Paul G. Shekelle

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To arrange an interview, contact the RAND Office of Media Relations at (310) 451-6913, or email media@rand.org.

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Director, Southern California Evidence-Based Practice Center, RAND Corporation; Director, Quality Assessment and Quality Improvement Program, RAND Health
Santa Monica Office

Education

Ph.D., UCLA School of Public Health; M.P.H., University of California, Los Angeles; M.D., Duke University; B.S. in chemistry, B.S. in biology, University of Illinois at Urbana-Champaign

Overview

Biography

Paul Shekelle is director of the Southern California Evidence-Based Practice Center site at the RAND Corporation, a consultant in health sciences at RAND, professor of medicine at the UCLA School of Medicine, and a staff physician at the VA Medical Center in West Los Angeles. His research focus has been in the application of innovative methods to the assessment and improvement of the quality of care.

Shekelle spent six years as a Career Development Awardee of the VA Health Services Research and Development Service. He spent 1996–97 in the United Kingdom as an Atlantic Fellow in Public Policy, studying how quality of care was being assessed in the National Health Service. Since 1997, Shekelle has directed the Southern California Evidence-Based Practice Center and led numerous systematic reviews and meta-analyses in that capacity. Shekelle was the principal investigator for the Agency for Healthcare Research and Quality project "Assessing the Evidence for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria."

Shekelle received his M.D. from Duke University; his M.P.H. from the University of California, Los Angeles (UCLA); and his Ph.D. from the UCLA School of Public Health.

Research Focus

Recent Projects

  • Assessing potential medical innovations for older adults

Selected Publications

B. Chaudhry et al., "Systematic Review: Impact of Health Information Technology on Quality, Efficiency, and Costs of Medical Care," Annals of Internal Medicine, 144(10), 2006

P. G. Shekelle et al., "Are Ayurvedic Herbs for Diabetes Effective? Limited Evidence Shows That Some Herbs and Formulas Have Glucose-Lowering Effects, and Deserve Further Study," Journal of Family Practice, 54(10), 2005

P. G. Shekelle et al., "Identifying Potential Health Care Innovations for the Future Elderly," Health Affairs [Web exclusive], 2005

J. Chodosh et al., "Meta-Analysis: Chronic Disease Self-Management Programs for Older Adults," Annals of Internal Medicine, 143(6), 2005

M. A. Maggard et al., "Meta-Analysis: Surgical Treatment of Obesity," Annals of Internal Medicine, 142(7), 2005

Recent Media Appearances

Interviews: Los Angeles Times; Reuters Health; Scripps Howard News Service; Time Magazine; USA Today; Wall Street Journal

Commentary: British Medical Journal; Journal of Health Services Research and Policy; Lancet; New England Journal of Medicine

Publications

A Pilot Study Using Machine Learning and Domain Knowledge to Facilitate Comparative Effectiveness Review Updating - 2013

Inpatient Fall Prevention Programs as a Patient Safety Strategy: A Systematic Review - 2013

Nurse-Patient Ratios as a Patient Safety Strategy: A Systematic Review - 2013

Redesign of an Electronic Clinical Reminder to Prevent Falls in Older Adults - 2013

Strategies to Improve Patient Safety: The Evidence Base Matures - 2013

The Top Patient Safety Strategies That Can Be Encouraged for Adoption Now - 2013

A Pilot Study Using Machine Learning and Domain Knowledge to Facilitate Comparative Effectiveness Review Updating - 2012

Detection of Associations Between Trial Quality and Effect Sizes - 2012

Developing Clinical Practice Guidelines: Reviewing, Reporting, and Publishing Guidelines; Updating Guidelines; and the Emerging Issues of Enhancing Guideline Implementability and Accounting for Comorbid Conditions in Guidelines Development - 2012

Developing Clinical Practice Guidelines: Types of Evidence and Outcomes ; Values and Economics, Synthesis, Grading, and Presentation and Deriving Recommendations - 2012

Developing Clinical Practice Guidelines: Target Audiences, Identifying Topics for Guidelines, Guideline Group Composition and Functioning and Conflicts of Interest - 2012

