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Research at NCIRE

NCIRE-The Veterans Health Research Institute is the leading private nonprofit institute devoted to Veterans health research in the United States. Our mission is to advance Veterans health through research.

We support the work of some of the nation's foremost physicians and scientists at the San Francisco Veterans Affairs Medical Center, the premier biomedical research facility in the VA system. All have faculty appointments at the University of California, San Francisco, which has its own proud traditions of research and patient care. We also partner with the U.S. Department of Defense to support health research on behalf of our men and women in the Armed Forces.

Those who have served in uniform have given their best for their country. In return, we believe that they deserve nothing less than the best health care research we can provide.

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Salomeh Keyhani, MD, MPH

Staff Physician, SFVAHCS
Associate Professor of Medicine, UCSF

Quality of care in the US health system, health care policy, outcomes research

Dr. Keyhani’s research program includes the examination of the quality of care in the US health system and health care policy research. Her quality of care research to date has focused on examining the underuse and overuse of medical procedures, comparing receipt of appropriate therapy in different systems of care (e.g. Medicare versus Veterans Health Administration) and examining system factors that contribute to improved quality. Over the past few years, her quality of care work has focused more specifically on stroke therapies such as carotid endarterectomy and thrombolytic therapy. Her policy research to date has largely focused on areas important to health care reform and factors that may contribute to inefficiency and the use of inappropriate care in the US health care system. This includes having surveyed physicians on their views towards insurance coverage, national guidelines, comparative effectiveness research, defensive medicine and conflicts of interest in medicine; as well as examining policy issues surrounding overuse of health care service with a specific focus on examining the relationship between systems of care and overuse.   

Dr. Keyhani’s outcomes research is grounded in the quality of care and policy work conducted over the past decade. One current project includes evaluating the comparative effectiveness of carotid endarterectomy and stenting to modern medical therapy for patients with asymptomatic carotid stenosis. This study incorporates natural language processing to create a cohort of patients with asymptomatic carotid stenosis. Other projects focus on extracting measures of social risk using natural language processing from the electronic medical record (living alone, lack of social support, substance abuse) to improve the patient-level prediction of 30-day hospital readmission as well as examining their impact on hospital profiling.

To see Dr. Keyhani on PubMed, click here.