Ralph Gonzales, MD
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3333 California St.
San Francisco, CA 94118
Box 1211
Ph (415) 353-4624
Fax (415) 476-9531
ralphg@medicine.ucsf.edu Research interests: Current research projects are aimed at determining how best to implement practice guidelines and quality improvement initiatives related to appropriate antibiotic use at the community level, and tailoring these activities for Hispanic populations. Intervention strategies have included educational campaigns targeting households, patients in waiting rooms, patients and doctors in examination rooms, as well as the general public through mass media campaigns. As a clinical investigator, I am also interested in the evaluation and management of acute illnesses, such as bronchitis and urinary tract infections. We have developed computer kiosk modules that use audio-visual/interactive formats to overcome language and literacy barriers. Publications Relevant to MERC
- Gonzales R, Kutner JS. Practice Guidelines in Primary Care, 5th Edition, New York: Lange Medical Books/McGraw-Hill, 2005 (annually updated; 6th edition in progress)
- Gonzales R , McPhee SJ, , Papadakis MA, Zeiger R, eds. Current Medical Diagnosis and Treatment--Online. New York: McGraw-HIll, 2004 (in press)
- Gonzales R, Steiner JF, Sande MA. Antibiotic prescribing for adults with colds, upper respiratory tract infections and bronchitis by ambulatory physicians in the United States. JAMA 1997;278:901-904
- Gonzales R, Steiner JF, Lum A, Barrett Jr PH. Decreasing antibiotic use in ambulatory practice: Impact of a multidimensional intervention on the treatment of uncomplicated acute bronchitis in adults. JAMA 1999;281:1512-1519
- Gonzales R, Sande MA. Uncomplicated acute bronchitis. Annals of Internal Medicine 2000;133:981-991
- Gonzales R, Bartlett JG, Besser RE, Hickner JH, Hoffman JR, Sande MA. Principles of appropriate antibiotic use for treatment of nonspecific upper respiratory tract infections in adults: background. Clinical Practice Guideline, Part 2. Annals of Internal Medicine 2001;134:490-494
- Gonzales R, Steiner JF, Maselli J, Lum A, Barrett Jr, PH. Impact of reducing antibiotic prescribing for acute bronchitis on patient satisfaction. Effective Clinical Practice 2001, 4:105-11
- Steinman MA, Landfeld CS, Gonzales R. Predictors of broad-spectrum antibiotic prescribing for adults with acute respiratory tract infections in adult primary care. JAMA 2003;289:719-725
- Flanders S, Stein J, Shochat G, Sellers K, Holland M, Maselli JH, Drew WL, Reingold AL, Gonzales R. Performance of a bedside c-reactive protein test in the diagnosis of community-acquired pneumonia in adults with acute cough illness. American Journal of Medicine, 2004;116:529-35
- Gonzales R, Corbett KK, Leeman-Castillo BA, Glazner J, Erbacher K, Darr CA, Wong S, Maselli JH, Sauaia A, Kafadar K. The 'Minimizing Antibiotic Resistance in Colorado' Project: Impact of patient education in improving antibiotic use in private office practices. Health Services Research 2005;40:101-16
- Corbett KK, Gonzales R, Leeman-Castillo BA, Flores E, Maselli J, Kafadar K. Variation in knowledge, attitudes, and awareness about appropriate antibiotic use by Hispanic ethnicity and language preference. Preventive Medicine 2005;40:162-9
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