Research

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Jonathan Finkelstein, MD, MPH

Jonathan Finkelstein
Department:
Medicine Research
Division
General Pediatrics Research
Hospital Title:
Vice Chair for Quality and Outcomes, Department of Medicine
Academic Title:
Professor of Pediatrics, Harvard Medical School
Research Focus Area:
Antibiotic UsePopulation MedicineManaged CareQuality Measurement and Improvement

Research Overview

The goals of Jonathan Finkelstein's research are to:

  • Promote judicious antibiotic use in primary care practice.
  • Measure trends in community antibiotic resistance among key pathogens.
  • Develop new research methods and infrastructure to measure and improve the quality of care for children.

His research has included a wide range of epidemiologic studies of disease burden in defined populations. He has also conducted cluster-randomized behavior change intervention trials for both providers and patients to improve asthma care and to promote more judicious antibiotic prescribing.  Currently, he leads a decade-long longitudinal study of antibiotic resistance in eight Massachusetts communities. 

About Jonathan Finkelstein, MD, MPH

Jonathan Finkelstein received his MD from the University of Pennsylvania School of Medicine and his MPH from Harvard School of Public Health. He completed an internship, residency and fellowship at Boston Children's Hospital.  Dr. Finkelstein is the Vice Chair for Quality and Outcomes and holds the Donald M. Berwick Chair in Pediatric Quality and Outcomes at Boston Children’s Hospital.  He co-directs a training program for pediatric health services researchers and teaches extensively at Harvard Medical School.

Active Projects

2010-2015 Conjugate vaccine impact on pneumococcal carriage, disease, and population genetics

NIH-NIAID 2 R01 AI066304-05
Principal Investigator

This research continues the examination of trends in pneumococcal colonizing and invasive disease isolates, will assess shifts in pneumococcal population structure by MLST, and use whole genome sequencing to identify potential genetic determinants associated with serotype switching and invasiveness.

2010-2015 Emerging trends in antimicrobial use and their impact on primary care for children

NIH-NICHD 1K24HD060786
Principal Investigator

This mid-career development award allows investigation of antibiotic use trends using data from 3 health plans, as well as conducting a parent survey regarding current views of antibiotic use among the general public. It also allows Dr. Finkelstein to focus additional effort on mentorship activities in his roles as a research fellowship director.

2013-2018 Research Training in Prevention and Care of Chronic Illness in Childhood

NICHD 1T32HD075727-01
Principal Investigator

This NRSA program supports training for researchers to study prevention and care delivery for children, particularly those with chronic conditions.  It will include research on childhood risk factors for disease; and methods to transform health systems to deliver more effective, coordinated care. The program will support trainee stipends and tuition at the Harvard School of Public Health, and other fellowship expenses.

2013-2018 Training in child health services research and implementation science     

AHRQ 2T32HS000063-20
Principal Investigator

This grant supports an NRSA post-doctoral fellowship program for health services researchers across pediatric subspecialties with a focus on training in implementation science. The program will support trainee stipends and tuition at the Harvard School of Public Health, and other fellowship expenses.

