Richard L Kravitz
Biographic Data
| ID | 1727683 |
|---|---|
| NAME | Richard L Kravitz |
| GIVEN NAMES | Richard L |
| FAMILY NAME | Kravitz |
| SIGNATURE | KRAVITZ R L |
| AFFILIATIONS | University of California, Davis |
| ORCID | 0000-0001-5575-529X |
| VERIFIED | Yes |
| TOTAL WORKS | 28 |
| TOTAL CITATIONS | 75 |
| AUTHOR COUNT | 28 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1989 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 3 |
Deflecting Before Prescribing: Negotiating About Opioids and Chronic Pain in Primary Care
In this study, we examine opioid-related treatment negotiations during primary care visits for chronic pain. We video-recorded 86 visits involving established patients on chronic opioids seeing primary care physicians; participants completed post-visit assessments. We used conversation analysis to identify patient requests (direct and indirect) for better pain control, create a taxonomy of eight "deflection" practices physicians used to respond b…
An academic–legislative partnership for evidence-based policy: The California State Policy Evidence Consortium (CalSPEC)
Mission-Aligned Funds Flow and the Primary Care Mission
The story vs the storyteller: Factors associated with the effectiveness of brief video‐recorded patient stories for promoting opioid tapering
BACKGROUND: Narrative communication is often more persuasive for promoting health behaviour change than communication using facts and figures; the extent to which narrative persuasiveness is due to patients' identification with the storyteller vs engagement with the story is unclear. OBJECTIVE: To examine the relative impacts of patient engagement, age concordance and gender concordance on perceived persuasiveness of video-recorded narrative clip…
Feasibility, Acceptability, and Influence of mHealth-Supported N-of-1 Trials for Enhanced Cognitive and Emotional Well-Being in US Volunteers
Although group-level evidence supports the use of behavioral interventions to enhance cognitive and emotional well-being, different interventions may be more acceptable or effective for different people. N-of-1 trials are single-patient crossover trials designed to estimate treatment effectiveness in a single patient. We designed a mobile health (mHealth) supported N-of-1 trial platform permitting US adult volunteers to conduct their own 30-day s…
Authority, Health Advocacy Organizations, and Scientific Evidence
Just as people frequently support political parties without endorsing their entire platforms, perhaps physicians can support a health care advocacy organization without agreeing with its screening guidelines
Authors’ Response to Letter From David Seidenwurm
Romano, Patrick S. MD, MPH*,†; Leigh, J. Paul PhD*,‡; Tancredi, Daniel PhD*,§; Jerant, Anthony MD*,∥; Kravitz, Richard L. MD, MSPH*,† Author Information
A Transnational Study of Migration and Smoking Behavior in the Mexican-Origin Population
Objectives. We examined migration-related changes in smoking behavior in the transnational Mexican-origin population. Methods. We combined epidemiological surveys from Mexico (Mexican National Comorbidity Survey) and the United States (Collaborative Psychiatric Epidemiology Surveys). We compared 4 groups with increasing US contact with respect to smoking initiation, persistence, and daily cigarette consumption: Mexicans with no migrant in their f…
Lifetime Earnings for Physicians Across Specialties
BACKGROUND: Earlier studies estimated annual income differences across specialties, but lifetime income may be more relevant given physicians' long-term commitments to specialties. METHODS: Annual income and work hours data were collected from 6381 physicians in the nationally representative 2004-2005 Community Tracking Study. Data regarding years of residency were collected from AMA FREIDA. Present value models were constructed assuming 3% disco…
Impact of Public Reporting of Coronary Artery Bypass Graft Surgery Performance Data on Market Share, Mortality, and Patient Selection
BACKGROUND: The impact of publicly reporting risk-adjusted outcomes for hospitals and surgeons remains controversial, with particular concern about unintended consequences. OBJECTIVES: We evaluated the impact of 3 reports from the voluntary California CABG Mortality Reporting Program (CCMRP) on hospital market share, hospital mortality, and patient selection for coronary artery bypass graft (CABG) surgery. RESEARCH DESIGN AND PARTICIPANTS: We ana…
N-of-1 Trials in the Medical Literature: A Systematic Review
BACKGROUND: N-of-1 trials (multiple crossover studies conducted in single individuals) may be ideal for determining individual treatment effects and as a tool to estimate heterogeneity of treatment effects (HTE) in a population. However, comprehensive data on n-of-1 trial methodology and analysis is lacking. We performed this study to describe n-of-1 trial characteristics, examine treatment changes resulting from n-of-1 trial participation, and t…