Machine Learning Methods in Systematic Reviews: Identifying Quality Improvement Intervention Evaluations - 2012

Probiotics for the Prevention and Treatment of Antibiotic-Associated Diarrhea: A Systematic Review and Meta-Analysis - 2012

Review of the Evidence on Falls Prevention in Hospitals: Task 4 Final Report - 2012

Testing the Risk of Bias Tool Showed Low Reliability Between Individual Reviewers and Across Consensus Assessments of Reviewer Pairs - 2012

Validity and Inter-Rater Reliability Testing of Quality Assessment Instruments - 2012

A Framework for Classifying Patient Safety Practices: Results from an Expert Consensus Process - 2011

Advancing the Science of Patient Safety - 2011

Conducting Online Expert Panels: A Feasibility and Experimental Replicability Study - 2011

Does Better Quality of Care for Falls and Urinary Incontinence Result in Better Participant-Reported Outcomes? - 2011

Efficacy and Comparative Effectiveness of Atypical Antipsychotic Medications for Off-Label Uses in Adults: A Systematic Review and Meta-Analysis - 2011

Empirical Evidence of Associations Between Trial Quality and Effect Size - 2011

How Does Context Affect Interventions to Improve Patient Safety? An Assessment of Evidence from Studies of Five Patient Safety Practices and Proposals for Research - 2011

Identifying Continuous Quality Improvement Publications: What Makes an Improvement Intervention 'CQI'? - 2011

Identifying Quality Improvement Intervention Publications - a Comparison of Electronic Search Strategies - 2011

Off-label Use of Atypical Antipsychotics: An Update - 2011

Preventing Obesity and Its Consequences: Highlights of RAND Health Research - 2011

Review of the Current Literature on Outcome Measures Applicable to the Medicare Population for Use in a Quality Improvement Program: Project Deliverable 2a, 2b - 2011

Safety of Probiotics to Reduce Risk and Prevent or Treat Disease - 2011

The Role of Theory in Research to Develop and Evaluate the Implementation of Patient Safety Practices - 2011

What Context Features Might Be Important Determinants of the Effectiveness of Patient Safety Practice Interventions? - 2011

A Cost-Effectiveness Analysis of a Proposed National Falls Prevention Program - 2010

Assessing the Evidence for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria - 2010

Diagnosing and Managing Common Food Allergies: A Systematic Review - 2010

Diagnosing and Treating Food Allergies: The State of the Research - 2010

Diagnosis, Microbial Epidemiology, and Antibiotic Treatment of Acute Otitis Media in Children: A Systematic Review - 2010

Identifying Quality Improvement Intervention Evaluations: Is Consensus Achievable? - 2010

Meta-analysis: Effect of Interactive Communication Between Collaborating Primary Care Physicians and Specialists - 2010

Meta-analysis: Effect of Interactive Communication Between Collaborating Primary Care Physicians and Specialists - 2010

Outcomes of Intravesical Botulinum Toxin for Idiopathic Overactive Bladder Symptoms: A Systematic Review of the Literature - 2010

Prevalence, Natural History, Diagnosis, and Treatment of Food Allergy: A Systematic Review of the Evidence - 2010

A Practice-Based Intervention to Improve Primary Care for Falls, Urinary Incontinence, and Dementia - 2009

A Systematic Review of Health Care Efficiency Measures - 2009

Costs and Benefits of Health Information Technology: New Trends from the Literature - 2009

Efficiency and Its Measurement: What Practitioners Need to Know - 2009

Appropriateness Criteria for Coronary Angiography in Angina: Reliability and Validity - 2008

Delivery of Genomic Medicine for Common Chronic Adult Diseases - 2008

Delivery of Genomic Medicine for Common Chronic Adult Diseases: A Systematic Review - 2008

Evidence for Improving Palliative Care at the End of Life: A Systematic Review - 2008

Finding Order in Heterogeneity: Types of Quality-Improvement Intervention Publications - 2008

