Margaret G. Stineman

faculty photo
Professor of Physical Medicine and Rehabilitation
Senior Fellow, Leonard Davis Institute of Health Economics
Member, BGS
Member, Leadership Group, Department of Rehabilitation Medicine, University of Pennsylvania School of Medicine
Senior Fellow, Institute on Aging
Associated Faculty, Center for Health Equity Research and Promotion
Member, Committee on Appointments and Promotions (COAP), Department of Biostatistics and Epidemiology, University of Pennsylvania School of Medicine
Senior Scholar, Center for Clinical Epidemiology and Biostatistics
Department: Physical Medicine and Rehabilitation

Contact information
Center for Clinical Epidemiology and Biostatistics
904 Blockley Hall
423 Guardian Drive
Philadelphia, PA 19104
Office: 215-898-6272
Fax: 215-573-2017
Graduate Group Affiliations
Education:
B.F.A. ((Painting and Sculpture))
Tyler School of Art , 1974.
B.S. ((Biology))
Drexel University , 1981.
M.D.
Hahnemann University, 1983.
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Description of Research Expertise

Margaret Grace Stineman, MD

Dr. Stineman’s expertise is in statistical modeling, measurement and the development of patient classification systems. She applies mixed quantitative research and qualitative methods. She and her colleagues developed a patient classification approach that forms the basis for Medicare’s national payment system for inpatient rehabilitation, established staging systems for addressing patients’ mobility and abilities to care for themselves, established measures for addressing the effects of medical conditions on quality of life, and addressed the effect of environmental barriers on the expression of disability. Currently she and her colleagues are developing therapeutic tools for enhancing patient understanding of and involvement in the recovery process, and studying the effects of comprehensive rehabilitation services on patient outcomes following lower extremity amputation. The foundation for Dr. Stineman’s work is an expanded biopsycho-ecological model that views interactions between the person and environment as contributing to illness and disability. By this ecological framework medical interventions move beyond the person to include the environment in which he or she lives.

Research techniques:

1. The management and merging of large complex administrative databases to address policy relevant questions of relevance to the rehabilitation, care and quality of life of people with disabilities

2. Statistical methods including various forms of regression, propensity modeling, and other techniques

3. Development and application of a computerized patient empowerment tool referred to as Recovery Preference Exploration

Scientific areas of interest:

1. Self concept and disability

2. Policy changes that influence the rehabilitation and wellbeing of people with disabilities

3. Health and functional status measurement

4. Disparities

5. Independent living

6. Patient centered approaches to medicine and empowerment

7. Discordance between medical and consumer concepts of disability

8. The merging of art and science

Description of Itmat Expertise

Dr. Stineman is interested in small trials and outcomes studies of rehabilitation interventions, pharmacological agents, assistive technologies, lifestyle changes and environmental enhancements targeted to increasing function and quality of life for people with disabilities.

Selected Publications

Kurichi JE, Xie D, Bates BE, Cowper Ripley D, Vogel B, Kwong P, Stineman MG: Factors associated with home discharge among veterans with stroke. Arch Phys Med Rehabilitation 2014 In Press.

Stineman MG, Kwong PL, Bates BE, Kurichi JE, Ripley DC, Xie D.: Development and validation of a discharge planning index for achieving home discharge after hospitalization for acute stroke among those who received rehabilitation services. Am J of PM&R 93(3): 217-30, 2014.

Varma P, Stineman MG, Dillingham TR: Epidemiology of limb loss. Phys Med Rehabilitation Clinics North America 25(1): 1-8, 2014.

Zonfrillo MR, Durbin DR, Winston FK, Zhang X, Stineman MG: Residual cognitive disability after completion of inpatient rehabilitation among injured children. The Journal of Pediatrics 164(1): 130-5, 2014.

Stineman MG, Bates BE, Kurichi JE, Kwong PL, Cowper Ripley D, Xie D: Initial physical grades and cognitive stages after acute stroke: who gets comprehensive rehabilition services? PM&R 5(12): 1007-18, August 2013

Bates BE, Kwong PL, Xie D, Cowper Ripley D, Kurichi JE, Stineman MG: One-year all-cause mortality following stroke: a prediction model. PM&R 13: S1934-1482, 2013

Stineman MG, Zhang G, Kurichi JE, Zhang Z, Streim JE, Pan Q, Xie D.: Prognosis for functional deterioration and functional improvement in late life among community-dwelling persons. PM&R 5(5): 360-71, May 2013.

Bates BE, Hallenbeck R, Ferrario T, Kurichi JE, Kwong PL, Xie D, Stineman, MG: Patient-,treatment and facility-level characteristics associated with the receipt of preoperative lower-extremity amputation rehabilitation. PM&R 5(1): 16-23, January 2013.

Zonfrillo MR, Durbin DR, Winston FK, ZhaoH, Stineman MG: Physical disability after injury-related inpatient rehabilitation in children. Pediatrics 131(1): e206-13, 2013.

Bates BE, Kwong PL, Xie D, Valimahomed A, Ripley DC, Kurichi JE, Stineman MG.: Factors influencing receipt of early rehabilitation following stroke. PM&R 94(12): 2349-56, 2013.

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Last updated: 04/02/2014
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