Depressive Symptoms Moderated the Effect of Chronic Illness Self-Management Training on Self-Efficacy
BACKGROUND: Identifying moderators of the effects of self-efficacy enhancing interventions could facilitate their refinement and more targeted, cost-effective delivery. Current theories and data concerning the potential moderating effect of depressive symptoms on interventions to enhance patient chronic illness self-management self-efficacy are conflicting. OBJECTIVES: To explore the moderating effect of depressive symptoms on the effect of an in…
Underuse of Generic Medications
From the UC Davis Center for HSR in Primary Care, Sacramento, California. Dr. Kravitz is supported by a Midcareer Research and Mentoring Award from the National Institute of Mental Health (1K24MH072756). Reprints: Richard L. Kravitz, MD, MSPH, UC Davis Center for HSR in Primary Care, 2103 Stockton Blvd., Grange Building, Suite 2224, Sacramento, CA 95817. E-mail: [email protected]
Direct-to-Consumer Drug Ads, Patient Autonomy, and the Responsible Exercise of Power
It has been nine years since the Food and Drug Administration relaxed its interpretation of the 1962 Kefauver-Harris Amendments and unleashed a torrent of direct-to-consumer (DTC) advertisements in print, on radio and on television [1]. Cumulative spending on DTC advertising since 1997 approaches $20 billion, with $4.5 billion reported in 2004 alone. Though nonproprietary data are sparse, one can safely assume that pharmaceutical companies would …
Connoisseurs of Care? Unannounced Standardized Patients’ Ratings of Physicians
BACKGROUND: Patient satisfaction surveys can be informative, but bias and poor response rates may limit their utility as stable measures of physician performance. Using unannounced standardized patients (SPs) may overcome some of these limitations because their experience and training make them able judges of physician behavior. OBJECTIVES: We sought to understand the reliability of unannounced SPs in rating primary care physicians when covertly …
Do Patient Requests for Antidepressants Enhance or Hinder Physicians’ Evaluation of Depression: A Randomized Controlled Trial
OBJECTIVE: We sought to ascertain whether patients' requests for antidepressants affect visit duration or history taking by primary care physicians (PCPs) for patients with depressive symptoms and a coexisting musculoskeletal disorder and to determine whether more thorough history taking is associated with diagnostic accuracy or with provision of minimally acceptable initial care for major depression. DESIGN: This was a randomized trial using sta…
Patient Participation in Medical Consultations: Why Some Patients are More Involved Than Others
BACKGROUND: Patients vary in their willingness and ability to actively participate in medical consultations. Because more active patient participation contributes to improved health outcomes and quality of care, it is important to understand factors affecting the way patients communicate with healthcare providers. OBJECTIVES: The objectives of this study were to examine the extent to which patient participation in medical interactions is influenc…
Measuring patient-centered communication in Patient-Physician consultations: Theoretical and practical issues
Medical Adherence Research: Time for a Change in Direction
From the University of California, Davis, Center for Health Services Research in Primary Care Reprints: Richard L. Kravitz, MD, MSPH, UC Davis Center for HSR in Primary Care, 4150 V Street, Suite 2500 PSSB, Sacramento, CA 95817. E-mail: [email protected]
Networked for change? identifying obstetric opinion leaders and assessing their opinions on caesarean delivery
Request Fulfillment in Office Practice: Antecedents and Relationship to Outcomes
BACKGROUND: Patients communicate their desires and expectations largely by making requests. However, the antecedents and consequences of request fulfillment have received limited attention. OBJECTIVE: To describe patient and physician characteristics associated with request fulfillment and to understand the consequences of request fulfillment and nonfulfillment on visit evaluations by patients and physicians, self-reported health care use, and he…
Health Information on the Internet: Accessibility, Quality, and Readability in English and Spanish
CONTEXT: Despite the substantial amount of health-related information available on the Internet, little is known about the accessibility, quality, and reading grade level of that health information. OBJECTIVE: To evaluate health information on breast cancer, depression, obesity, and childhood asthma available through English- and Spanish-language search engines and Web sites. DESIGN AND SETTING: Three unique studies were performed from July 2000 …
