Michael A Steinman
Biographic Data
| ID | 144337 |
|---|---|
| NAME | Michael A Steinman |
| GIVEN NAMES | Michael A |
| FAMILY NAME | Steinman |
| SIGNATURE | STEINMAN M A |
| AFFILIATIONS | San Francisco VA Medical Center |
| ORCID | 0000-0002-9564-9480 |
| VERIFIED | Yes |
| TOTAL WORKS | 26 |
| TOTAL CITATIONS | 72 |
| AUTHOR COUNT | 26 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1973 |
| LATEST PUBLICATION YEAR | 2024 |
| H-INDEX | 5 |
Effects of residential socioeconomic polarization on high blood pressure among nursing home residents
The Opioid Industry Documents Archive
Comparison of Pharmacy Database Methods for Determining Prevalent Chronic Medication Use
BACKGROUND: Pharmacy dispensing data are frequently used to identify prevalent medication use as a predictor or covariate in observational research studies. Although several methods have been proposed for using pharmacy dispensing data to identify prevalent medication use, little is known about their comparative performance. OBJECTIVES: The authors sought to compare the performance of different methods for identifying prevalent outpatient medicat…
Health Outcomes of Obtaining Housing Among Older Homeless Adults
Objectives. We determined the impact of obtaining housing on geriatric conditions and acute care utilization among older homeless adults. Methods. We conducted a 12-month prospective cohort study of 250 older homeless adults recruited from shelters in Boston, Massachusetts, between January and June 2010. We determined housing status at follow-up, determined number of emergency department visits and hospitalizations over 12 months, and examined 4 …
Regional Differences in Prescribing Quality Among Elder Veterans and the Impact of Rural Residence
Purpose: Medication safety is a critical concern for older adults. Regional variation in potentially inappropriate prescribing practices may reflect important differences in health care quality. Therefore, the objectives of this study were to characterize prescribing quality variation among older adults across geographic region, and to compare prescribing quality across rural versus urban residence. Methods: Cross‐sectional study of 1,549,824 old…
Characteristics of Emergency Department Visits by Older Versus Younger Homeless Adults in the United States
Objectives. We compared the characteristics of emergency department (ED) visits of older versus younger homeless adults. Methods. We analyzed 2005–2009 data from the National Hospital Ambulatory Medical Care Survey, a nationally representative survey of visits to hospitals and EDs, and used sampling weights, strata, and clustering variables to obtain nationally representative estimates. Results. The ED visits of homeless adults aged 50 years and …
Reasons for Not Prescribing Guideline-recommended Medications to Adults With Heart Failure
BACKGROUND: Little is known about how often contextual factors such as patient preferences and competing priorities impact prescribing of guideline-recommended medications, or about the extent to which these factors are documented in medical records and available to performance measurement systems. METHODS: Mixed-methods study of 295 veterans aged 50 years and older in 4 VA health care systems who had systolic heart failure and were not prescribe…
The 'worthy' patient
This paper examines how physicians determine the quality and quantity of time to devote to each patient, and how these decisions are taught to physicians-in-training as part of the 'hidden curriculum' in medical education. The notion of moral economy is used to analyze how judgments of patient worth come to guide and influence interactions among physicians and physicians-in-training and patients, and how these interactions impact medical care. Ho…
Elder care as “frustrating” and “boring”
A Clinically Guided Approach for Improving Performance Measurement for Hypertension
BACKGROUND: Performance measures often fail to account for legitimate reasons why patients do not achieve recommended treatment targets. METHODS: We tested a novel performance measurement system for blood pressure (BP) control that was designed to mimic clinical reasoning. This clinically guided approach focuses on (1) exempting patients for whom tight BP control may not be appropriate or feasible and (2) assessing BP over time. Trained abstracto…
Medication Prescribing Practices for Older Prisoners in the Texas Prison System
Objectives. We sought to assess appropriateness of medication prescribing for older Texas prisoners. Methods. In this 12-month cross-sectional study of 13 117 prisoners (aged ≥ 55 years), we assessed medication use with Zhan criteria and compared our results to prior studies of community prescribing. We assessed use of indicated medications with 6 Assessing Care of Vulnerable Elders indicators. Results. Inappropriate medications were prescribed t…
