NIH Biosketch available OnlineRandall Stafford
- Associate Professor, Medicine - Stanford Prevention Research
Contact Information
- Clinical Offices
Preventive Cardiology Clinic 300 Pasteur Dr A265 Stanford, CA 94305 Telephone Work (650) 725-6954 Fax (650) 725-6906Internal Medicine Clinic 300 Pasteur Dr A175 MC 5309 Stanford, CA 94305 Telephone Work (650) 723-6961 Fax (650) 725-8418
- Academic Offices
Personal Information Email randy.stafford@stanford.eduAdministrative Contact Heather Klaftenegger Administrative Assistant Email heather.klaftenegger@stanford.edu Tel Work (650) 725-3080Not for medical emergencies or patient use
Clinical Focus
- Hyperlipidemia (high cholesterol)
- Hypertension (high blood pressure)
- Diabetes Mellitus
- Cardiology (Heart), Preventive
- Obesity
- Primary Prevention
- Internal Medicine
Administrative Appointments
- Medical Director, SPRC Research Clinic , (2004– present )
- Program Director, Program on Prevention Outcomes and Practices , (2001– present )
Honors and Awards
- Outstanding Teaching Award, Stanford Prevention Research Center (2009)
Professional Education
- Massachusetts General Hospital (1994) MA
- Massachusetts General Hospital (1993) MA
- Centers For Disease Control (1991) GA
- Board Certification: Internal Medicine, American Board of Internal Medicine (1995)
- UCSF School of Medicine (1992) CA
- UC Berkeley School of Public Health (1990) CA USA
- MHS, Johns Hopkins Health Administration (1982)
- MS, UC Berkeley Public Health (1988)
- PhD, UC Berkeley Epidemiology (1990)
- MD, UC Berkeley / UC San Francisco Medicine (1992)
Postdoctoral Advisees
Graduate & Fellowship Program Affiliations
Community & International Work
- Osteoporosis Decision-Making More »
Web Site Links
Research Interests
My research aims to advance scientific understanding of the forces that influence physician and patient behavior, with a focus on evaluating and modifying physician and patient practices to improve health outcomes through prevention. The process by which new medical practices and knowledge are disseminated often fails to serve the best interests of patients. Frequently, new practices are readily adopted without adequate assessment. Paradoxically, other practices with strong evidence-based support are adopted only slowly and then inconsistently. By understanding the determinants of health behaviors, specific factors that facilitate or impede the adoption of appropriate new practices can be identified. These issues are critical to the future of medicine. Rising health care costs and the changing organization of health care have increased societal demands for high quality, yet cost-effective, clinical care. A preventive model that focuses on reducing the risk of future adverse outcomes, rather than symptom management, has become a dominant goal of health care delivery. By evaluating current practices and designing interventions to improve health care, my work responds to these demands. In addition, this nation’s investment in biomedical science is jeopardized if we fail to recognize that the adoption of new medical practices and health behaviors is a complex, yet potentially modifiable, process. My objective is to further develop the science of health care innovation as a mean for understanding current patterns of health care and as a vehicle for designing interventions to facilitate the adoption of evidence-based practices by patients, their care providers, and health care systems. This research agenda is reinforced and stimulated by an array of clinical and teaching activities. My clinical work in general internal medicine and preventive cardiology provide a rich observational experience that guides my research, as well as a context for applying clinical insights derived from my research. My educational activities involving undergraduates through post-doctoral fellows provide numerous opportunities to excite future clinicians and researchers about a population-based perspective.
My focus on the adoption of innovation encompasses four several closely related themes. First, a focal point of my research is the investigation of health care disparities by gender, race, socioeconomic status, and advanced age. Second, my work emphasizes epidemiological methods for the analysis of large, administrative data sources. Third, the measurement and improvement of health care quality is an increasingly important component of my work. Finally, my work involves use of clinical trial methods to investigate whether strategies for improvement in prevention are both effective and cost-effective. In pursuit of these four themes, my research spans a broad clinical range including cesarean section use, recommended cardiac medications, prevention practices, antibiotic use, screening tests, and patterns of disease management. While much of my research has focused on physician practices, newly initiated and planned future work emphasizes interventions that engage patients, physicians and health care systems to improve health outcomes through adherence to evidence-based recommendations. A main focus of this new line of research is optimizing the use of cardiovascular disease prevention guidelines within specific health care systems. The overarching aim of my research agenda is add to knowledge about the process of behavior change in individuals and institutional change in health care systems with the ultimate goal of improving health outcomes. A diverse portfolio of grant funding by the NIH, AHRQ, and private foundations currently supports this research agenda. The pursuit of this research agenda has been facilitated by a growing number of collaborators, trainees and staff members affiliated with my Program on Prevention Outcomes and Practices.