Publications

Publications powered by Harvard Catalyst Profiles
  1. Raphael BP, Murphy M, Gura KM, Litman H, Dalton MK, Finkelstein JA, Lightdale JR. Discrepancies Between Prescribed and Actual Pediatric Home Parenteral Nutrition Solutions. Nutr Clin Pract. 2016 Oct; 31(5):654-8.
  2. Luff D, Allair B, Litterer K, O'Donnell WR, Rhodes ET, Goldmann D, Finkelstein JA. Parent and Teen Engagement in Pediatric Health Services Research Training. Acad Pediatr. 2016 Jul; 16(5):496-8.
  3. Garvey KC, Telo GH, Needleman JS, Forbes P, Finkelstein JA, Laffel LM. Health Care Transition in Young Adults With Type 1 Diabetes: Perspectives of Adult Endocrinologists in the U.S. Diabetes Care. 2016 Feb; 39(2):190-7.
  4. Nelson CP, Finkelstein JA, Logvinenko T, Schuster MA. Incidence of Urinary Tract Infection Among Siblings of Children With Vesicoureteral Reflux. Acad Pediatr. 2016 Jul; 16(5):489-95.
  5. Finkelstein JA, Brickman AL, Capron A, Ford DE, Gombosev A, Greene SM, Iafrate RP, Kolaczkowski L, Pallin SC, Pletcher MJ, Staman KL, Vazquez MA, Sugarman J. Oversight on the borderline: Quality improvement and pragmatic research. Clin Trials. 2015 Oct; 12(5):457-66.
  6. Sawicki GS, Garvey KC, Toomey SL, Williams KA, Chen Y, Hargraves JL, Leblanc J, Schuster MA, Finkelstein JA. Development and Validation of the Adolescent Assessment of Preparation for Transition: A Novel Patient Experience Measure. J Adolesc Health. 2015 Sep; 57(3):282-7.
  7. Vaz LE, Kleinman KP, Lakoma MD, Dutta-Linn MM, Nahill C, Hellinger J, Finkelstein JA. Prevalence of Parental Misconceptions About Antibiotic Use. Pediatrics. 2015 Aug; 136(2):221-31.
  8. Wisk LE, Finkelstein JA, Sawicki GS, Lakoma M, Toomey SL, Schuster MA, Galbraith AA. Predictors of timing of transfer from pediatric- to adult-focused primary care. JAMA Pediatr. 2015 Jun; 169(6):e150951.
  9. Cauley RP, Potanos K, Fullington N, Bairdain S, Sheils CA, Finkelstein JA, Graham DA, Wilson JM. Pulmonary support on day of life 30 is a strong predictor of increased 1 and 5-year morbidity in survivors of congenital diaphragmatic hernia. J Pediatr Surg. 2015 May; 50(5):849-55.
  10. Reynolds CA, Finkelstein JA, Ray GT, Moore MR, Huang SS. Attributable healthcare utilization and cost of pneumonia due to drug-resistant streptococcus pneumonia: a cost analysis. Antimicrob Resist Infect Control. 2014; 3:16.
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  12. Forrest CB, Margolis PA, Bailey LC, Marsolo K, Del Beccaro MA, Finkelstein JA, Milov DE, Vieland VJ, Wolf BA, Yu FB, Kahn MG. PEDSnet: a National Pediatric Learning Health System. J Am Med Inform Assoc. 2014 Jul-Aug; 21(4):602-6.
  13. Eggleston EM, Finkelstein JA. Finding the role of health care in population health. JAMA. 2014 Feb 26; 311(8):797-8.
  14. Vaz LE, Kleinman KP, Raebel MA, Nordin JD, Lakoma MD, Dutta-Linn MM, Finkelstein JA. Recent trends in outpatient antibiotic use in children. Pediatrics. 2014 Mar; 133(3):375-85.
  15. Sharifi M, Dryden EM, Horan CM, Price S, Marshall R, Hacker K, Finkelstein JA, Taveras EM. Leveraging text messaging and mobile technology to support pediatric obesity-related behavior change: a qualitative study using parent focus groups and interviews. J Med Internet Res. 2013 Dec 06; 15(12):e272.
  16. Garvey KC, Wolpert HA, Laffel LM, Rhodes ET, Wolfsdorf JI, Finkelstein JA. Health care transition in young adults with type 1 diabetes: barriers to timely establishment of adult diabetes care. Endocr Pract. 2013 Nov-Dec; 19(6):946-52.
  17. Finkelstein JA, Dutta-Linn M, Meyer R, Goldman R. Childhood infections, antibiotics, and resistance: what are parents saying now? Clin Pediatr (Phila). 2014 Feb; 53(2):145-50.
  18. Lee GM, Kleinman K, Pelton SI, Hanage W, Huang SS, Lakoma M, Dutta-Linn M, Croucher NJ, Stevenson A, Finkelstein JA. Impact of 13-Valent Pneumococcal Conjugate Vaccination on Streptococcus pneumoniae Carriage in Young Children in Massachusetts. J Pediatric Infect Dis Soc. 2014 Mar; 3(1):23-32.
  19. Cauley RP, Vakili K, Fullington N, Potanos K, Graham DA, Finkelstein JA, Kim HB. Deceased-donor split-liver transplantation in adult recipients: is the learning curve over? J Am Coll Surg. 2013 Oct; 217(4):672-684.e1.
  20. Garvey KC, Finkelstein JA, Laffel LM, Ochoa V, Wolfsdorf JI, Rhodes ET. Transition experiences and health care utilization among young adults with type 1 diabetes. Patient Prefer Adherence. 2013; 7:761-9.
  21. Cauley RP, Vakili K, Potanos K, Fullington N, Graham DA, Finkelstein JA, Kim HB. Deceased donor liver transplantation in infants and small children: are partial grafts riskier than whole organs? Liver Transpl. 2013 Jul; 19(7):721-9.
  22. Finkelstein JA. Putting antibiotic prescribing for children into context. JAMA. 2013 Jun 12; 309(22):2388-9.
  23. Cauley RP, Stoffan A, Potanos K, Fullington N, Graham DA, Finkelstein JA, Kim HB, Wilson JM. Pulmonary support on day 30 as a predictor of morbidity and mortality in congenital diaphragmatic hernia. J Pediatr Surg. 2013 Jun; 48(6):1183-9.
