Patient Care
Three faculty members of the Department of Health Research and Policy (HRP) are physicians, whose research and patient care inform each other. Dr. Victor Henderson is also a member of the Department of Neurology; his work involves cognitive decline and dementia and in particular therapeutic strategies to improve cognitive function. Dr. Mark Hlatky is a cardiologist and is a member of the Department of Medicine's Division of Cardiovascular Medicine. Much of his research concerns interventions in cardiology, especially but not only how cost-effective they are. Dr. Julie Parsonnet is also Professor of Medicine and is a member of the Division of Infectious Diseases. She is an expert at the relationship between {\it Helicobactor pylori} infection and subsequent malignancy. She is also Senior Associate Dean of the School of Medicine, where her area is Medical Education.
HRP houses the Data Coordinating Center (DCC), a service center of the School of Medicine that has as its main focus managing data of ongoing or new research projects, always in a HIPAA-compliant fashion. DCC efforts include SAPPHIRe, the Stanford Asian Pacific Program in Hypertension and Insulin Resistance, a part of the National Heart, Lung, and Blood Institute's Family Blood Pressure Program; a large study of the genetic determinants of peripheral artery disease; a prospective randomized study of elective colon and rectal surgery; and Stanford's ongoing and much celebrated Lymphoma Program Project.
Beyond the cited matters, and perhaps somewhat less directly, other efforts of HRP faculty have impacted patient care at Stanford and indeed around the world. Topics have included the design of clinical trials, especially in cancer; classification of rheumatic diseases, lymphomas, and leukemias; and eligibility for bone marrow transplantation; quick diagnoses of heart attack by computer; and, in the past, the association between modes of anesthesia and postoperative hepatic necrosis; staging Duchenne muscular dystrophy; making prognoses of or patients undergoing heart transplantation and quick, accurate computer-based diagnoses of heart attack for patients who come to the emergency room with chief complaint acute chest pain. Stanford's new clinical centers will all have important clinical components; all will receive biostatistical help from HRP faculty.
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