Photo of Alexandra E. Shields,  PhD

Alexandra E. Shields, PhD

Massachusetts General Hospital

Massachusetts General Hospital


ashields@partners.org

Alexandra E. Shields, PhD

Massachusetts General Hospital

EDUCATIONAL TITLES

  • Associate Professor, Medicine, Harvard Medical School
  • Associate Professor, Medicine (Institute for Health Policy), Massachusetts General Hospital

DF/HCC PROGRAM AFFILIATION

Research Abstract

Dr. Shields' principal research interests include issues related to the quality of care provided to underserved populations, health disparities, and challenges associated with clinical integration of new genetic technologies. Dr. Shields is the Director of the Harvard/MGH Center on Genomics, Vulnerable Populations, and Health Disparities, which examines the complex intersection of emerging genetic research and the persistent problem of health disparities. This initiative includes analyses of current issues of pharmacogenetic treatment for cancer and developing the capacity to monitor the equitable diffusion of emergent genetic-based treatments across racial/ethnic subpopulations and by insurance status in the U.S.

Publications

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  • Park ER, Kleimann S, Youatt EJ, Lockhart A, Campbell EG, Levy DE, Halbert CH, Schmieder E, Krishna R, Shields AE. Black and White adults' perspectives on the genetics of nicotine addiction susceptibility. Addict Behav 2011. PubMed
  • Levy DE, Byfield SD, Comstock CB, Garber JE, Syngal S, Crown WH, Shields AE. Underutilization of BRCA1/2 testing to guide breast cancer treatment: black and Hispanic women particularly at risk. Genet Med 2011; 13:349-55. PubMed
  • Schnoll RA, Patterson F, Wileyto EP, Heitjan DF, Shields AE, Asch DA, Lerman C. Effectiveness of extended-duration transdermal nicotine therapy: a randomized trial. Ann Intern Med 2010; 152:144-51. PubMed
  • Levy DE,Garber JE,Shields AE. Guidelines for Genetic Risk Assessment of Hereditary Breast and Ovarian Cancer: Early Disagreements and Low Utilization. J Gen Intern Med 2009; 24:822-8. PubMed
  • DesRoches CM,Campbell EG,Rao SR,Donelan K,Ferris TG,Jha A,Kaushal R,Levy DE,Rosenbaum S,Shields AE,Blumenthal D. Electronic health records in ambulatory care--a national survey of physicians. N Engl J Med 2008; 359:50-60. PubMed
  • Shields AE,Burke W,Levy DE. Differential use of available genetic tests among primary care physicians in the United States: results of a national survey. Genet Med 2008; 10:404-14. PubMed
  • Shields AE,Levy DE,Blumenthal D,Currivan D,McGinn-Shapiro M,Weiss KB,Yucel R,Lerman C. Primary care physicians' willingness to offer a new genetic test to tailor smoking treatment, according to test characteristics. Nicotine Tob Res 2008; 10:1037-45. PubMed
  • Shields AE, Lerman C. Anticipating clinical integration of pharmacogenetic treatment strategies for addiction: are primary care physicians ready? Clin Pharmacol Ther 2008; 83:635-9. PubMed
  • Lee TA, Shields AE, Vogeli C, Gibson TB, Woong-Sohn M, Marder WD, Blumenthal D, Weiss KB. Mortality rate in veterans with multiple chronic conditions. J Gen Intern Med 2007; 22 Suppl 3:403-7. PubMed
  • Levy DE, Youatt EJ, Shields AE. Primary care physicians' concerns about offering a genetic test to tailor smoking cessation treatment. Genet Med 2007; 9:842-9. PubMed
  • Vogeli C, Shields AE, Lee TA, Gibson TB, Marder WD, Weiss KB, Blumenthal D. Multiple chronic conditions: prevalence, health consequences, and implications for quality, care management, and costs. J Gen Intern Med 2007; 22 Suppl 3:391-5. PubMed
  • Braun L, Fausto-Sterling A, Fullwiley D, Hammonds EM, Nelson A, Quivers W, Reverby SM, Shields AE. Racial categories in medical practice: how useful are they? PLoS Med 2007; 4:e271. PubMed
  • Shields AE, Shin P, Leu MG, Levy DE, Betancourt RM, Hawkins D, Proser M. Adoption of health information technology in community health centers: results of a national survey. Health Aff (Millwood) 2007; 26:1373-83. PubMed
  • Park ER, Kleimann S, Pelan JA, Shields AE. Anticipating clinical integration of genetically tailored tobacco dependence treatment: perspectives of primary care physicians. Nicotine Tob Res 2007; 9:271-9. PubMed
  • Jha AK, DesRoches CM, Shields AE, Miralles PD, Zheng J, Rosenbaum S, Campbell EG. Evidence of an emerging digital divide among hospitals that care for the poor. Health Aff (Millwood) 2009; 28:w1160-70. PubMed
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