  24. Sharifi M, Rifas-Shiman SL, Marshall R, Simon SR, Gillman MW, Finkelstein JA, Taveras EM. Evaluating the implementation of expert committee recommendations for obesity assessment. Clin Pediatr (Phila). 2013 Feb; 52(2):131-8.
  25. Greene SK, Kleinman KP, Lakoma MD, Rifas-Shiman SL, Lee GM, Huang SS, Finkelstein JA. Trends in antibiotic use in Massachusetts children, 2000-2009. Pediatrics. 2012 Jul; 130(1):15-22.
  26. Garvey KC, Wolpert HA, Rhodes ET, Laffel LM, Kleinman K, Beste MG, Wolfsdorf JI, Finkelstein JA. Health care transition in patients with type 1 diabetes: young adult experiences and relationship to glycemic control. Diabetes Care. 2012 Aug; 35(8):1716-22.
  27. Toomey SL, Sox CM, Rusinak D, Finkelstein JA. Why do children with ADHD discontinue their medication? Clin Pediatr (Phila). 2012 Aug; 51(8):763-9.
  28. Wroe PC, Finkelstein JA, Ray GT, Linder JA, Johnson KM, Rifas-Shiman S, Moore MR, Huang SS. Aging population and future burden of pneumococcal pneumonia in the United States. J Infect Dis. 2012 May 15; 205(10):1589-92.
  29. Wroe PC, Lee GM, Finkelstein JA, Pelton SI, Hanage WP, Lipsitch M, Stevenson AE, Rifas-Shiman SL, Kleinman K, Dutta-Linn MM, Hinrichsen VL, Lakoma M, Huang SS. Pneumococcal carriage and antibiotic resistance in young children before 13-valent conjugate vaccine. Pediatr Infect Dis J. 2012 Mar; 31(3):249-54.
  30. Carney JK, Schilling LM, Frank SH, Biddinger PD, Bertsch TF, Grace CJ, Finkelstein JA. Planning and incorporating public health preparedness into the medical curriculum. Am J Prev Med. 2011 Oct; 41(4 Suppl 3):S193-9.
  31. Hanage WP, Bishop CJ, Lee GM, Lipsitch M, Stevenson A, Rifas-Shiman SL, Pelton SI, Huang SS, Finkelstein JA. Clonal replacement among 19A Streptococcus pneumoniae in Massachusetts, prior to 13 valent conjugate vaccination. Vaccine. 2011 Nov 8; 29(48):8877-81.
  32. Costa MA, Huang SS, Moore M, Kulldorff M, Finkelstein JA. New approaches to estimating national rates of invasive pneumococcal disease. Am J Epidemiol. 2011 Jul 15; 174(2):234-42.
  33. Hanage WP, Bishop CJ, Huang SS, Stevenson AE, Pelton SI, Lipsitch M, Finkelstein JA. Carried pneumococci in Massachusetts children: the contribution of clonal expansion and serotype switching. Pediatr Infect Dis J. 2011 Apr; 30(4):302-8.
  34. Huang SS, Johnson KM, Ray GT, Wroe P, Lieu TA, Moore MR, Zell ER, Linder JA, Grijalva CG, Metlay JP, Finkelstein JA. Healthcare utilization and cost of pneumococcal disease in the United States. Vaccine. 2011 Apr 18; 29(18):3398-412.
  35. Berwick DM, Finkelstein JA. Preparing medical students for the continual improvement of health and health care: Abraham Flexner and the new "public interest". Acad Med. 2010 Sep; 85(9 Suppl):S56-65.
  36. Hanage WP, Finkelstein JA, Huang SS, Pelton SI, Stevenson AE, Kleinman K, Hinrichsen VL, Fraser C. Evidence that pneumococcal serotype replacement in Massachusetts following conjugate vaccination is now complete. Epidemics. 2010 Jun; 2(2):80-4.
  37. Maeshiro R, Johnson I, Koo D, Parboosingh J, Carney JK, Gesundheit N, Ho ET, Butler-Jones D, Donovan D, Finkelstein JA, Bennett NM, Shore B, McCurdy SA, Novick LF, Velarde LD, Dent MM, Banchoff A, Cohen L. Medical education for a healthier population: reflections on the Flexner Report from a public health perspective. Acad Med. 2010 Feb; 85(2):211-9.
  38. Toomey SL, Homer CJ, Finkelstein JA. Comparing medical homes for children with ADHD and asthma. Acad Pediatr. 2010 Jan-Feb; 10(1):56-63.
  39. Vinci RJ, Bauchner H, Finkelstein J, Newby PK, Muret-Wagstaff S, Lovejoy FH. Research during pediatric residency training: outcome of a senior resident block rotation. Pediatrics. 2009 Oct; 124(4):1126-34.
  40. Lee GM, Huang SS, Rifas-Shiman SL, Hinrichsen VL, Pelton SI, Kleinman K, Hanage WP, Lipsitch M, McAdam AJ, Finkelstein JA. Epidemiology and risk factors for Staphylococcus aureus colonization in children in the post-PCV7 era. BMC Infect Dis. 2009 Jul 11; 9:110.
  41. Fortuna RJ, Zhang F, Ross-Degnan D, Campion FX, Finkelstein JA, Kotch JB, Feldstein AC, Smith DH, Simon SR. Reducing the prescribing of heavily marketed medications: a randomized controlled trial. J Gen Intern Med. 2009 Aug; 24(8):897-903.
  42. Nahm MH, Lin J, Finkelstein JA, Pelton SI. Impact of pneumococcal vaccine on 6C carriage. Journal of Infectious Diseases. 2008; In Press.
  43. Toomey SL, Finkelstein J, Kuhlthau K. Does connection to primary care matter for children with attention-deficit/hyperactivity disorder? Pediatrics. 2008 Aug; 122(2):368-74.
  44. Toomey S, Finkelstein JA, Kuhlthau K. Does connection to primary care matter for children with ADHD?. Pediatrics. 2008; 122:368-374.
  45. Fuhlbrigge A, Carey VJ, Finkelstein JA, Lozano P, Inui TS, Weiss KB. Are performance measures based on automated medical records valid for physician/practice profiling of asthma care? Med Care. 2008 Jun; 46(6):620-6.
  46. Lee GM, Huang SS, Rifas-Shiman S, Hinrichsen V, Pelton SI, Hanage WP, McAdam AJ, Finkelstein JA. Staphylococcus aureus colonization among healthy children in Massachusetts in the post-PCV7 era. 2008 Pediatric Academic Societies’ Annual Meeting. 2008; Honolulu, Hawaii: Platform presentation.
