Ralph Gonzales, MD, MSPH

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Ralph Gonzales, MD, MSPH

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Associate Dean, Chancellor/EVC/FAS
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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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  1. Stein JC, Jacoby VL, Vittinghoff E, Wang R, Kwan E, Reynolds T, McAlpine I, Gonzales R. Differential use of diagnostic ultrasound in u.s. Emergency departments by time of day. West J Emerg Med. 2011 Feb; 12(1):90-5.
  2. Shapiro DJ, Gonzales R, Cabana MD, Hersh AL. National trends in visit rates and antibiotic prescribing for children with acute sinusitis. Pediatrics. 2011 Jan; 127(1):28-34.
  3. Cornia PB, Hersh AL, Lipsky BA, Newman TB, Gonzales R. Does this coughing adolescent or adult patient have pertussis? JAMA. 2010 Aug 25; 304(8):890-6.
  4. Tang N, Stein J, Hsia RY, Maselli JH, Gonzales R. Trends and characteristics of US emergency department visits, 1997-2007. JAMA. 2010 Aug 11; 304(6):664-70.
  5. Hersh AL, Gonzales R. Decreasing out-of-pocket costs of antibiotics: the good, the bad, and the unknown. Arch Intern Med. 2010 Aug 09; 170(15):1314-6.
  6. Aagaard EM, Gonzales R, Camargo CA, Auten R, Levin SK, Maselli J, Metlay J. Physician champions are key to improving antibiotic prescribing quality. Jt Comm J Qual Patient Saf. 2010 Mar; 36(3):109-16.
  7. Wirtz VJ, Dreser A, Gonzales R. Trends in antibiotic utilization in eight Latin American countries, 1997-2007. Rev Panam Salud Publica. 2010 Mar; 27(3):219-25.
  8. Fee C, Metlay JP, Camargo CA, Maselli JH, Gonzales R. ED antibiotic use for acute respiratory illnesses since pneumonia performance measure inception. Am J Emerg Med. 2010 Jan; 28(1):23-31.
  9. Tsui JI, Maselli J, Gonzales R. Sociodemographic trends in national ambulatory care visits for hepatitis C virus infection. Dig Dis Sci. 2009 Dec; 54(12):2694-8.
  10. Steinman MA, Yang KY, Byron SC, Maselli JH, Gonzales R. Variation in outpatient antibiotic prescribing in the United States. Am J Manag Care. 2009 Dec; 15(12):861-8.
  11. Stearns CR, Gonzales R, Camargo CA, Maselli J, Metlay JP. Antibiotic prescriptions are associated with increased patient satisfaction with emergency department visits for acute respiratory tract infections. Acad Emerg Med. 2009 Oct; 16(10):934-41.
  12. Levin SK, Metlay JP, Maselli JH, Kersey AS, Camargo CA, Gonzales R, IMPAACT Project Investigators . Perceived social support among adults seeking care for acute respiratory tract infections in US EDs. Am J Emerg Med. 2009 Jun; 27(5):582-7.
  13. Hersh AL, Cabana MD, Gonzales R, Shenkin BN, Cho CS. Pediatricians' perspectives on the impact of MRSA in primary care: a qualitative study. BMC Pediatr. 2009 Apr 14; 9:27.
  14. Gonzales R, Aagaard EM, Camargo CA, Ma OJ, Plautz M, Maselli JH, McCulloch CE, Levin SK, Metlay JP. C-reactive protein testing does not decrease antibiotic use for acute cough illness when compared to a clinical algorithm. J Emerg Med. 2011 Jul; 41(1):1-7.
  15. Schwarz EB, Sobota M, Gonzales R, Gerbert B. Computerized counseling for folate knowledge and use: a randomized controlled trial. Am J Prev Med. 2008 Dec; 35(6):568-71.
  16. Ranji SR, Steinman MA, Shojania KG, Gonzales R. Interventions to reduce unnecessary antibiotic prescribing: a systematic review and quantitative analysis. Med Care. 2008 Aug; 46(8):847-62.
  17. Hersh AL, Chambers HF, Maselli JH, Gonzales R. National trends in ambulatory visits and antibiotic prescribing for skin and soft-tissue infections. Arch Intern Med. 2008 Jul 28; 168(14):1585-91.
  18. Wigton RS, Darr CA, Corbett KK, Nickol DR, Gonzales R. How do community practitioners decide whether to prescribe antibiotics for acute respiratory tract infections? J Gen Intern Med. 2008 Oct; 23(10):1615-20.
  19. Gonzales R, Corbett KK, Wong S, Glazner JE, Deas A, Leeman-Castillo B, Maselli JH, Sebert-Kuhlmann A, Wigton RS, Flores E, Kafadar K. "Get smart Colorado": impact of a mass media campaign to improve community antibiotic use. Med Care. 2008 Jun; 46(6):597-605.
  20. Schwarz EB, Gerbert B, Gonzales R. Computer-assisted provision of emergency contraception a randomized controlled trial. J Gen Intern Med. 2008 Jun; 23(6):794-9.
  21. Gonzales R, Corbett KK, Wirtz V, Dreser A. Drug Resistant Infections in Poor Countries: A shrinking window of opportunity. BMJ. 2008 Apr 26; 336(7650):948-9.
  22. Lurie P, Cornia PB, Lipsky BA, Gonzales R. Nothing to cough at. N Engl J Med. 2008 Feb 21; 358(8):857; author reply 857.
  23. Pletcher MJ, Kertesz SG, Kohn MA, Gonzales R. Trends in opioid prescribing by race/ethnicity for patients seeking care in US emergency departments. JAMA. 2008 Jan 02; 299(1):70-8.
  24. Cals JW, Boumans D, Lardinois RJ, Gonzales R, Hopstaken RM, Butler CC, Dinant GJ. Public beliefs on antibiotics and respiratory tract infections: an internet-based questionnaire study. Br J Gen Pract. 2007 Dec; 57(545):942-7.
  25. Sarkar U, Piette JD, Gonzales R, Lessler D, Chew LD, Reilly B, Johnson J, Brunt M, Huang J, Regenstein M, Schillinger D. Preferences for self-management support: findings from a survey of diabetes patients in safety-net health systems. Patient Educ Couns. 2008 Jan; 70(1):102-10.