Identifying, Categorizing, and Evaluating Health Care Efficiency Measures - 2008

Improving the Quality of Health Care for Older Adults - 2008

Modeling the Health and Medical Care Spending of the Future Elderly - 2008

Pregnancy and Fertility Following Bariatric Surgery: A Systematic Review - 2008

Systematic Review: The Evidence That Publishing Patient Care Performance Data Improves Quality of Care - 2008

A Systematic Review of Measures of End-of-Life Care and Its Outcomes - 2007

Antiretroviral (ARV) Drug Resistance in the Developing World - 2007

Combining Multiple Indicators of Clinical Quality: An Evaluation of Different Analytic Approaches - 2007

Diagnosis and Management of Stable Chronic Obstructive Pulmonary Disease: A Clinical Practice Guideline from the American College of Physicians - 2007

Effect of Content and Format of Prescription Drug Labels on Readability, Understanding, and Medication Use: A Systematic Review - 2007

Efficacy and Comparative Effectiveness of Off-Label Use of Atypical Antipsychotics: Executive Summary - 2007

Introduction to the Assessing Care of Vulnerable Elders-3 Quality Indicators Measurement Set - 2007

Quality Indicators for the Care of Diabetes Mellitus in Vulnerable Elders - 2007

Quality Indicators for the Care of Hearing Loss in Vulnerable Elders - 2007

Relationship Between Number of Medical Conditions and Quality of Care - 2007

The Effect of a Quality Improvement Initiative on the Quality of Other Aspects of Health Care: The Law of Unintended Consequences? - 2007

Will My Patient Fall? - 2007

Antioxidants Vitamin C and Vitamin E for the Prevention and Treatment of Cancer - 2006

Comparison of Administrative Data and Medical Records to Measure the Quality of Medical Care Provided to Vulnerable Older Patients - 2006

Costs and Benefits of Health Information Technology - 2006

Development of Quality Indicators for Patients Undergoing Colorectal Cancer Surgery - 2006

Drug Class Review on Angiotensin II Receptor Antagonists: Final Report - 2006

Drug Class Review on Antiepileptic Drugs in Bipolar Mood Disorder, Neuropathic Pain, and Fibromyalgia: Final Report - 2006

Lowering Homocysteine with Folic Acid and B Vitamins Did Not Prevent Vascular Events in Vascular Disease - 2006

Patients' Global Ratings of Their Health Care Are Not Associated with the Technical Quality of Their Care - 2006

Quality Indicators in Bariatric Surgery: Improving Quality of Care - 2006

Quality Measures for Symptoms and Advance Care Planning in Cancer: A Systematic Review - 2006

Quality of Osteoarthritis Care for Community-Dwelling Older Adults - 2006

Systematic Review: Impact of Health Information Technology on Quality, Efficiency, and Costs of Medical Care - 2006

The First National Report Card on Quality of Health Care in America - 2006

A Qualitative Examination of Primary Care Providers' and Physician Managers' Uses and Views of Research Evidence - 2005

Are Ayurvedic Herbs for Diabetes Effective? - 2005

Challenges in Systematic Reviews of Complementary and Alternative Medicine Topics - 2005

Chiropractic in North America: A Descriptive Analysis - 2005

Combination Endoscopic Band Ligation and Sclerotherapy Compared with Endoscopic Band Ligation Alone for the Secondary Prophylaxis of Esophageal Variceal Hemorrhage: A Meta-Analysis - 2005

Consequences of Health Trends and Medical Innovation for the Future Elderly - 2005

Developing Quality Indicators for Elderly Patients Undergoing Abdominal Operations - 2005

Do Proxies Reflect Patients’ Health Concerns About Urinary Incontinence and Gait Problems? - 2005

Dysplasia and Risk of Further Neoplastic Progression in a Regional Veterans Administration Barrett's Cohort - 2005

Effects of Omega-3 Fatty Acids on Cancer - 2005

Effects of Omega-3 Fatty Acids on Cognitive Function with Aging, Dementia, and Neurological Diseases - 2005

Future Health and Medical Care Spending of the Elderly: Implications for Medicare - 2005