  47. Fortuna RJ, Ross-Degnan D, Finkelstein J, Zhang F, Campion FX, Simon SR. Clinician attitudes towards prescribing and implications for interventions in a multi-specialty group practice. J Eval Clin Pract. 2008 Dec; 14(6):969-73.
  48. Stille CJ, Rifas-Shiman SL, Kleinman K, Kotch JB, Finkelstein JA. Physician responses to a community-level trial promoting judicious antibiotic use. Ann Fam Med. 2008 May-Jun; 6(3):206-12.
  49. Meropol SB, Chan KA, Chen Z, Finkelstein JA, Hennessy S, Lautenbach E, Platt R, Schech SD, Shatin D, Metlay JP. Adverse events associated with prolonged antibiotic use. Pharmacoepidemiol Drug Saf. 2008 May; 17(5):523-32.
  50. Vinci RJ, Bauchner H, Finkelstein JA, Newby PK, Lovejoy FH. Research During Residency Training: Outcome & Resident Perspective of a PL-3 Block Rotation. 2008 Pediatric Academic Societies' Annual Meeting. 2008; Honolulu, Hawaii: Poster presentation.
  51. Hinrichsen VL, Rifas-Shiman SL, Kleinman K, Huang SS and Finkelstein JA. Secular trends in diagnosis and antibiotic treatment of childhood infections. HMO Research Network Conference. 2008; Poster presentation.
  52. Simon SR, Fortuna RJ, Campion FX, Feldstein A, Smith DH, Packer M, Cerullo B, Zhang F, Ross-Degnan D, Finkelstein JA. Attorney General Consumer and Prescriber Grant Program. Changing Prescriber Behavior: Randomized Controlled Trial of Computerized Clinical Decision Support and Group Academic Detailing . HMO Research Network Conference. 2008; Poster presentation.
  53. Sox CM, Finkelstein JA, Yin R, Kleinman K, Lieu TA. Trends in otitis media treatment failure and relapse. Pediatrics. 2008 Apr; 121(4):674-9.
  54. Finkelstein JA, McMahon GT, Peters A, Cadigan R, Biddinger P, Simon SR. Teaching population health as a basic science at Harvard Medical School. Acad Med. 2008 Apr; 83(4):332-7.
  55. Kappelman MD, Rifas-Shiman SL, Porter C, Ollendorf DA, Sandler RS, Galanko JA, Finkelstein JA. Costs of Treatment of Crohn's Disease and Ulcerative Colitis in US Children and Adults. Gastroenterology. 2008; 134(4):A-155.
  56. Finkelstein JA, McMahon GT, Peters A, Cadigan R, Biddinger P, Simon SR. Teaching population health as a basic science. Academic Medicine. 2008; 83(4):332-337.
  57. Finkelstein JA, Huang SS, Kleinman K, Rifas-Shiman SL, Stille CJ, Daniel J, Schiff N, Steingard R, Soumerai SB, Ross-Degnan D, Goldmann D, Platt R. Impact of a 16-community trial to promote judicious antibiotic use in Massachusetts. Pediatrics. 2008 Jan; 121(1):e15-23.
  58. Fuhlbrigge A, Carey V, Lozano P, Finkelstein JA, Weiss K. Are performance measures based on data extracted from automated medical record databases (including pharmacy, utilization and basic demographics) valid for physician/practice profiling asthma care. Medical Care. 2008; 46(6):620-626.
  59. Kappelman MD, Rifas-Shiman SL, Kleinman K, Ollendorf D, Bousvaros A, Grand RJ, Finkelstein JA. The prevalence and geographic distribution of Crohn's disease and ulcerative colitis in the United States. Clin Gastroenterol Hepatol. 2007 Dec; 5(12):1424-9.
  60. Kappelman MD, Bousvaros A, Hyams J, Markowitz J, Pfefferkorn M, Kugathasan S, Rosh J, Otley A, Mack D, Griffiths A, Evans J, Grand R, Langton C, Kleinman K, Finkelstein JA. Intercenter variation in initial management of children with Crohn's disease. Inflamm Bowel Dis. 2007 Jul; 13(7):890-5.
  61. Pelton SI, Huot H, Finkelstein JA, Bishop CJ, Hsu KK, Kellenberg J, Huang SS, Goldstein R, Hanage WP. Emergence of 19A as virulent and multidrug resistant Pneumococcus in Massachusetts following universal immunization of infants with pneumococcal conjugate vaccine. Pediatr Infect Dis J. 2007 Jun; 26(6):468-72.
  62. Finkelstein JA, et al. . Virtual disappearance of pneumococcal vaccine strains from Massachusetts communities. Pediatric Academic Society Annual Meeting. 2007; (Late-breaker abstract; Platfo.
  63. Toomey AL, Finkelstein JA, Kuhlthau K. Does connection to primary care matter for children with ADHD?. Pediatric Academic Society Annual Meeting. 2007; (Platform Session).
  64. Sox CM, Finkelstein JA. Treatment and follow-up of children newly diagnosed with Attention-Deficit/Hyperactivity Disorder (ADHD). Pediatric Academic Society Annual Meeting. 2007; (Platform Session).
  65. Sawicki G, Graham D, Waltz DA, Finkelstein JA. . Length of stay and hospital charges for children with cystic fibrosis varies among freestanding children’s hospitals . Pediatric Academic Association. 2007; Poster Presentation.
  66. Fortuna RJ, Ross-Degnan R, Finkelstein JA, Zhang F, Campion FX, Simon SR, . Clinician perceptions of pharmaceutical marketing and patient influences on prescribing. Society of General Internal Medicine. 2007; In press. .
  67. Huang SS, Rifas-Shiman SL, Kleinman K, Kotch J, Schiff N, Stille CJ, Steingard R, Finkelstein JA. Parental knowledge about antibiotic use: results of a cluster-randomized, multicommunity intervention. Pediatrics. 2007 Apr; 119(4):698-706.