Interventions to Reduce Unnecessary Antibiotic Prescribing
BACKGROUND: Overuse of antibiotics in ambulatory care persists despite many efforts to address this problem. We performed a systematic review and quantitative analysis to assess the effectiveness of quality improvement (QI) strategies to reduce antibiotic prescribing for acute outpatient illnesses for which antibiotics are often inappropriately prescribed. RESEARCH DESIGN AND METHODS: We searched the Cochrane Collaboration's Effective Practice an…
Conflicts and Concordance Between Measures of Medication Prescribing Quality
BACKGROUND: Several instruments commonly are used to assess the quality of medication prescribing. 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. METHODS: We assessed 3 indicators of prescribing quality in a cohort of 196 veterans age 65 and older who were taking 5 or more medications. These 3 indicators assessed whether each pat…
Improving Antibiotic Selection
OBJECTIVE: We sought to assess which interventions are most effective at improving the prescribing of recommended antibiotics for acute outpatient infections. DESIGN AND METHODS: We undertook a systematic review with quantitative analysis of the Cochrane Registry Effective Practice and Organization of Care (EPOC) database, supplemented by MEDLINE and hand-searches. Inclusion criteria included clinical trials with contemporaneous or strict histori…
Children Who Witness Woman Battering
This article argues that many children who witness their mother's battering are neglected by the child welfare system. Children who witness domestic violence are at risk for significant psychosocial deficits and direct abuse. Fifty‐nine social service professionals from Lincoln, Nebraska, who work with domestic violence were interviewed. Results indicated that while service providers were clinically sensitive to the problems experienced by childr…
Frank O’Connor at Work
A Writer is Always Writing First Confession Judas The Genius Orpheus and his Lute The Cornet Player Who Betrayed Ireland The Little Mother A Set of Variations.
Officer Orientations toward the Community
This study examines why police officers have positive or negative orientations toward the communities they serve. Orientations are measured by respondent agreement or disagreement with two statements: "I often encounter situations where my professional standards are in conflict with the expectations of the community" and "The people in this city don't seem to appreciate, on the whole, what good police services are all about." The hypothesis is th…
Rationalizing police operations
Swift
Parnell and Wilde, although emotionally satisfying heroes, were incomplete; Yeats needed an image combining art and nationalism, which he found in Jonathan Swift, poet and Drapier. Much critical consideration of Yeats and Swift has emphasised Yeats's last years, when Swift emerged frequently in his poetry, drama, and prose, yet Yeats's earlier thoughts on Swift, although vacillating, were frequent, and are essential to an understanding of the rol…
Yeats’s Heroic Figures
The Politics of Decision-Making
Low Income and Minority Group Participation in Administrative Processes
Ethnic Differences in Social and Political Participation
Interviewing in a Mexican-American Community
Journal Article INTERVIEWING IN A MEXICAN-AMERICAN COMMUNITY: AN INVESTIGATION OF SOME POTENTIAL SOURCES OF RESPONSE BIAS Get access SUSAN WELCH, SUSAN WELCH Search for other works by this author on: Oxford Academic Google Scholar JOHN COMER, JOHN COMER Search for other works by this author on: Oxford Academic Google Scholar MICHAEL STEINMAN MICHAEL STEINMAN †Assistant Professors of Political Science at the University of NebraskaLincoln Search fo…
The Class Correlates of Head-teachers' Attitudes
Interviewing in a Mexican-American Community
Journal Article INTERVIEWING IN A MEXICAN-AMERICAN COMMUNITY: AN INVESTIGATION OF SOME POTENTIAL SOURCES OF RESPONSE BIAS Get access SUSAN WELCH, SUSAN WELCH Search for other works by this author on: Oxford Academic Google Scholar JOHN COMER, JOHN COMER Search for other works by this author on: Oxford Academic Google Scholar MICHAEL STEINMAN MICHAEL STEINMAN †Assistant Professors of Political Science at the University of NebraskaLincoln Search fo…
The 'worthy' patient
This paper examines how physicians determine the quality and quantity of time to devote to each patient, and how these decisions are taught to physicians-in-training as part of the 'hidden curriculum' in medical education. The notion of moral economy is used to analyze how judgments of patient worth come to guide and influence interactions among physicians and physicians-in-training and patients, and how these interactions impact medical care. Ho…