Identifying Potential Health Care Innovations for the Future Elderly - 2005

Improving Quality of Care: How the VA Outpaces Other Systems in Delivering Patient Care - 2005

Meta-analysis: Pharmacologic Treatment of Obesity - 2005

Meta-analysis: Surgical Treatment of Obesity - 2005

Meta-analysis: Chronic Disease Self-Management Programs for Older Adults - 2005

Methodological Approaches for a Systematic Review of End-of-Life Care - 2005

Patients' Preferences for Technical Versus Interpersonal Quality When Selecting a Primary Care Physician - 2005

Predictors of Overall Quality of Care Provided to Vulnerable Older People - 2005

Psychiatric Effects of Ephedra Use: An Analysis of Food and Drug Administration Reports of Adverse Events - 2005

Psychiatric Symptoms Associated with Ephedra Use - 2005

Quality of Care Is Associated With Survival in Vulnerable Older Patients - 2005

Quality of Care Is Associated with Survival in Vulnerable Older Patients - 2005

Some Prescription Diet Drugs Promote Weight Loss - 2005

The English Star Rating System: Failure of Theory or Practice? - 2005

Treating Low Back Pain - 2005

Weight Loss Surgery is More Effective Than Diet and Exercise in Helping Severely Obese People Lose Weight - 2005

Comparison of Quality of Care for Patients in the Veterans Health Administration and Patients in a National Sample - 2004

Cost-effectiveness of Screening with B-type Natriuretic Peptide to Identify Patients with Reduced Left Ventricular Ejection Fraction - 2004

Detection and Management of Falls and Instability in Vulnerable Elders By Community Physicians - 2004

Developing Quality Indicators for Older Adults: Transfer from the USA to the UK Is Feasible - 2004

Effect of Supplemental Vitamin E for the Prevention and Treatment of Cardiovascular Disease - 2004

Effects of Omega-3 Fatty Acids on Lipids and Glycemic Control in Type II Diabetes and the Metabolic Syndrome and on Inflammatory Bowel Disease, Rheumatoid Arthritis, Renal Disease, Systemic Lupus Erythematosus, and Osteoporosis - 2004

End-of-life Care and Outcomes: Prepared By Southern California Evidence-based Practice Center RAND Corporation ; Principal Investigators, Karl Lorenz, Joanne Lynn - 2004

Health Status and Medical Treatment of the Future Elderly: Final Report - 2004

Increased Medicare Expenditures for Physicians' Services: What Are the Causes? - 2004

Interventions for the Prevention of Falls in Older Adults: Systematic Review and Meta-Analysis of Randomised Clinical Trials - 2004

Meta-regression Approaches: What, Why, When, and How? - 2004

Pharmacological and Surgical Treatment of Obesity - 2004

Preventing Violence and Related Health-Risking Social Behaviors in Adolescents - 2004

Preventing Visual Loss from Chronic Eye Disease in Primary Care: Scientific Review - 2004

Preventing and Managing Visual Disability in Primary Care: Clinical Applications - 2004

Quality Indicators for Preventive Care of the Vulnerable Elder - 2004

Quality Indicators for the Management of Diabetes Mellitus for Vulnerable Older Persons - 2004

Quality Indicators for the Management of Hearing Loss in Vulnerable Elder Persons - 2004

Quality Indicators for the Management of Ischemic Heart Disease in Vulnerable Older Persons - 2004

Quality of Health Care Received by Older Adults - 2004

Smoking-cessation Interventions By Type of Provider: A Meta-Analysis - 2004

Socioeconomic Inequalities in Indicator Scores for Diabetes: Poor Quality or Poor Measures? - 2004

Systematic Reviews for Evidence-Based Management: How to Find Them and What to Do with Them - 2004

The Quality of Care Provided to Vulnerable Older Community-Based Patients with Urinary Incontinence - 2004

The Quality of Medical Care Provided to Vulnerable Older Patients with Chronic Pain - 2004

The Quality of Pharmacologic Care for Vulnerable Older Patients - 2004

A Review of the Evidence for the Effectiveness, Safety, and Cost of Acupuncture, Massage Therapy, and Spinal Manipulation for Back Pain - 2003