  68. Lee TA, Fuhlbrigge AL, Sullivan SD, Finkelstein JA, Inui TS, Lozano P, Weiss KB. Agreement between caregiver reported healthcare utilization and administrative data for children with asthma. J Asthma. 2007 Apr; 44(3):189-94.
  69. Hanage WP, Huang SS, Lipsitch M, Bishop CJ, Godoy D, Pelton SI, Goldstein R, Huot H, Finkelstein JA. Diversity and antibiotic resistance among nonvaccine serotypes of Streptococcus pneumoniae carriage isolates in the post-heptavalent conjugate vaccine era. J Infect Dis. 2007 Feb 1; 195(3):347-52.
  70. Andrade SE, Raebel MA, Morse AN, Davis RL, Chan KA, Finkelstein JA, Fortman KK, McPhillips H, Roblin D, Smith DH, Yood MU, Platt R, H Gurwitz J. Use of prescription medications with a potential for fetal harm among pregnant women. Pharmacoepidemiol Drug Saf. 2006 Aug; 15(8):546-54.
  71. Finkelstein JA. Unnecessary antibiotics. Virtual Mentor. 2006; 8(6):362-6.
  72. Finkelstein JA, Huang SS, Rifas-Shiman SL, Schiff N, Stille C, and the REACH Mass Team. . Results of REACH MAss: a 16-community trial to promote judicious antibiotic use. Platform presentation at the Pediatric Academic Societies Meeting, San Franciso. 2006.
  73. Copeland KA, Blanchard T, Finkelstein JA, Southward L. Physical and sedentary activity in child care centers. Poster presentation at the Pediatric Academic Societies Meeting, San Francisco. 2006.
  74. Gnanasekaran SK, Finkelstein JA, Hohman K, O'Brien M, Kruskal B, Lieu T. Parental perspectives on influenza vaccination among children with asthma. Public Health Rep. 2006 Mar-Apr; 121(2):181-8.
  75. Gupta RS, Bewtra M, Prosser LA, Finkelstein JA. Predictors of hospital charges for children admitted with asthma. Ambul Pediatr. 2006 Jan-Feb; 6(1):15-20.
  76. Gnanasekaran SK, Finkelstein JA, Lozano P, Farber HJ, Chi FW, Lieu TA. Influenza vaccination among children with asthma in medicaid managed care. Ambul Pediatr. 2006 Jan-Feb; 6(1):1-7.
  77. Rhodes ET, Finkelstein JA, Marshall R, Allen C, Gillman MW, Ludwig DS. Screening for Type 2 diabetes mellitus in children and adolescents: attitudes, barriers, and practices among pediatric clinicians. Ambulatory Pediatrics. 2006; 6:110-114.
  78. Finkelstein J. . Unnecessary antibiotics http://www.ama-assn.org/ama/pub/category/16250.html. Virtual Mentor. 2006; 8:362-366.
  79. Hanage, W, Huot, H, Huang, S, Goldstein, R, Bishop, C, Lipsitch, M, Pelton, SI, Finkelstein, JA. Post-PCV7 Expansion and Emergence of Sequence Types Among Serotype 19A and Serogroup 15 Streptococcus pneumoniae (SP) in Massachusetts Children 1999-2004 . 2006.
  80. Finkelstein JA, Lozano P, Fuhlbrigge AL, Carey VJ, Inui TS, Soumerai SB, Sullivan SD, Wagner EH, Weiss ST, Weiss KB. Practice-level effects of interventions to improve asthma care in primary care settings: the Pediatric Asthma Care Patient Outcomes Research Team. Health Serv Res. 2005 Dec; 40(6 Pt 1):1737-57.
  81. Linder JA, Bates DW, Lee GM, Finkelstein JA. Antibiotic treatment of children with sore throat. JAMA. 2005 Nov 9; 294(18):2315-22.
  82. Gupta RS, Shuman S, Taveras EM, Kulldorff M, Finkelstein JA. Opportunities for health promotion education in child care. Pediatrics. 2005 Oct; 116(4):e499-505.
  83. Huang SS, Platt R, Rifas-Shiman SL, Pelton SI, Goldmann D, Finkelstein JA. Post-PCV7 changes in colonizing pneumococcal serotypes in 16 Massachusetts communities, 2001 and 2004. Pediatrics. 2005 Sep; 116(3):e408-13.
  84. Park S, Soumerai SB, Adams AS, Finkelstein JA, Jang S, Ross-Degnan D. Antibiotic use following a Korean national policy to prohibit medication dispensing by physicians. Health Policy Plan. 2005 Sep; 20(5):302-9.
  85. Finkelstein JA, Stille CJ, Rifas-Shiman SL, Goldmann D. Watchful waiting for acute otitis media: are parents and physicians ready? Pediatrics. 2005 Jun; 115(6):1466-73.
  86. Fuhlbrigge AL, Carey VJ, Finkelstein JA, Lozano P, Inui TS, Weiss ST, Weiss KB. Validity of the HEDIS criteria to identify children with persistent asthma and sustained high utilization. Am J Manag Care. 2005 May; 11(5):325-30.
  87. Sullivan SD, Lee TA, Blough DK, Finkelstein JA, Lozano P, Inui TS, Fuhlbrigge AL, Carey VJ, Wagner E, Weiss KB. A multisite randomized trial of the effects of physician education and organizational change in chronic asthma care: cost-effectiveness analysis of the Pediatric Asthma Care Patient Outcomes Research Team II (PAC-PORT II). Arch Pediatr Adolesc Med. 2005 May; 159(5):428-34.
  88. Smink DS, Fishman SJ, Kleinman K, Finkelstein JA. Effects of race, insurance status, and hospital volume on perforated appendicitis in children. Pediatrics. 2005 Apr; 115(4):920-5.
  89. Huang SS, Finkelstein JA, Lipsitch M. Modeling community- and individual-level effects of child-care center attendance on pneumococcal carriage. Clin Infect Dis. 2005 May 1; 40(9):1215-22.
  90. Huang SS, Platt R, Rifas-Shiman SL, Pelton SI, Goldmann D, Finkelstein JA. Increased Carriage and emerging resistance of non-vaccine pneumococcal serotypes following universal immunization with PCV7. Pediatric Academic Societies Meeting, Washington, DC, May. 2005.