Characteristics of Emergency Department Visits by Older Versus Younger Homeless Adults in the United States
Objectives. We compared the characteristics of emergency department (ED) visits of older versus younger homeless adults. Methods. We analyzed 2005–2009 data from the National Hospital Ambulatory Medical Care Survey, a nationally representative survey of visits to hospitals and EDs, and used sampling weights, strata, and clustering variables to obtain nationally representative estimates. Results. The ED visits of homeless adults aged 50 years and …
Ethnic Differences in Social and Political Participation
Elder care as “frustrating” and “boring”
Health Outcomes of Obtaining Housing Among Older Homeless Adults
Objectives. We determined the impact of obtaining housing on geriatric conditions and acute care utilization among older homeless adults. Methods. We conducted a 12-month prospective cohort study of 250 older homeless adults recruited from shelters in Boston, Massachusetts, between January and June 2010. We determined housing status at follow-up, determined number of emergency department visits and hospitalizations over 12 months, and examined 4 …
Some Social and Attitudinal Correlates of Health Care Among Mexican Americans
Susan Welch, John Comer, Michael Steinman, Some Social and Attitudinal Correlates of Health Care Among Mexican Americans, Journal of Health and Social Behavior, Vol. 14, No. 3 (Sep., 1973), pp. 205-213
Medication Prescribing Practices for Older Prisoners in the Texas Prison System
Objectives. We sought to assess appropriateness of medication prescribing for older Texas prisoners. Methods. In this 12-month cross-sectional study of 13 117 prisoners (aged ≥ 55 years), we assessed medication use with Zhan criteria and compared our results to prior studies of community prescribing. We assessed use of indicated medications with 6 Assessing Care of Vulnerable Elders indicators. Results. Inappropriate medications were prescribed t…
Children Who Witness Woman Battering
This article argues that many children who witness their mother's battering are neglected by the child welfare system. Children who witness domestic violence are at risk for significant psychosocial deficits and direct abuse. Fifty‐nine social service professionals from Lincoln, Nebraska, who work with domestic violence were interviewed. Results indicated that while service providers were clinically sensitive to the problems experienced by childr…
The Class Correlates of Head-teachers' Attitudes
Interviewing in a Mexican-American Community
Journal Article INTERVIEWING IN A MEXICAN-AMERICAN COMMUNITY: AN INVESTIGATION OF SOME POTENTIAL SOURCES OF RESPONSE BIAS Get access SUSAN WELCH, SUSAN WELCH Search for other works by this author on: Oxford Academic Google Scholar JOHN COMER, JOHN COMER Search for other works by this author on: Oxford Academic Google Scholar MICHAEL STEINMAN MICHAEL STEINMAN †Assistant Professors of Political Science at the University of NebraskaLincoln Search fo…
The Class Correlates of Head-teachers' Attitudes
Some Social and Attitudinal Correlates of Health Care Among Mexican Americans
Susan Welch, John Comer, Michael Steinman, Some Social and Attitudinal Correlates of Health Care Among Mexican Americans, Journal of Health and Social Behavior, Vol. 14, No. 3 (Sep., 1973), pp. 205-213
Ethnic Differences in Social and Political Participation
Low Income and Minority Group Participation in Administrative Processes
The Politics of Decision-Making
Swift
Parnell and Wilde, although emotionally satisfying heroes, were incomplete; Yeats needed an image combining art and nationalism, which he found in Jonathan Swift, poet and Drapier. Much critical consideration of Yeats and Swift has emphasised Yeats's last years, when Swift emerged frequently in his poetry, drama, and prose, yet Yeats's earlier thoughts on Swift, although vacillating, were frequent, and are essential to an understanding of the rol…
Yeats’s Heroic Figures
Rationalizing police operations
Officer Orientations toward the Community
This study examines why police officers have positive or negative orientations toward the communities they serve. Orientations are measured by respondent agreement or disagreement with two statements: "I often encounter situations where my professional standards are in conflict with the expectations of the community" and "The people in this city don't seem to appreciate, on the whole, what good police services are all about." The hypothesis is th…
Frank O’Connor at Work
A Writer is Always Writing First Confession Judas The Genius Orpheus and his Lute The Cornet Player Who Betrayed Ireland The Little Mother A Set of Variations.
