Research Topics
| Michael A SteinmanSummaryAffiliation: University of California Country: USA Publications
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Detail Information
Publications
A clinically guided approach for improving performance measurement for hypertensionMichael 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...- Influence of patient age and comorbid burden on clinician attitudes toward heart failure guidelinesMichael 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... - Coronary risk assessment by point-based vs. equation-based Framingham models: significant implications for clinical careWilliam 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... - Suicide-related behaviors in older patients with new anti-epileptic drug use: data from the VA hospital systemAnne 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... - 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... - 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... - Geriatric conditions, medication use, and risk of adverse drug events in a predominantly male, older veteran populationMichael 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)... - 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 
A taxonomy of reasons for not prescribing guideline-recommended medications for patients with heart failureMichael 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...- 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... - 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... - 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... - Beyond the prescription: medication monitoring and adverse drug events in older adultsMichael A Steinman
Division of Geriatrics, University of California San Francisco, San Francisco, California, USA
J Am Geriatr Soc 59:1513-20. 2011.... - 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... - 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... 
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... - 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... - 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... - 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... - 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... - 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... - Age and receipt of guideline-recommended medications for heart failure: a nationwide study of veteransMichael 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... - Patterns of multimorbidity in elderly veteransMichael A Steinman
Division of Geriatrics, University of California at San Francisco, San Francisco, California Health Services Research Enhancement Award Program, San Francisco Veterans Affairs Medical Center, San Francisco, California
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... - 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... - 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... - 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... - 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... - 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.... - Age and sex variation in prevalence of chronic medical conditions in older residents of U.S. nursing homesKelly 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)... - 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... - 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... - 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... - 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... - 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 - Clinician attitudes about commercial support of continuing medical education: results of a detailed surveyJeffrey 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.... - 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... - Inappropriate medication use in older adults undergoing surgery: a national studyEmily 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... - The 'worthy' patient: rethinking the 'hidden curriculum' in medical educationRobin T Higashi
a 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.... - Conducting high-value secondary dataset analysis: an introductory guide and resourcesAlexander 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... - 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... - 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... - 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... - 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 - The costs of making practice more cost-effectiveMichael A Steinman
JAMA 287:1648; author reply 1649-50. 2002