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Stephan D. Fihn
Professor
My interests relate to clinically-oriented health services research.

 

MD  
St Louis University, 1977
MPH  
University of Washington, 1981
Health Services
BS  
, 1973
Chemistry
Professor, Department of Medicine (primary appt.)

Department of Health Services Program Affiliations:
  -  Health Care and Population Health Research Track, (MPH program)

Professor Fihn is a general internist with interests in quality of care particularly in the outpatient setting and in health measurement. He also serves as Director of the Northwest VA Health Services Research and Development Center of Excellence at VA Puget Sound Health Care System and as Head of the Division of General Internal Medicine in the Department of Medicine. He co-directs the GIM/HSR&D fellowship program at the VAPSHCS.

Contact Information
VA Health Services R&D
Center of Excellence
1100 Olive Way, Suite 1400
Seattle, WA 98101
(voice)  206-764-2651     (fax)  206-768-5412
sfihn@u.washington.edu

(office)  10EH33
Harborview Medical Center
325 Ninth Ave
Box:  359780
Seattle, WA 98104
(voice)  206-731-3391     (fax)  206-731-6988
(staff contact):  Shannon Grimm
(voice)  206-764-2651     (fax)  206-768-5412
sgrimm@u.washington.edu
Teaching Interests
clinically oriented health services research
Research Interests
Quality of care particularly in the outpatient setting and in health measurement. Specific clinical topics include heart disease, COPD, UTI, anticoagulation.
Projects
Risk Factors for Urinary Tract Infections in Postmenopausal Women
Cohort study conducted at Group Health of Puget Sound
Population-Based Assessments of Health and Satisfaction Using ACQUIP
Secondary analyses of a large, longtitudinal dataset containing information on over 30,000 primary care patients from 7 VA medical centers.
Quality Enhancement Research Initiative (QUERI), Ischemic Heart Disease Coordinating Center
Coordinating center for several quality improvement/research projects in the Dept. of Veteran Affairs.
Selected Publications

Spertus JA, Winder J, Dewhurst T, Deyo RA, Fihn SD. The seattle angina questionnaire: validation and reliability of of a new functional status measure for coronary artery disease. J Am Coll Cardiol 1995;25;333-41.

Fan VS, Au DH, Heagerty P, Deyo RA, McDonell MB, Fihn SD for the Ambulatory Care Quality Improvement Project (ACQUIP) Investigators. Validation of case-mix measures derived from self-reports of diagnoses and health. J Clin Epi 2002;55:317-80.

Au DH, McDonell MB, Martin D, Fihn SD. Regional variations in health status. Med Care 2001;39:879-88

Fihn SD, Wicher J. Withdrawing routine outpatient medical services: effects on access and health. J Gen Intern Med 1988;3:356-62

Fihn SD, Latham RH, Roberts P, Running K, Stamm WE. Association between diaphragm use and urinary tract infection. JAMA 1985;254:240-5.

Dissertation, Thesis and Capstone Committees (recent graduates)
2007
Member, thesis committee for Patricia Francis Gerstel
Association between the AUDIT-C Questionnaire, a surrogate marker of alcohol intake, and adverse diabetic self care behaviors in VA primary care diabetic patients

2004
Chair, thesis committee for Kent Hu
Risk factors for urinary tract infections in postmenopausal women

2004
Member, thesis committee for Tammy Lin
Academic medical centers and health news on local television


Links
Division of General Internal Medicine

http://depts.washington.edu/gim/
Northwest VA Health Services Research & Development Center of Excellence

http://www1.va.gov/pshsrd/