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About NCIRE - The Veterans Health Research Institute
NCIRE's Impact on Veterans Veteran's Health Research Researchers by Name
There's no question that the San Francisco VA Medical Center, with the support of NCIRE, plays a major role in advancing veterans health care through research. The excellence of our NCIRE and SFVAMC investigators, all of whom are UC San Francisco faculty members, is fundamental to our success in developing cutting edge knowledge that will advance medical treatments of veterans and others, both locally and worldwide.

Paul Volberding, MD
Chair, NCIRE Board of Directors
Chief of Medicine, SFVAMC

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Michael Steinman, MD

Staff Physician, Medical Service, SFVAMC
Assistant Professor of Medicine, UCSF

Email: mike.steinman@ucsf.edu

Pharmaceutical Prescribing Practices and the Quality of Medication

Dr. Steinman's primary research interests include measuring and improving the quality of medication use for older adults, and evaluating the impact of pharmaceutical marketing on physician behavior.  He is currently focusing his efforts on two large projects.  The first uses a combination of focus groups, chart review, clinician surveys, and secondary data analysis to evaluate reasons for non-prescribing of guideline-recommended medications for people with heart failure. The second is evaluating the epidemiology of and risk factors for adverse drug reactions in elders after hospital discharge. Dr. Steinman is also actively involved in research and education evaluating pharmaceutical industry marketing.  He published a landmark study on the use of research and medical education to promote the drug Neurontin (gabapentin), and several other studies evaluating physician attitudes and behaviors regarding interactions with pharmaceutical marketing. In addition, Dr. Steinman is actively involved in a series of other projects including studies to evaluate novel methods for measuring physician quality of care in hypertension in the VA, and ongoing work evaluating the quality of antibiotic prescribing in the outpatient setting.

Steinman MA, Bero LA, Chren MM, Landefeld CS. 2006. The promotion of gabapentin: an analysis of internal industry documents. Ann Intern Med 145:284-293.

Steinman MA, Rosenthal GE, Landefeld CS, Bertenthal D, Sen S, Kaboli PJ. 2007. Conflicts and concordance between measures of medication prescribing quality. Med Care 45:95-99.