Best-case Series for the Use of Immuno-Augmentation Therapy and Naltrexone for the Treatment of Cancer - 2003

Can Health Care Quality Indicators Be Transferred Between Countries? - 2003

Chronic Disease Self Management for Diabetes, Osteoarthritis, Post-Myocardial Infarction Care, and Hypertension - 2003

Determinants of Increases in Medicare Expenditure for Physicians' Services - 2003

Determinants of Increases in Medicare Expenditures for Physicians' Services - 2003

Effect of Supplemental Antioxidants Vitamin C, Vitamin E, and Coenzyme Q10 for the Prevention and Treatment of Cardiovascular Disease - 2003

Effect of the Supplemental Use of Antioxidants Vitamin C, Vitamin E, and Coenzyme Q10 for the Prevention and Treatment of Cancer - 2003

Efficacy and Safety of Ephedra and Ephedrine for Weight Loss and Athletic Performance: A Meta-Analysis - 2003

Efficacy of Angiotensin-Converting Enzyme Inhibitors and Beta-Blockers in the Management of Left Ventricular Systolic Dysfunction According to Race, Gender and Diabetic Status: A Meta-Analysis of Major Clinical Trials - 2003

Ephedra: Is It Worth the Risk? - 2003

Ephedra: Is It Worth the Risk? - 2003

Ephedra and Ephedrine for Weight Loss and Athletic Performance Enhancement: Clinical Efficacy and Side Effects - 2003

Evidence Assessment of the Accuracy of Methods of Diagnosing Middle Ear Effusion in Children with Otitis Media with Effusion - 2003

Exercise Programs for Older Adults: A Systematic Review and Meta-analysis - 2003

Falls Prevention Interventions in the Medicare Population - 2003

Health Risk Appraisals and Medicare - 2003

How Useful Are Unpublished Data from the Food and Drug Administration in Meta-Analysis? - 2003

Interventions that Increase the Utilization of Medicare-Funded Preventive Services for Persons Age 65 and Older - 2003

Interventions to Promote Smoking Cessation in the Medicare Population - 2003

Is the Methodological Quality of Guidelines Declining in the US? Comparison of the Quality of US Agency for Health Care Policy and Research (AHCPR) Guidelines with Those Published Subsequently - 2003

Meta-analysis of Dyspepsia and Nonsteroidal Antiinflammatory Drugs - 2003

New Contract for General Practitioners: A Bold Initiative to Improve Quality of Care, but Implementation Will Be Difficult - 2003

Pharmacologic Management of Heart Failure and Left Ventricular Systolic Dysfunction: Effect in Female, Black, and Diabetic Patients, and Cost-Effectiveness - 2003

Public Reporting on Quality in the United States and the United Kingdom: In Both Countries the Imperatives of Accountability and Quality Improvement Make the Wider Development and Implementation for Report Cards Inevitable - 2003

Quality of Care for Older Persons at the Dawn of the Third Millennium - 2003

RAND Review: Vol. 27, No. 1, Spring 2003 - 2003

Reliability of Clinical Guideline Development Using Mail-Only Versus In-Person Expert Panels - 2003

Screening and Management of Adult Hearing Loss in Primary Care: Clinical Applications - 2003

Screening and Management of Adult Hearing Loss in Primary Care: Scientific Review - 2003

Spinal Manipulative Therapy for Low Back Pain: A Meta-Analysis of Effectiveness Relative to Other Therapies - 2003

Standardized Reporting of Clinical Practice Guidelines: A Proposal from the Conference on Guideline Standardization - 2003

The Quality of Medical Care Provided to Vulnerable Community-Dwelling Older Patients - 2003

A Metaanalysis of Severe Upper Gastrointestinal Complications of Nonsteroidal Antiinflammatory Drugs - 2002

Antimicrobial Prophylaxis for Urinary Tract Infection in Persons with Spinal Cord Dysfunction - 2002

Appropriateness Ratings - 2002

Biofeedback Interventions for Gastrointestinal Conditions: A Systematic Review - 2002

