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...
  36. pmc Interactions between pharmaceutical representatives and doctors in training. A thematic review
    Daniella A Zipkin
    Department of Internal Medicine, California Pacific Medical Center, San Francisco, CA, USA
    J Gen Intern Med 20:777-86. 2005
    ....
  37. doi request reprint Clinician attitudes about commercial support of continuing medical education: results of a detailed survey
    Jeffrey A Tabas
    Office of Continuing Medical Education, Department of Emergency Medicine, University of California San Francisco, 94110, USA
    Arch Intern Med 171:840-6. 2011
    ....
  38. pmc Rebuttal: Is CME a drug-promotion tool?: YES
    Michael 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
  39. pmc Polypharmacy, drug-drug interactions, and potentially inappropriate medications in older adults with human immunodeficiency virus infection
    Meredith Greene
    Division of Geriatrics, Department of Medicine, University of California, San Francisco, San Francisco, California San Francisco Veterans Affairs Medical Center, San Francisco, California
    J Am Geriatr Soc 62:447-53. 2014
    ..To describe the frequency of medication-related problems in older adults with human immunodeficiency virus (HIV) infection...
  40. doi request reprint The 'worthy' patient: rethinking the 'hidden curriculum' in medical education
    Robin T Higashi
    University of California, San Francisco, Anthropology, History, and Social Medicine, 3333 California St, Suite 485, San Francisco, CA 94143, USA
    Anthropol Med 20:13-23. 2013
    ....
  41. doi request reprint Physician use of brand versus generic drug names in 1993-1994 and 2003-2004
    Elizabeth 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...
  42. pmc Characteristics of emergency department visits by older versus younger homeless adults in the United States
    Rebecca T Brown
    Division of Geriatrics, University of California, San Francisco and the Division of Geriatrics, San Francisco Veterans Affairs Medical Center, San Francisco, CA 94112, USA
    Am J Public Health 103:1046-51. 2013
    ..We compared the characteristics of emergency department (ED) visits of older versus younger homeless adults...
  43. pmc Inappropriate medication use in older adults undergoing surgery: a national study
    Emily Finlayson
    Department of Surgery, University of California, San Francisco, CA, USA
    J Am Geriatr Soc 59:2139-44. 2011
    ..To determine the prevalence and factors associated with use of potentially inappropriate medications (PIMs) in older adults undergoing surgery...
  44. ncbi request reprint Finding the target: getting started with quality of care and health services research
    Michael 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...
  45. pmc Conducting high-value secondary dataset analysis: an introductory guide and resources
    Alexander K Smith
    Department of Medicine, University of California, San Francisco, CA, USA
    J Gen Intern Med 26:920-9. 2011
    ..Secondary dataset analysis is a well-established methodology. Secondary analysis is particularly valuable for junior investigators, who have limited time and resources to demonstrate expertise and productivity...
  46. doi request reprint Polypharmacy and the balance of medication benefits and risks
    Michael A Steinman
    Am J Geriatr Pharmacother 5:314-6. 2007
  47. ncbi request reprint Fluoroquinolone prescribing in the United States: 1995 to 2002
    Jeffrey 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...
  48. pmc Quality of ambulatory care for women and men in the Veterans Affairs Health Care System
    Ashish 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...
  49. ncbi request reprint Attitudes of preclinical and clinical medical students toward interactions with the pharmaceutical industry
    Paul 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...
  50. ncbi request reprint Number of medical conditions and quality of care
    Michael A Steinman
    N Engl J Med 357:1350-1; author reply 1351. 2007
  51. ncbi request reprint The costs of making practice more cost-effective
    Michael A Steinman
    JAMA 287:1648; author reply 1649-50. 2002