  91. Gnanasekaran SK, Finkelstein JA, Lozano P, Farber HJ, Chi FW, Lieu TA. Risk factors for missing influenza vaccination among medicaid-insured children with asthma. the Pediatric Academic Societies Meeting, Washington, DC, May. 2005.
  92. Stille CJ, Andrade SE, Huang SS, Nordin J, Raebel MA, Go AS, Chan KA, Finkelstein JA. Increased use of second-generation macrolide antibiotics for children in nine health plans in the United States. Pediatrics. 2004 Nov; 114(5):1206-11.
  93. Lozano P, Finkelstein JA, Carey VJ, Wagner EH, Inui TS, Fuhlbrigge AL, Soumerai SB, Sullivan SD, Weiss ST, Weiss KB. A multisite randomized trial of the effects of physician education and organizational change in chronic-asthma care: health outcomes of the Pediatric Asthma Care Patient Outcomes Research Team II Study. Arch Pediatr Adolesc Med. 2004 Sep; 158(9):875-83.
  94. Friedman JF, Lee GM, Kleinman KP, Finkelstein JA. Child care center policies and practices for management of ill children. Ambul Pediatr. 2004 Sep-Oct; 4(5):455-60.
  95. Andrade SE, Gurwitz JH, Davis RL, Chan KA, Finkelstein JA, Fortman K, McPhillips H, Raebel MA, Roblin D, Smith DH, Yood MU, Morse AN, Platt R. Prescription drug use in pregnancy. Am J Obstet Gynecol. 2004 Aug; 191(2):398-407.
  96. Celedón JC, Fuhlbrigge A, Rifas-Shiman S, Weiss ST, Finkelstein JA. Antibiotic use in the first year of life and asthma in early childhood. Clin Exp Allergy. 2004 Jul; 34(7):1011-6.
  97. Lieu TA, Finkelstein JA, Lozano P, Capra AM, Chi FW, Jensvold N, Quesenberry CP, Farber HJ. Cultural competence policies and other predictors of asthma care quality for Medicaid-insured children. Pediatrics. 2004 Jul; 114(1):e102-10.
  98. Lee KC, Finkelstein JA, Miroshnik IL, Rusinak D, Santoli JM, Lett SM, Lieu TA. Pediatricians' self-reported clinical practices and adherence to national immunization guidelines after the introduction of pneumococcal conjugate vaccine. Arch Pediatr Adolesc Med. 2004 Jul; 158(7):695-701.
  99. Fuhlbrigge A, Carey VJ, Adams RJ, Finkelstein JA, Lozano P, Weiss ST, Weiss KB. Evaluation of asthma prescription measures and health system performance based on emergency department utilization. Med Care. 2004 May; 42(5):465-71.
  100. Huang SS, Finkelstein JA, Rifas-Shiman SL, Kleinman K, Platt R. Community-level predictors of pneumococcal carriage and resistance in young children. Am J Epidemiol. 2004 Apr 1; 159(7):645-54.
  101. Farber HJ, Chi FW, Capra A, Jensvold NG, Finkelstein JA, Lozano P, Quesenberry CP, Lieu TA. Use of asthma medication dispensing patterns to predict risk of adverse health outcomes: a study of Medicaid-insured children in managed care programs. Ann Allergy Asthma Immunol. 2004 Mar; 92(3):319-28.
  102. Smink DS, Finkelstein JA, Kleinman K, Fishman SJ. The effect of hospital volume of pediatric appendectomies on the misdiagnosis of appendicitis in children. Pediatrics. 2004 Jan; 113(1 Pt 1):18-23.
  103. Finkelstein JA, Rifas S, Kleinman K, Stille C. Parental knowledge and attitudes on antibiotic use: results of a 16-community trial. Accepted for poster presentation at Pediatric Academic Societies Meeting. San Francisco,. 2004.
  104. Lozano P, Grothaus LC, Finkelstein JA, Hecht J, Farber HJ, Lieu TA. Variability in asthma care and services for low-income populations among practice sites in managed Medicaid systems. Health Serv Res. 2003 Dec; 38(6 Pt 1):1563-78.
  105. Finkelstein JA, Huang SS, Daniel J, Rifas-Shiman SL, Kleinman K, Goldmann D, Pelton SI, DeMaria A, Platt R. Antibiotic-resistant Streptococcus pneumoniae in the heptavalent pneumococcal conjugate vaccine era: predictors of carriage in a multicommunity sample. Pediatrics. 2003 Oct; 112(4):862-9.
  106. Shields AE, Comstock C, Finkelstein JA, Weiss KB. Comparing asthma care provided to Medicaid-enrolled children in a Primary Care Case Manager plan and a staff model HMO. Ambul Pediatr. 2003 Sep-Oct; 3(5):253-62.
  107. Gendo K, Sullivan SD, Lozano P, Finkelstein JA, Fuhlbrigge A, Weiss KB. Resource costs for asthma-related care among pediatric patients in managed care. Ann Allergy Asthma Immunol. 2003 Sep; 91(3):251-7.
  108. Finkelstein JA, Stille C, Nordin J, Davis R, Raebel MA, Roblin D, Go AS, Smith D, Johnson CC, Kleinman K, Chan KA, Platt R. Reduction in antibiotic use among US children, 1996-2000. Pediatrics. 2003 Sep; 112(3 Pt 1):620-7.
  109. Kuzujanakis M, Kleinman K, Rifas-Shiman S, Finkelstein JA. Correlates of parental antibiotic knowledge, demand, and reported use. Ambul Pediatr. 2003 Jul-Aug; 3(4):203-10.
  110. Friedman JF, Lee GM, Kleinman KP, Finkelstein JA. Acute care and antibiotic seeking for upper respiratory tract infections for children in day care: parental knowledge and day care center policies. Arch Pediatr Adolesc Med. 2003 Apr; 157(4):369-74.
  111. Farber HJ, Capra AM, Finkelstein JA, Lozano P, Quesenberry CP, Jensvold NG, Chi FW, Lieu TA. Misunderstanding of asthma controller medications: association with nonadherence. J Asthma. 2003 Feb; 40(1):17-25.