Clinical Trials
Publications
- JAMA. 2009; (23): 2488-90
- N Engl J Med. 2009; (13): 1230-3
- Pharmacotherapy. 2008; (12): 1443-52
- Arch Intern Med. 2008; (19): 2088-94
- N Engl J Med. 2008; (14): 1427-9
- Arch Intern Med. 2006; (9): 1021-6
- Obesity (Silver Spring). 2009; (5): 1077-85
- Arch Intern Med. 2009; (3): 313-4
- J Ambul Care Manage. 2008 Jan-Mar; (1): 37-51
- Hypertension. 2008; (5): 1275-81
- Integr Cancer Ther. 2008; (2): 70-5
- Menopause. 2007 Sep-Oct; (5): 853-8
- Arch Intern Med. 2007; (2): 141-7
- Arch Intern Med. 2007; (13): 1400-5
- Crit Pathw Cardiol. 2007; (4): 173-9
- Dis Manag. 2007; (4): 197-207
- Am J Clin Nutr. 2007; (5): 1361-6
- JAMA. 2007; (9): 969-77
- J Natl Med Assoc. 2007; (5): 480-8
- Menopause. 2006 May-Jun; (3): 506-16
- Hypertension. 2006; (2): 213-8
- Hypertension. 2006; (5): 846-52
- Implement Sci. 2006; 21
- PLoS Med. 2006; (3): e145
- Inquiry. 2005-2006 Winter; (4): 397-412
- Arch Intern Med. 2005; (12): 1354-61
- PLoS Med. 2005; (12): e353
- PLoS Med. 2005; (5): e123
- J Adolesc Health. 2005; (6): 434-42
- J Reprod Med. 2005; (11 Suppl): 885-90
- J Health Polit Policy Law. 2005; (3): 453-73
- Am J Med. 2005; (3): 259-68
- J Adolesc Health. 2005; (5): 441
- Arch Intern Med. 2005; (2): 171-7
- Prev Med. 2004; (4): 815-22
- Arch Intern Med. 2004; (14): 1525-30
- JAMA. 2004; (1): 54-62
- JAMA. 2004; (1): 47-53
- JAMA. 2004; (13): 1573-80
- Am J Manag Care. 2004; (6): 357-65
- Arch Intern Med. 2004; (1): 55-60
- JAMA. 2004; (16): 1983-8
- Appl Health Econ Health Policy. 2004; (2): 107-14
- Am Heart J. 2003; (6): 979-85
- Clin Ther. 2003; (5): 1503-17
- Am J Epidemiol. 2003; (5): 416-23
- Psychiatr Serv. 2003; (9): 1233-9
- J Allergy Clin Immunol. 2003; (3): 633-5
- Prim Care Companion J Clin Psychiatry. 2003; (4): 153-157
- Arch Intern Med. 2003; (9): 1046-50
- J Allergy Clin Immunol. 2003; (4): 729-35
- J Am Coll Cardiol. 2003; (1): 56-61
- Clin Ther. 2003; (9): 2419-30
- Health Serv Res. 2003; (2): 595-612
- Am J Manag Care. 2002; (8): 706-12
- Arch Intern Med. 2002; (1): 41-7
- J Rheumatol. 2002; (5): 999-1005
- Prim Care Companion J Clin Psychiatry. 2001; (6): 232-235
- JAMA. 2001; (10): 1181-6
- Am Heart J. 2001; (6): 957-63
- Nicotine Tob Res. 2001; (1): 85-91
- N Engl J Med. 2001; (14): 1097; author reply 1098
- Arch Intern Med. 2001; (19): 2351-5
- J Fam Pract. 2000; (2): 169-72
- J Gen Intern Med. 2000; (4): 220-8
- Arch Fam Med. 2000; (7): 631-8
- Am J Cardiol. 2000; (7): 783-5, A9
- Prim Care Companion J Clin Psychiatry. 2000; (6): 211-216
- Circulation. 2000; (10): 1097-101
- Arch Fam Med. 1999 Jan-Feb; (1): 26-32
- J Natl Cancer Inst. 1999; (21): 1857-62
- Am Heart J. 1999; (6 Pt 1): 1019-24
- Circulation. 1999; (15): 2055-7
- Urology. 1999; (5): 921-5
- Circulation. 1998; (13): 1231-3
- Arch Pediatr Adolesc Med. 1998; (3): 227-33
- Arch Intern Med. 1998; (16): 1813-8
- Arch Intern Med. 1998; (17): 1901-6
- Menopause. 1998; (3): 140-4
- Arch Intern Med. 1998; (19): 2144-8
- J Am Coll Cardiol. 1998; (5): 1238-43
- J Urol. 1998; (4): 1224-8
- JAMA. 1998; (8): 604-8
- Arch Intern Med. 1997; (21): 2460-4
- Cancer. 1997; (10): 1973-80
- Am J Obstet Gynecol. 1997; (2): 381-7
- J Am Coll Cardiol. 1997; (1): 139-46
- Arch Intern Med. 1996 Dec 9-23; (22): 2537-41
- Am J Obstet Gynecol. 1993; (4): 1297-302
- N Engl J Med. 1992; (7): 445-52
- JAMA. 1991; (1): 59-63
- West J Med. 1990; (5): 511-4
- Am J Public Health. 1990; (3): 313-5
- JAMA. 1990; (5): 683-7
- N Engl J Med. 1989; (4): 233-9