Professional Summary
Steven J. Bernstein is an Associate Research Scientist in the Department of Health Management and Policy and an Associate Professor in the Department of Internal Medicine at the University of Michigan. He is also director of the measurement and implementation unit of the University of Michigan Health System GUIDES (Guidelines, Utilization, Implementation, Development and Evaluation Studies) program.
Education
M.P.H., Health Services Research, University of California Los Angeles, 1989
M.D., University of Rochester, 1984
B.A., Biology and Political Science, University of Rochester, 1980
Research Interest & Projects
Dr. Bernstein's research focuses on efforts to improve the quality of health care. His recent research on appropriateness of care has focused on the use of cardiovascular procedures in Western Europe and their outcomes. His work on guidelines includes methodologic issues on development, physician response to guidelines, institutional compliance and implementation strategies. With respect to decision making he is assessing the roles doctors and patients play in decision making and the effects of decision aids.
He has been studying the appropriateness of use of medical technology, the development and implementation of clinical practice guidelines, and the role of patients and physicians in clinical decision making. Much of his research involves cardiovascular and women's health issues in the United States, Canada, and Western Europe.
Selected Publications
Bernstein, S.J., Lazaro, L., Fitch, K., et al. (2001). The effect of specialty and nationality on panel judgments of the appropriateness of coronary revascularization: A pilot study. Medical Care, 39, 513-520.
Brorsson, B., Bernstein, S.J., Brook, R.H., et al. (2001). Quality of life of chronic stable angina patients four years after coronary angioplasty or coronary artery bypass surgery. Journal of Internal Medicine, 249, 47-57.
Sonnad, S.S., Moyer, C.A., and Bernstein, S.J. (2000). Comparing physician and administrator responses to Cesarean section guidelines and actual practice. Journal on Quality Improvement, 26(9), 515-524.
Bernstein, S.J., Skarupski, K.A., Grayson, C.E., et al. (1998). A randomized controlled trial of information-giving to patients referred for coronary angiography: Effects on outcomes of care. Health Expectations, 1, 50-61.
Shekelle, P.G., Kahan, J.P., Bernstein S.J., et al. (1998). The reproducibility of a method to identify the overuse and underuse of medical procedures. New England Journal of Medicine, 338, 1888-1895.
Professional Affiliations
American College of Physicians
Society of General Internal Medicine
International Society of Technology Assessment in Health Care
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