Current Validity of AHRQ Clinical Practice Guidelines - 2002

Diagnosis, Natural History, and Late Effects of Otitis Media with Effusion - 2002

Do NSAIDs Cause Dyspepsia? A Meta-Analysis Evaluating Alternative Dyspepsia Definitions - 2002

Mass Mailings Have Little Effect on Utilization of Influenza Vaccine Among Medicare Beneficiaries - 2002

Next-day Care for Emergency Department Users with Nonacute Conditions: A Randomized, Controlled Trial - 2002

Patients Using Chiropractors in North America: Who Are They, and Why Are They in Chiropractic Care? - 2002

Report Cards for Health Care: Is Anyone Checking Them? - 2002

S-adenosyl-L-methionine for Treatment of Depression, Osteoarthritis, and Liver Disease - 2002

Use of Complementary/alternative Therapies By Women with Advanced-Stage Breast Cancer - 2002

Why Don't Physicians Enthusiastically Support Quality Improvement Programmes? - 2002

ACOVE Quality Indicators - 2001

Assessing Care of Vulnerable Elders: Methods for Developing Quality Indicators - 2001

Assessing Care of Vulnerable Elders: Acove Project Overview - 2001

Ayurvedic Interventions for Diabetes Mellitus: A Systematic Review - 2001

Changing Views of Chiropractic ...and a National Reappraisal of Nontraditional Health Care - 2001

Cost-sharing for Prescriptions of Sildenafil and Finasteride: A Case Study in Veteran Patients - 2001

Deferred Care for Adults with Musculoskeletal Complaints - 2001

Evaluating Quality Indicators for Patients with Community-Acquired Pneumonia - 2001

Evidence Assessment of Management of Acute Otitis Media - 2001

Evidence Assessment of Management of Acute Otitis Media - 2001

Management of Acute Otitis Media - 2001

Mind-body Interventions for Gastrointestinal Conditions - 2001

Quality Indicators for Pain Management in Vulnerable Elders - 2001

Sensitivity and Specificity of the RAND/UCLA Appropriateness Method to Identify the Overuse of Coronary Revascularization and Hysterectomy - 2001

The Vulnerable Elders Survey: A Tool for Identifying Vulnerable Older People in the Community - 2001

Validity of the Agency for Healthcare Research and Quality Clinical Practice Guidelines: How Quickly Do Guidelines Become Outdated? - 2001

When Should Clinical Guidelines Be Updated? - 2001

Are Nonspecific Practice Guidelines Potentially Harmful? a Randomized Comparison of the Effect of Nonspecific Versus Specific Guidelines on Physician Decision Making - 2000

Defining and Measuring Quality of Care: A Perspective from U.S. Researchers - 2000

Does This Patient Need to Be Evaluated Today? Designing a Guideline-Driven Triage Process to Determine the Timing of Care for Adults with Respiratory Infection Symptoms - 2000

Dying to Know: Public Release of Information about Quality of Health Care - 2000

Electroacupuncture for Control of Myeloablative Chemotherapy-Induced Emesis: A Randomized Controlled Trial - 2000

Measuring Quality in Health Care - 2000

Prevention of Venous Thromboembolism After Injury: An Evidence-Based Report - 2000

Prevention of Venous Thromboembolism After Injury: An Evidence-Based Report - 2000

Prevention of Venous Thromboembolism After Injury - 2000

Principles of Metaanalysis - 2000

Public Disclosure of Performance Data: Learning from the US Experience - 2000

Public Reporting of Performance: Lessons from the USA - 2000

Quality of Care for Patients with Rheumatoid Arthritis - 2000

Safely Directing Patients to Appropriate Levels of Care: Guideline-Driven Triage in the Emergency Service - 2000

Selecting Target Conditions for Quality of Care Improvement in Vulnerable Older Adults - 2000

The Public Release of Performance Data: What Do We Expect to Gain? A Review of the Evidence - 2000

Use of Performance Data to Change Physician Behavior - 2000

Clinical Guidelines: Developing Guidelinenes - 1999

Delphi-panel Analysis Paper By Gate Et Al. - 1999

Development of Review Criteria for Assessing the Quality of Management of Stable Angina, Adult Asthma, and Non-Insulin Dependent Diabetes Mellitus in General Practice - 1999