Posttraumatic Concerns: A Patient-Centered Approach to Outcome Assessment After Traumatic Physical Injury
BACKGROUND: Approximately 2.5 million Americans are admitted to the hospital after traumatic physical injury each year. Few investigations have elicited patients' perspectives regarding posttraumatic outcomes. OBJECTIVE: To identify and categorize physically injured trauma survivors' posttraumatic concerns. RESEARCH DESIGN: Prospective longitudinal investigation; trauma survivors were interviewed during the post-injury hospitalization and again 1…
Response to Testa: A Critique of Current Uses of Health Status for the Assessment of Treatment Effectiveness and Quality of Care
Kaplan, Sherrie H. MPH, PhD; Kravitz, Richard L. MD, MSPH; Greenfield, Sheldon MD Author Information
Comparing the Use of Physician Time and Health Care Resources Among Patients Speaking English, Spanish, and Russian
BACKGROUND AND OBJECTIVES: The number of US residents with limited English proficiency (LEP) is 14 million and rising. The goal of this study was to estimate the effects of LEP on physician time and resource use. DESIGN: This was a prospective, observational study. SETTING AND SUBJECTS: The study included 285 Medicaid patients speaking English (n = 112), Spanish (n = 62), or Russian (n = 111) visiting the General Medicine and Family Practice Clin…
Measuring patient-centered communication in Patient-Physician consultations: Theoretical and practical issues
Networked for change? identifying obstetric opinion leaders and assessing their opinions on caesarean delivery
A Transnational Study of Migration and Smoking Behavior in the Mexican-Origin Population
Objectives. We examined migration-related changes in smoking behavior in the transnational Mexican-origin population. Methods. We combined epidemiological surveys from Mexico (Mexican National Comorbidity Survey) and the United States (Collaborative Psychiatric Epidemiology Surveys). We compared 4 groups with increasing US contact with respect to smoking initiation, persistence, and daily cigarette consumption: Mexicans with no migrant in their f…
Risk factors associated with participation in the Ontario, Canada doctors' strike
To identify factors associated with participation in the 1986 Ontario, Canada doctors' strike, we surveyed 1,028 physicians; 69 percent responded, of whom 42 percent participated in the strike. Risk factors for participation included income greater than $135,000, being a surgeon or gynecologist, having previously "opted out" of the Ontario Health Insurance Plan, being professionally dissatisfied, being politically conservative, favoring political…
Risk factors associated with participation in the Ontario, Canada doctors' strike
To identify factors associated with participation in the 1986 Ontario, Canada doctors' strike, we surveyed 1,028 physicians; 69 percent responded, of whom 42 percent participated in the strike. Risk factors for participation included income greater than $135,000, being a surgeon or gynecologist, having previously "opted out" of the Ontario Health Insurance Plan, being professionally dissatisfied, being politically conservative, favoring political…
Physician Satisfaction Under the Ontario Health Insurance Plan
To determine the level of professional satisfaction experienced by physicians practicing in Ontario, Canada, a probability sample of 1,028 physicians was surveyed; 69% responded. The majority of Ontario doctors were at least moderately satisfied with each of 16 aspects of their work, and the percentage who were dissatisfied exceeded 15% for only four aspects. Factor analysis suggested the presence of four underlying satisfaction facets: satisfact…
Duration and Intensity of Striking Among Participants in the Ontario, Canada Doctors?? Strike
From the Division of General Internal Medicine and Health Services Research, University of California, Los Angeles, California
Response to Testa: A Critique of Current Uses of Health Status for the Assessment of Treatment Effectiveness and Quality of Care
Kaplan, Sherrie H. MPH, PhD; Kravitz, Richard L. MD, MSPH; Greenfield, Sheldon MD Author Information
Comparing the Use of Physician Time and Health Care Resources Among Patients Speaking English, Spanish, and Russian
BACKGROUND AND OBJECTIVES: The number of US residents with limited English proficiency (LEP) is 14 million and rising. The goal of this study was to estimate the effects of LEP on physician time and resource use. DESIGN: This was a prospective, observational study. SETTING AND SUBJECTS: The study included 285 Medicaid patients speaking English (n = 112), Spanish (n = 62), or Russian (n = 111) visiting the General Medicine and Family Practice Clin…