  112. Landrigan CP, Muret-Wagstaff S, Chiang VW, Nigrin DJ, Goldmann DA, Finkelstein JA. Senior resident autonomy in a pediatric hospitalist system. Arch Pediatr Adolesc Med. 2003 Feb; 157(2):206-7.
  113. Lozano P, Finkelstein JA, Hecht J, Shulruff R, Weiss KB. Asthma medication use and disease burden in children in a primary care population. Arch Pediatr Adolesc Med. 2003 Jan; 157(1):81-8.
  114. Landrigan CP, Muret-Wagstaff S, Chiang VW, Nigrin DJ, Goldmann DA, Finkelstein JA. Effect of a pediatric hospitalist system on housestaff education and experience. Arch Pediatr Adolesc Med. 2002 Sep; 156(9):877-83.
  115. Lieu TA, Finkelstein JA, Adams MM, Miroshnik IL, Lett SM, Palfrey S, Freed GL, Kleinman K, Ray GT, Platt R. Pediatricians' views on financial barriers and values for pneumococcal vaccine for children. Ambul Pediatr. 2002 Sep-Oct; 2(5):358-66.
  116. Finkelstein JA, Lozano P, Streiff KA, Arduino KE, Sisk CA, Wagner EH, Weiss KB, Inui TS. Clinical effectiveness research in managed-care systems: lessons from the Pediatric Asthma Care PORT. Patient Outcomes Research Team. Health Serv Res. 2002 Jun; 37(3):775-89.
  117. Finkelstein JA, Lozano P, Farber HJ, Miroshnik I, Lieu TA. Underuse of controller medications among Medicaid-insured children with asthma. Arch Pediatr Adolesc Med. 2002 Jun; 156(6):562-7.
  118. Lieu TA, Lozano P, Finkelstein JA, Chi FW, Jensvold NG, Capra AM, Quesenberry CP, Selby JV, Farber HJ. Racial/ethnic variation in asthma status and management practices among children in managed medicaid. Pediatrics. 2002 May; 109(5):857-65.
  119. Adams RJ, Fuhlbrigge AL, Finkelstein JA, Weiss ST. Intranasal steroids and the risk of emergency department visits for asthma. J Allergy Clin Immunol. 2002 Apr; 109(4):636-42.
  120. Shields AE, Finkelstein JA, Comstock C, Weiss KB. Process of care for Medicaid-enrolled children with asthma: served by community health centers and other providers. Med Care. 2002 Apr; 40(4):303-14.
  121. Finkelstein JA, Fuhlbrigge A, Lozano P, Grant EN, Shulruff R, Arduino KE, Weiss KB. Parent-reported environmental exposures and environmental control measures for children with asthma. Arch Pediatr Adolesc Med. 2002 Mar; 156(3):258-64.
  122. Glauber JH, Fuhlbrigge AL, Finkelstein JA, Homer CJ, Weiss ST. Relationship between asthma medication and antibiotic use. Chest. 2001 Nov; 120(5):1485-92.
  123. Platt R, Davis R, Finkelstein J, Go AS, Gurwitz JH, Roblin D, Soumerai S, Ross-Degnan D, Andrade S, Goodman MJ, Martinson B, Raebel MA, Smith D, Ulcickas-Yood M, Chan KA. Multicenter epidemiologic and health services research on therapeutics in the HMO Research Network Center for Education and Research on Therapeutics. Pharmacoepidemiol Drug Saf. 2001 Aug-Sep; 10(5):373-7.
  124. Finkelstein JA, Davis RL, Dowell SF, Metlay JP, Soumerai SB, Rifas-Shiman SL, Higham M, Miller Z, Miroshnik I, Pedan A, Platt R. Reducing antibiotic use in children: a randomized trial in 12 practices. Pediatrics. 2001 Jul; 108(1):1-7.
  125. Adams RJ, Fuhlbrigge A, Finkelstein JA, Lozano P, Livingston JM, Weiss KB, Weiss ST. Impact of inhaled antiinflammatory therapy on hospitalization and emergency department visits for children with asthma. Pediatrics. 2001 Apr; 107(4):706-11.
  126. Adams RJ, Fuhlbrigge A, Finkelstein JA, Lozano P, Livingston JM, Weiss KB, Weiss ST. Use of inhaled anti-inflammatory medication in children with asthma in managed care settings. Arch Pediatr Adolesc Med. 2001 Apr; 155(4):501-7.
  127. Donahue JG, Fuhlbrigge AL, Finkelstein JA, Fagan J, Livingston JM, Lozano P, Platt R, Weiss ST, Weiss KB. Asthma pharmacotherapy and utilization by children in 3 managed care organizations. The Pediatric Asthma Care Patient Outcomes Research Team. J Allergy Clin Immunol. 2000 Dec; 106(6):1108-14.
  128. Mandl KD, Homer CJ, Harary O, Finkelstein JA. Effect of a reduced postpartum length of stay program on primary care services use by mothers and infants. Pediatrics. 2000 Oct; 106(4 Suppl):937-41.
  129. Purdy S, Plasso A, Finkelstein JA, Fletcher RH, Christiansen CL, Inui TS. Enrollees' perceptions of participating in the education of medical students at an academically affiliated HMO. Acad Med. 2000 Oct; 75(10):1003-9.
  130. Finkelstein JA, Lozano P, Shulruff R, Inui TS, Soumerai SB, Ng M, Weiss KB. Self-reported physician practices for children with asthma: are national guidelines followed? Pediatrics. 2000 Oct; 106(4 Suppl):886-96.
  131. Purdy S, Finkelstein JA, Fletcher R, Christiansen C, Inui TS. Patient participation in research in the managed care environment: key perceptions of members in an HMO. J Gen Intern Med. 2000 Jul; 15(7):492-5.
  132. Finkelstein JA, Barton MB, Donahue JG, Algatt-Bergstrom P, Markson LE, Platt R. Comparing asthma care for Medicaid and non-Medicaid children in a health maintenance organization. Arch Pediatr Adolesc Med. 2000 Jun; 154(6):563-8.
  133. Finkelstein JA, Metlay JP, Davis RL, Rifas-Shiman SL, Dowell SF, Platt R. Antimicrobial use in defined populations of infants and young children. Arch Pediatr Adolesc Med. 2000 Apr; 154(4):395-400.