Nurse-led Telephone-Advice Lines - 1999

Prevention and Management of Urinary Tract Infections in Paralyzed Persons - 1999

Spinal Manipulation, Current Research - 1999

Systematic Review of Risk Factors for Urinary Tract Infection in Adults with Spinal Cord Dysfunction - 1999

The Effect of Panel Membership and Feedback on Ratings in a Two-Round Delphi Study: Results of a Randomized Controlled Trial - 1999

Use of chiropractic services from 1985 through 1991 in the United States and Canada - 1999

Assessing the Predictive Validity of the RAND/UCLA Appropriateness Method Criteria for Performing Carotid Endarterectomy - 1998

Congruence Between Decisions to Initiate Chiropractic Spinal Manipulation for Low Back Pain and Appropriateness Criteria in North America - 1998

Costs Attributable to Osteoarthritis - 1998

Quality Indicators for General Practice: Which Ones Can General Practitioners and Health Authority Managers Agree Are Important and How Useful Are They? - 1998

The Reproducibility of a Method to Identify the Overuse of Medical Procedures - 1998

What Role for Chiropractic in Health Care? - 1998

An epidemiologic study of episodes of back pain care - 1997

Cervical spine manipulation : summary report of a systematic review of the literature and a multidisciplinary expert panel - 1997

Comparing the costs between provider types of episodes of back pain care - 1997

Factors associated with choosing a chiropractor for episodes of back pain care - 1997

Impact of varying panel membership on ratings of appropriateness in consensus panels : a comparison of a multi- and single disciplinary panel - 1997

Is the Quality of Diabetes Care Better in a Diabetes Clinic or in a General Medicine Clinic? - 1997

Manipulation and mobilization of the cervical spine : a systematic review of the literature - 1997

The Use of Expert Panel Results: The RAND Panel for Appropriateness of Manipulation and Mobilization of the Cervical Spine - 1997

The effect of cost sharing on the use of chiropractic services - 1997

Differences Between Patients' and Physicians' Evaluations of Outcome After Total Hip Arthroplasty - 1996

Evaluating the Use of the Appropriateness Method in the Agency for Health Care Policy and Research Clinical Practice Guideline Development Process - 1996

Spinal Manipulation for Low-Back Pain - 1996

The Appropriateness of Chiropractic Spinal Manipulation for Low-Back Pain, a Pilot Study - 1996

The Appropriateness of Manipulation and Mobilization of the Cervical Spine - 1996

The Effect of a Medical School's Admission and Curriculum Policies on Increasing the Number of Physicians in Primary Care Specialties - 1996

Designing a National Report on Effectiveness and Appropriateness of Care: Measurement, Data Collection, and Reporting Strategies : Appendix B - 1995

The Appropriateness of Spinal Manipulation for Low-Back Pain: Data Collection Instruments and a Manual for Their Use - 1995

A Brief Introduction to the Critical Reading of the Clinical Literature - 1994

Spine Update: Spinal Manipulation - 1994

The Use and Costs of Chiropractic Care in the Health Insurance Experiment - 1994

The Roles of Physicians in the Twenty-First Century: A Research Agenda - 1993

Using the Appropriateness Method in Clinical Practice Guideline Development - 1993

Evaluating the Treatment of Sexually Transmitted Diseases at an Urban Public Hospital Outpatient Clinic - 1992

The Appropriateness of Spinal Manipulation for Low-Back Pain: Indications and Ratings by an All-Chiropractic Expert Panel - 1992

A Community-Based Study of the Use of Chiropractic Services - 1991

The Appropriateness of Spinal Manipulation for Low-Back Pain: Indications and Ratings by a Multidisciplinary Expert Panel - 1991

The Appropriateness of Spinal Manipulation for Low-Back Pain: Project Overview and Literature Review - 1991

The Los Angeles County Trauma System: A Status Report - 1991

Using Existing Systematic Reviews in Complex Systematic Reviews -