Health Information on the Internet: Accessibility, Quality, and Readability in English and Spanish
CONTEXT: Despite the substantial amount of health-related information available on the Internet, little is known about the accessibility, quality, and reading grade level of that health information. OBJECTIVE: To evaluate health information on breast cancer, depression, obesity, and childhood asthma available through English- and Spanish-language search engines and Web sites. DESIGN AND SETTING: Three unique studies were performed from July 2000 …
Posttraumatic Concerns: A Patient-Centered Approach to Outcome Assessment After Traumatic Physical Injury
BACKGROUND: Approximately 2.5 million Americans are admitted to the hospital after traumatic physical injury each year. Few investigations have elicited patients' perspectives regarding posttraumatic outcomes. OBJECTIVE: To identify and categorize physically injured trauma survivors' posttraumatic concerns. RESEARCH DESIGN: Prospective longitudinal investigation; trauma survivors were interviewed during the post-injury hospitalization and again 1…
Request Fulfillment in Office Practice: Antecedents and Relationship to Outcomes
BACKGROUND: Patients communicate their desires and expectations largely by making requests. However, the antecedents and consequences of request fulfillment have received limited attention. OBJECTIVE: To describe patient and physician characteristics associated with request fulfillment and to understand the consequences of request fulfillment and nonfulfillment on visit evaluations by patients and physicians, self-reported health care use, and he…
Networked for change? identifying obstetric opinion leaders and assessing their opinions on caesarean delivery
Medical Adherence Research: Time for a Change in Direction
From the University of California, Davis, Center for Health Services Research in Primary Care Reprints: Richard L. Kravitz, MD, MSPH, UC Davis Center for HSR in Primary Care, 4150 V Street, Suite 2500 PSSB, Sacramento, CA 95817. E-mail: [email protected]
Patient Participation in Medical Consultations: Why Some Patients are More Involved Than Others
BACKGROUND: Patients vary in their willingness and ability to actively participate in medical consultations. Because more active patient participation contributes to improved health outcomes and quality of care, it is important to understand factors affecting the way patients communicate with healthcare providers. OBJECTIVES: The objectives of this study were to examine the extent to which patient participation in medical interactions is influenc…
Measuring patient-centered communication in Patient-Physician consultations: Theoretical and practical issues
Direct-to-Consumer Drug Ads, Patient Autonomy, and the Responsible Exercise of Power
It has been nine years since the Food and Drug Administration relaxed its interpretation of the 1962 Kefauver-Harris Amendments and unleashed a torrent of direct-to-consumer (DTC) advertisements in print, on radio and on television [1]. Cumulative spending on DTC advertising since 1997 approaches $20 billion, with $4.5 billion reported in 2004 alone. Though nonproprietary data are sparse, one can safely assume that pharmaceutical companies would …
Connoisseurs of Care? Unannounced Standardized Patients’ Ratings of Physicians
BACKGROUND: Patient satisfaction surveys can be informative, but bias and poor response rates may limit their utility as stable measures of physician performance. Using unannounced standardized patients (SPs) may overcome some of these limitations because their experience and training make them able judges of physician behavior. OBJECTIVES: We sought to understand the reliability of unannounced SPs in rating primary care physicians when covertly …
Do Patient Requests for Antidepressants Enhance or Hinder Physicians’ Evaluation of Depression: A Randomized Controlled Trial
OBJECTIVE: We sought to ascertain whether patients' requests for antidepressants affect visit duration or history taking by primary care physicians (PCPs) for patients with depressive symptoms and a coexisting musculoskeletal disorder and to determine whether more thorough history taking is associated with diagnostic accuracy or with provision of minimally acceptable initial care for major depression. DESIGN: This was a randomized trial using sta…
Underuse of Generic Medications
From the UC Davis Center for HSR in Primary Care, Sacramento, California. Dr. Kravitz is supported by a Midcareer Research and Mentoring Award from the National Institute of Mental Health (1K24MH072756). Reprints: Richard L. Kravitz, MD, MSPH, UC Davis Center for HSR in Primary Care, 2103 Stockton Blvd., Grange Building, Suite 2224, Sacramento, CA 95817. E-mail: [email protected]
