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Ralph Gonzales, MD, MSPH
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Associate Dean, Chancellor/EVC/FAS
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Email: Ralph.Gonzales@ucsf.edu
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Biography
Dr. Ralph Gonzales is Associate Dean for Clinical Innovation and Chief Innovation Officer for UCSF Health. His research has played a significant role in national and global efforts to combat antimicrobial resistance by improving antibiotic prescribing practices - the body of which provides a successful roadmap for translating evidence into practice, policy and public health. Dr Gonzales’ research is multidisciplinary, patient-centered, and informed by relevant stakeholders and policy makers such as the CDC, NCQA, professional societies and community clinicians and patients. It represents the full spectrum of translational research - from practice guideline development, to implementation of innovative health care interventions, to conducting larger community-based trials to examine the comparative effectiveness of different health care interventions.
In addition, Dr. Gonzales is currently leading several project teams in designing, implementing and evaluating new ways to improve primary care-specialty care communication and care coordination, focusing on strategies that achieve the triple aim of improving quality, outcomes and decreasing costs. One includes the use of eReferrals and eConsults to streamline the referral and coordination process; another project is evaluating new team-based strategies to reduce unnecessary follow-up visits in specialty care.
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- Lee HC, Bardach NS, Maselli JH, Gonzales R. Emergency department visits in the neonatal period in the United States. Pediatr Emerg Care. 2014 May; 30(5):315-8.
- Eng JA, Hunter CJ, Handley MA, Boscardin CK, Gonzales R, Ackerman SL. Patient attitudes about specialty follow-up care by telephone. Am J Manag Care. 2014 Feb; 20(2):164-7.
- Ackerman SL, Gonzales R, Stahl MS, Metlay JP. One size does not fit all: evaluating an intervention to reduce antibiotic prescribing for acute bronchitis. BMC Health Serv Res. 2013 Nov 04; 13:462.
- Nguyen OK, Tang N, Hillman JM, Gonzales R. What's cost got to do with it? Association between hospital costs and frequency of admissions among "high users" of hospital care. J Hosp Med. 2013 Dec; 8(12):665-71.
- Gonzales R, Metlay JP. Shifting the paradigm for promoting appropriate antibiotic use. J Gen Intern Med. 2013 Jun; 28(6):756-7.
- Ackerman S, Auer R, Gonzales R. Cultural capital: accounting for power in patient-physician interactions. JAMA Intern Med. 2013 Mar 11; 173(5):393-4.
- Boscardin CK, Gonzales R. The impact of demographic characteristics on nonresponse in an ambulatory patient satisfaction survey. Jt Comm J Qual Patient Saf. 2013 Mar; 39(3):123-8.
- Gonzales R, Anderer T, McCulloch CE, Maselli JH, Bloom FJ, Graf TR, Stahl M, Yefko M, Molecavage J, Metlay JP. A cluster randomized trial of decision support strategies for reducing antibiotic use in acute bronchitis. JAMA Intern Med. 2013 Feb 25; 173(4):267-73.
- Gonzales R, Ackerman S, Handley M. Can implementation science help to overcome challenges in translating judicious antibiotic use into practice? Arch Intern Med. 2012 Oct 22; 172(19):1471-3.
- Fahimi J, Herring A, Harries A, Gonzales R, Alter H. Computed tomography use among children presenting to emergency departments with abdominal pain. Pediatrics. 2012 Nov; 130(5):e1069-75.
- Ackerman SL, Tebb K, Stein JC, Frazee BW, Hendey GW, Schmidt LA, Gonzales R. Benefit or burden? A sociotechnical analysis of diagnostic computer kiosks in four California hospital emergency departments. Soc Sci Med. 2012 Dec; 75(12):2378-85.
- Schwarz EB, Burch EJ, Parisi SM, Tebb KP, Grossman D, Mehrotra A, Gonzales R. Computer-assisted provision of hormonal contraception in acute care settings. Contraception. 2013 Feb; 87(2):242-50.
- Ackerman S, Gonzales R. The context of antibiotic overuse. Ann Intern Med. 2012 Aug 07; 157(3):211-2.
- Roth S, Gonzales R, Harding-Anderer T, Bloom FJ, Graf T, Stahl MS, Maselli JH, Metlay JP. Unintended consequences of a quality measure for acute bronchitis. Am J Manag Care. 2012 Jun 01; 18(6):e217-24.
- Govindarajan P, Gonzales R, Maselli JH, Johnston SC, Fahimi J, Poisson S, Stein JC. Regional differences in emergency medical services use for patients with acute stroke (findings from the National Hospital Ambulatory Medical Care Survey Emergency Department Data File). J Stroke Cerebrovasc Dis. 2013 Nov; 22(8):e257-63.
- Afonso AM, Ebell MH, Gonzales R, Stein J, Genton B, Senn N. The use of classification and regression trees to predict the likelihood of seasonal influenza. Fam Pract. 2012 Dec; 29(6):671-7.
- Gonzales R, Handley MA, Ackerman S, O'sullivan PS. A framework for training health professionals in implementation and dissemination science. Acad Med. 2012 Mar; 87(3):271-8.
- Gonzales R, López-Caudana AE, González-Flores T, Jayanthan J, Corbett KK, Reyes-Morales H. Antibiotic knowledge and self-care for acute respiratory tract infections in Mexico. Salud Publica Mex. 2012 Mar-Apr; 54(2):152-7.
- Ebell MH, Afonso AM, Gonzales R, Stein J, Genton B, Senn N. Development and validation of a clinical decision rule for the diagnosis of influenza. J Am Board Fam Med. 2012 Jan-Feb; 25(1):55-62.
- Gonzales R, Handley MA. Improving glycemic control when "usual" diabetes care is not enough. Arch Intern Med. 2011 Dec 12; 171(22):1999-2000.
- Stein JC, Navab B, Frazee B, Tebb K, Hendey G, Maselli J, Gonzales R. A randomized trial of computer kiosk-expedited management of cystitis in the emergency department. Acad Emerg Med. 2011 Oct; 18(10):1053-9.
- Moffett SE, Frazee BW, Stein JC, Navab B, Maselli J, Takhar SS, Gonzales R. Antimicrobial resistance in uncomplicated urinary tract infections in 3 California EDs. Am J Emerg Med. 2012 Jul; 30(6):942-9.
- Westphalen AC, Hsia RY, Maselli JH, Wang R, Gonzales R. Radiological imaging of patients with suspected urinary tract stones: national trends, diagnoses, and predictors. Acad Emerg Med. 2011 Jul; 18(7):699-707.
- Sarkar U, López A, Maselli JH, Gonzales R. Adverse drug events in U.S. adult ambulatory medical care. Health Serv Res. 2011 Oct; 46(5):1517-33.
- Price EL, Mackenzie TD, Metlay JP, Camargo CA, Gonzales R. A computerized education module improves patient knowledge and attitudes about appropriate antibiotic use for acute respiratory tract infections. Patient Educ Couns. 2011 Dec; 85(3):493-8.