Research projects at SFGH Division of General Internal Medicine
"Advancing the Universal Medication Schedule" – Urmimala Sarkar, MD (PI)
The overall objective of this study is to expand the current Universal Medication Schedule framework to promote understanding of non-pill form, short duration, as needed, and tapered dose medication instructions. As 7 of the top 15 therapeutic classes utilized in California are commonly prescribed as short duration or ‘as needed’ medications, the expansion of the UMS is especially relevant to residents of this state.
"California Diabetes Prevention and Control Program" – Dean Schillinger, MD (PI)
The goal is to work to prevent, detect, and intervene among persons at risk for diabetes mellitus and its complications to reduce the adverse personal and public impact of diabetes on California's diverse communities.
"Medication Summary Guides for Vulnerable Populations with Rheumatoid Arthritis" – Dean Schillinger, MD (Co-PI)
The purpose is to evaluate patient comprehension of existing medication guides for rheumatoid arthritis; adapt content of such guides to meet the linguistic and literacy capacities of diverse patients; and test the effectiveness of different communication methods to improve decision-making.
"Positive affect and clinical outcomes in type 2 diabetes" – Dean Schillinger, MD (Co-PI)
The specific aims of the study are to: (1) Document the adaptive physiologic functions of positive affect following a diagnosis of Type 2 diabetes by examining its unique concurrent and prospective associations with glycemic control, blood pressure, and lipids; and (2) Explore potential behavioral and psychological effects of positive affect including diabetes self-management, stress-related coping resources, and coping responses.
"Health Literacy and Chronic Disease Communication in an Era of Computers in the Room: Pitfalls and Promise" – Dean Schillinger, MD (PI)
This proposal seeks to understand how electronic health record systems (EHRs) use affects chronic disease health communication, explore differences in EHR use across health literacy levels, and develop a future leader with the skills to study and shape this process to meet communication needs of vulnerable populations.
"Bridging the Digital Divide in Diabetes Among the Underserved: From Populations to Patients" – Dean Schillinger, MD (PI)
To bring health IT innovations in population and patient-level DM management to the underserved, thereby enabling safety net practices and the vulnerable populations that they disproportionately care for to affirmatively respond to the challenges and opportunities presented by health reform.
"Brave New Voices: Empowering Minority Youth to Engineer a Diabetes Prevention Social Media Campaign" – Dean Schillinger, MD (PI)
To increase the health literacy and ‘health agency’ of minority youth around the diabetes epidemic, and will create multiple opportunities to bring minority youth and young adult voices and perspectives into the discourse about diabetes, enabling more effective interventions to improve health and to accelerate changes in diabetes-related policy and practice.
"California Safety Net Institute Innovation and Dissemination Network" – Urmimala Sarkar, MD (PI), Dean Schillinger, MD (Co-PI)
The overall goal of this proposal is to harness the potential of the current partnership between UCSF and SNI to forge a self-sustaining network that will lead dissemination and implementation efforts for evidence based practices across all the public hospitals’ integrated delivery systems in California.
"CVP-Youth Speaks Health Diabetes Prevention Campaign" – Dean Schillinger (PI)
To support San Francisco General Hospital and Trauma Center’s Center for Vulnerable Populations in collaborating with a community program called Youth Speaks to develop a minority youth-targeted diabetes prevention campaign using youth-generated "spoken word" messages around key diabetes prevention.
"Translating Cancer Genetics for the Safety Net Setting" – Dean Schillinger (Co-PI)
The overall goal of the study is to elucidate the strengths and limitations of current communication practices and to develop support strategies that foster effective genetic counseling with underserved, safety net (public or county hospital/clinic) patients.
"Enhancing the (cost-)effectiveness of diabetes self-management education: A comparative assessment of different educational approaches and conditions for successful implementation" (DIABETES LITERACY) – Dean Schillinger (Co-PI)
The study aims to assess and compare the effectiveness and cost-effectiveness of different methods for diabetes self-management education (individual and group education, IT based education, and self-help), assess the implementation fidelity of current diabetes self-management education programs, consider the moderating role of health literacy in self-management education for diabetic patients and develop and test literacy-appropriate diabetes education materials. It will also assess the conditions for effectiveness of self-management education programs in the way the health services are organized.
"Addressing Disparities in Chronic Disease with a Teen and Young Adult Focus" – Kirsten Bibbins-Domingo, MD (PI), Alicia Fernandez, MD (Co-PI), Dean Schillinger, MD (Co-PI)
To create the Center for Health And Risk in Minority youth and adults (CHARM), a new comprehensive center of excellence that will focus on chronic conditions and chronic disease risk in Latinos, African Americans and Asians across the arc from adolescence to young adulthood (age 8 to 35 years) as targeted prevention at this age group has the potential to greatly impact minority health and health disparities.
"Advancing the Universal Medication Schedule" – Dean Schillinger, MD (Co-PI)
The overall objective of this study is to expand the current Universal Medication Schedule framework to promote understanding of non-pill form, short duration, as needed, and tapered dose medication instructions.
"Language Barriers in Diabetes Care" – Alicia Fernandez, MD (PI)
"PROF-PATH: Promoting Research Opportunities for Fully-Prospective Academics Transforming Health" – Alicia Fernandez, MD (PI)
To create an innovative education research program, PROF-PATH, which will create new research training opportunities for students; enhance the ability of existing programs to fully support health disparities population students. "Comparative Effectiveness of Language Services for Spanish-Speaking Patients with Diabetes" – Alicia Fernandez, MD (PI) To compare quality of care and patient outcomes for Latino patients with diabetes and LEP with language concordant and language discordant physicians.
"Developing a mentoring network of diverse mental health professionals utilizing the CNICS platform" – Alicia Fernandez, MD (Co-PI)
The main goal is to develop a mentoring network for early career investigators from diverse backgrounds. The mentoring is tied closely to data available from the CNICS platform. The project includes a "mentoring the mentors" workshop series.
"Evaluating and Improving Present-On-Admission for Performance Reporting" – Liz Goldman, MD (PI)
This major goal of this project is to evaluate present-on-admission coding, assess its impact on hospital performance assessment, and improve its accuracy.
"Quality of Mammography Facilities Serving Vulnerable Populations" – Liz Goldman, MD (PI)
The major goal for this project is to determine the facility characteristics that determine differences in timeliness and interpretive performance of mammograms at facilities serving vulnerable populations.
"San Francisco General Hospital Support from Hospital to Home for the Elderly" – Liz Goldman, MD (PI)
The overarching goal of the Support from Hospital to Home for the Elderly (SHHE) project is to improve the transition for hospitalized elderly patients from the hospital to home through conducting a randomized clinical trial of the use of a discharge advocate.
"Cost and Radiation Exposure Transparency in Ordering Radiology Studies: The Clinician Perspective" – Liz Goldman, MD (PI)
The goal of this project is to assess clinicians’ attitudes and practices regarding the consideration of cost and radiation exposure when ordering imaging studies in the safety-net, and determine their response to an intervention posting cost and radiation exposure at the point of clinician electronic order entry.
"Improving Transitions in Care Across the Safety Net: Perspectives from Primary Care and Hospital Leaders on Bridging the Inpatient-Outpatient Divide" – Liz Goldman, MD (PI)
The goal of this study is to understand barriers to collaboration between inpatient and primary care providers regarding care transitions from hospitals to outpatient settings in the safety net.