Depressive Symptoms Moderated the Effect of Chronic Illness Self-Management Training on Self-Efficacy
BACKGROUND: Identifying moderators of the effects of self-efficacy enhancing interventions could facilitate their refinement and more targeted, cost-effective delivery. Current theories and data concerning the potential moderating effect of depressive symptoms on interventions to enhance patient chronic illness self-management self-efficacy are conflicting. OBJECTIVES: To explore the moderating effect of depressive symptoms on the effect of an in…
Impact of Public Reporting of Coronary Artery Bypass Graft Surgery Performance Data on Market Share, Mortality, and Patient Selection
BACKGROUND: The impact of publicly reporting risk-adjusted outcomes for hospitals and surgeons remains controversial, with particular concern about unintended consequences. OBJECTIVES: We evaluated the impact of 3 reports from the voluntary California CABG Mortality Reporting Program (CCMRP) on hospital market share, hospital mortality, and patient selection for coronary artery bypass graft (CABG) surgery. RESEARCH DESIGN AND PARTICIPANTS: We ana…
N-of-1 Trials in the Medical Literature: A Systematic Review
BACKGROUND: N-of-1 trials (multiple crossover studies conducted in single individuals) may be ideal for determining individual treatment effects and as a tool to estimate heterogeneity of treatment effects (HTE) in a population. However, comprehensive data on n-of-1 trial methodology and analysis is lacking. We performed this study to describe n-of-1 trial characteristics, examine treatment changes resulting from n-of-1 trial participation, and t…
A Transnational Study of Migration and Smoking Behavior in the Mexican-Origin Population
Objectives. We examined migration-related changes in smoking behavior in the transnational Mexican-origin population. Methods. We combined epidemiological surveys from Mexico (Mexican National Comorbidity Survey) and the United States (Collaborative Psychiatric Epidemiology Surveys). We compared 4 groups with increasing US contact with respect to smoking initiation, persistence, and daily cigarette consumption: Mexicans with no migrant in their f…
Lifetime Earnings for Physicians Across Specialties
BACKGROUND: Earlier studies estimated annual income differences across specialties, but lifetime income may be more relevant given physicians' long-term commitments to specialties. METHODS: Annual income and work hours data were collected from 6381 physicians in the nationally representative 2004-2005 Community Tracking Study. Data regarding years of residency were collected from AMA FREIDA. Present value models were constructed assuming 3% disco…
Authority, Health Advocacy Organizations, and Scientific Evidence
Just as people frequently support political parties without endorsing their entire platforms, perhaps physicians can support a health care advocacy organization without agreeing with its screening guidelines
Authors’ Response to Letter From David Seidenwurm
Romano, Patrick S. MD, MPH*,†; Leigh, J. Paul PhD*,‡; Tancredi, Daniel PhD*,§; Jerant, Anthony MD*,∥; Kravitz, Richard L. MD, MSPH*,† Author Information
Feasibility, Acceptability, and Influence of mHealth-Supported N-of-1 Trials for Enhanced Cognitive and Emotional Well-Being in US Volunteers
Although group-level evidence supports the use of behavioral interventions to enhance cognitive and emotional well-being, different interventions may be more acceptable or effective for different people. N-of-1 trials are single-patient crossover trials designed to estimate treatment effectiveness in a single patient. We designed a mobile health (mHealth) supported N-of-1 trial platform permitting US adult volunteers to conduct their own 30-day s…
The story vs the storyteller: Factors associated with the effectiveness of brief video‐recorded patient stories for promoting opioid tapering
BACKGROUND: Narrative communication is often more persuasive for promoting health behaviour change than communication using facts and figures; the extent to which narrative persuasiveness is due to patients' identification with the storyteller vs engagement with the story is unclear. OBJECTIVE: To examine the relative impacts of patient engagement, age concordance and gender concordance on perceived persuasiveness of video-recorded narrative clip…
Medicine (24 works) · Family medicine (12 works) · Political science (11 works) · Psychology (11 works) · Health care (8 works) · MEDLINE (8 works) · Nursing (8 works) · Computer Science (6 works) · Patient Satisfaction in Healthcare (6 works) · Patient-Provider Communication in Healthcare (6 works)