  134. Finkelstein JA, Christiansen CL, Platt R. Fever in pediatric primary care: occurrence, management, and outcomes. Pediatrics. 2000 Jan; 105(1 Pt 3):260-6.
  135. Smith LA, Finkelstein JA. The impact of socioeconomic factors on asthma. In: Social and Economic Impacts of Asthma. Marcel Decker. New York. 2000; 219-243.
  136. Kahn RS, Wise PH, Finkelstein JA, Bernstein HH, Lowe JA, Homer CJ. The scope of unmet maternal health needs in pediatric settings. Pediatrics. 1999 Mar; 103(3):576-81.
  137. Finkelstein JA. Managed care for children: defining the challenge. In: The Future of Children. David and Lucille Packard Foundation. 1999; 8:138-140.
  138. Pan RJ, Finkelstein JA. Pediatric education and managed care: a literature review. Pediatrics. 1998 Apr; 101(4 Pt 2):739-45.
  139. Finkelstein JA. Pediatric residency training in an era of managed care: an introduction to proceedings of a national conference. Pediatrics. 1998 Apr; 101(4 Pt 2):735-8.
  140. Finkelstein JA, Burstin HR, O’Neil AC, Costenbader EC, Baskin MN, Brennan TA, Homer CJ. Pediatric primary care follow-up after emergency department care. Ambulatory Child Health. 1996; 2:129-137.
  141. Finkelstein JA, Brown RW, Schneider LC, Weiss ST, Quintana JM, Goldmann DA, Homer CJ. Quality of care for preschool children with asthma: the role of social factors and practice setting. Pediatrics. 1995 Mar; 95(3):389-94.
  142. Finkelstein JA, Parker RM. Homeless children in America. Taking the next step. Am J Dis Child. 1993 May; 147(5):520-1.
  143. Finkelstein JA, Parker RM. Homeless children in America: taking the next step. American Journal of Diseases of Children. 1993; 147:520-521.
  144. Parker RM, Rescorla LA, Finkelstein JA, Barnes N, Holmes JH, Stolley PD. A survey of the health of homeless children in Philadelphia shelters. Am J Dis Child. 1991 May; 145(5):520-6.
  145. Finkelstein JA, Schwartz JS, Torrey S, Fleisher GR. Common clinical features as predictors of bacterial diarrhea in infants. Am J Emerg Med. 1989 Sep; 7(5):469-73.
  146. Kappelman MD, Porter CQ, Galanko JA, Rifas-Shiman SL, Ollendorf DA, Sandler RS, Finkelstein JA. Utilization of healthcare resources by U.S. children and adults with inflammatory bowel disease. Inflamm Bowel Dis. 2011 Jan; 17(1):62-8.
  147. Huang SS, Hinrichsen VL, Stevenson AE, Rifas-Shiman SL, Kleinman K, Pelton SI, Lipsitch M, Hanage WP, Lee GM, Finkelstein JA. Continued impact of pneumococcal conjugate vaccine on carriage in young children. Pediatrics. 2009 Jul; 124(1):e1-11.
  148. Smink DS, Finkelstein JA, Garcia Peña BM, Shannon MW, Taylor GA, Fishman SJ. Diagnosis of acute appendicitis in children using a clinical practice guideline. J Pediatr Surg. 2004 Mar; 39(3):458-63; discussion 458-63.
  149. Rhodes ET, Finkelstein JA, Marshall R, Allen C, Gillman MW, Ludwig DS. Screening for type 2 diabetes mellitus in children and adolescents: attitudes, barriers, and practices among pediatric clinicians. Ambul Pediatr. 2006 Mar-Apr; 6(2):110-4.
  150. Taveras EM, LaPelle N, Gupta RS, Finkelstein JA. Planning for health promotion in low-income preschool child care settings: focus groups of parents and child care providers. Ambul Pediatr. 2006 Nov-Dec; 6(6):342-6.
  151. Nahm MH, Lin J, Finkelstein JA, Pelton SI. Increase in the prevalence of the newly discovered pneumococcal serotype 6C in the nasopharynx after introduction of pneumococcal conjugate vaccine. J Infect Dis. 2009 Feb 1; 199(3):320-5.
  152. Benjamin SE, Rifas-Shiman SL, Taveras EM, Haines J, Finkelstein J, Kleinman K, Gillman MW. Early child care and adiposity at ages 1 and 3 years. Pediatrics. 2009 Aug; 124(2):555-62.
  153. Regev-Yochay G, Hanage WP, Trzcinski K, Rifas-Shiman SL, Lee G, Bessolo A, Huang SS, Pelton SI, McAdam AJ, Finkelstein JA, Lipsitch M, Malley R. Re-emergence of the type 1 pilus among Streptococcus pneumoniae isolates in Massachusetts, USA. Vaccine. 2010 Jul 5; 28(30):4842-6.
  154. Kappelman MD, Rifas-Shiman SL, Porter CQ, Ollendorf DA, Sandler RS, Galanko JA, Finkelstein JA. Direct health care costs of Crohn's disease and ulcerative colitis in US children and adults. Gastroenterology. 2008 Dec; 135(6):1907-13.
  155. Yildirim I, Hanage WP, Lipsitch M, Shea KM, Stevenson A, Finkelstein J, Huang SS, Lee GM, Kleinman K, Pelton SI. Serotype specific invasive capacity and persistent reduction in invasive pneumococcal disease. Vaccine. 2010 Dec 16; 29(2):283-8.
  156. Croucher NJ, Finkelstein JA, Pelton SI, Mitchell PK, Lee GM, Parkhill J, Bentley SD, Hanage WP, Lipsitch M. Population genomics of post-vaccine changes in pneumococcal epidemiology. Nat Genet. 2013 Jun; 45(6):656-63.
  157. Chang Q, Stevenson AE, Croucher NJ, Lee GM, Pelton SI, Lipsitch M, Finkelstein JA, Hanage WP. Stability of the pneumococcal population structure in Massachusetts as PCV13 was introduced. BMC Infect Dis. 2015 Feb 18; 15:68.
  158. Croucher NJ, Kagedan L, Thompson CM, Parkhill J, Bentley SD, Finkelstein JA, Lipsitch M, Hanage WP. Selective and genetic constraints on pneumococcal serotype switching. PLoS Genet. 2015 Mar; 11(3):e1005095.
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