Children Who Witness Woman Battering
This article argues that many children who witness their mother's battering are neglected by the child welfare system. Children who witness domestic violence are at risk for significant psychosocial deficits and direct abuse. Fifty‐nine social service professionals from Lincoln, Nebraska, who work with domestic violence were interviewed. Results indicated that while service providers were clinically sensitive to the problems experienced by childr…
Improving Antibiotic Selection
OBJECTIVE: We sought to assess which interventions are most effective at improving the prescribing of recommended antibiotics for acute outpatient infections. DESIGN AND METHODS: We undertook a systematic review with quantitative analysis of the Cochrane Registry Effective Practice and Organization of Care (EPOC) database, supplemented by MEDLINE and hand-searches. Inclusion criteria included clinical trials with contemporaneous or strict histori…
Conflicts and Concordance Between Measures of Medication Prescribing Quality
BACKGROUND: Several instruments commonly are used to assess the quality of medication prescribing. 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. METHODS: We assessed 3 indicators of prescribing quality in a cohort of 196 veterans age 65 and older who were taking 5 or more medications. These 3 indicators assessed whether each pat…
Interventions to Reduce Unnecessary Antibiotic Prescribing
BACKGROUND: Overuse of antibiotics in ambulatory care persists despite many efforts to address this problem. We performed a systematic review and quantitative analysis to assess the effectiveness of quality improvement (QI) strategies to reduce antibiotic prescribing for acute outpatient illnesses for which antibiotics are often inappropriately prescribed. RESEARCH DESIGN AND METHODS: We searched the Cochrane Collaboration's Effective Practice an…
Medication Prescribing Practices for Older Prisoners in the Texas Prison System
Objectives. We sought to assess appropriateness of medication prescribing for older Texas prisoners. Methods. In this 12-month cross-sectional study of 13 117 prisoners (aged ≥ 55 years), we assessed medication use with Zhan criteria and compared our results to prior studies of community prescribing. We assessed use of indicated medications with 6 Assessing Care of Vulnerable Elders indicators. Results. Inappropriate medications were prescribed t…
Elder care as “frustrating” and “boring”
A Clinically Guided Approach for Improving Performance Measurement for Hypertension
BACKGROUND: Performance measures often fail to account for legitimate reasons why patients do not achieve recommended treatment targets. METHODS: We tested a novel performance measurement system for blood pressure (BP) control that was designed to mimic clinical reasoning. This clinically guided approach focuses on (1) exempting patients for whom tight BP control may not be appropriate or feasible and (2) assessing BP over time. Trained abstracto…
Regional Differences in Prescribing Quality Among Elder Veterans and the Impact of Rural Residence
Purpose: Medication safety is a critical concern for older adults. Regional variation in potentially inappropriate prescribing practices may reflect important differences in health care quality. Therefore, the objectives of this study were to characterize prescribing quality variation among older adults across geographic region, and to compare prescribing quality across rural versus urban residence. Methods: Cross‐sectional study of 1,549,824 old…
Characteristics of Emergency Department Visits by Older Versus Younger Homeless Adults in the United States
Objectives. We compared the characteristics of emergency department (ED) visits of older versus younger homeless adults. Methods. We analyzed 2005–2009 data from the National Hospital Ambulatory Medical Care Survey, a nationally representative survey of visits to hospitals and EDs, and used sampling weights, strata, and clustering variables to obtain nationally representative estimates. Results. The ED visits of homeless adults aged 50 years and …
Reasons for Not Prescribing Guideline-recommended Medications to Adults With Heart Failure
BACKGROUND: Little is known about how often contextual factors such as patient preferences and competing priorities impact prescribing of guideline-recommended medications, or about the extent to which these factors are documented in medical records and available to performance measurement systems. METHODS: Mixed-methods study of 295 veterans aged 50 years and older in 4 VA health care systems who had systolic heart failure and were not prescribe…
The 'worthy' patient
This paper examines how physicians determine the quality and quantity of time to devote to each patient, and how these decisions are taught to physicians-in-training as part of the 'hidden curriculum' in medical education. The notion of moral economy is used to analyze how judgments of patient worth come to guide and influence interactions among physicians and physicians-in-training and patients, and how these interactions impact medical care. Ho…
Health Outcomes of Obtaining Housing Among Older Homeless Adults
Objectives. We determined the impact of obtaining housing on geriatric conditions and acute care utilization among older homeless adults. Methods. We conducted a 12-month prospective cohort study of 250 older homeless adults recruited from shelters in Boston, Massachusetts, between January and June 2010. We determined housing status at follow-up, determined number of emergency department visits and hospitalizations over 12 months, and examined 4 …
Comparison of Pharmacy Database Methods for Determining Prevalent Chronic Medication Use
BACKGROUND: Pharmacy dispensing data are frequently used to identify prevalent medication use as a predictor or covariate in observational research studies. Although several methods have been proposed for using pharmacy dispensing data to identify prevalent medication use, little is known about their comparative performance. OBJECTIVES: The authors sought to compare the performance of different methods for identifying prevalent outpatient medicat…
The Opioid Industry Documents Archive
Medicine (15 works) · Political science (9 works) · Internal Medicine (7 works) · Psychology (7 works) · Family medicine (6 works) · Gerontology (6 works) · Internal Medicine (6 works) · Health care (5 works) · Law (5 works) · MEDLINE (5 works)