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Nancy P. Gordon, ScD

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Kaiser Permanente Division of Research
2000 Broadway
Oakland, CA 94612

(510) 891-3587 (phone)
nancy.gordon@kp.org
Kaiser Permanente Researcher Profiles


 
Nancy Gordon, ScD, has been a research scientist and program evaluation consultant in the Health Care Effectiveness group at the Kaiser Permanente Northern California Division of Research since 1985. She has a master’s degree in counseling psychology from the University of California, Santa Barbara; and a doctor of science in applied behavioral sciences from the Harvard School of Public Health. Dr. Gordon’s experience includes being director of the triennial Kaiser Permanente Northern California Adult Member Health Survey and serving as an evaluation consultant/director for many patient education/health promotion and innovative primary care health services sponsored by the Kaiser Permanente Medical Care Program. She has also frequently served as a consultant for the evaluation of programs aimed at improving knowledge and practices of clinical staff.

Current Position(s):

  • Research Scientist II, Division of Research, Kaiser Permanente Northern California
  • Consultant, Kaiser Permanente Care Management Institute, Center for Population Health

Section Affiliations:

Primary Research Interests:

  • Disparities in health behaviors, psychosocial health risks, social determinants of health, and health status related to age, gender, race/ethnicity, and education 
  • Trends in and demographic characteristics associated with adult use of and interest in using eHealth technologies and patient portals
  • Health behaviors and health/functional status of older adults
  • Member and physician surveys
  • Evaluation of health services and health education programs, with special focus on who uses them, how effective they are, and whether they are more effective for some types of people than others

Related Website(s):

Similarities and Differences in Health Indicators and Health Care Use Among Asian Ethnic Groups

​This study will examine whether significant differences across Asian ethnic groups in prevalence of chronic diseases, behavioral/psychosocial risk factors, preventive service use, and patient portal use are masked when statistics are reported for “Asians.” It will utilize electronic health records and clinical/administrative data for a cohort of adults aged 20 to 89 who were Kaiser Permanente Northern California (KPNC) members throughout 2016 to compare six Asian ethnic groups (Filipino, Chinese, Korean, Japanese, South Asian, and Southeast Asian) on prevalence of chronic health conditions, obesity, and smoking status; Healthcare Effectiveness Data and Information Set (HEDIS) quality indicators of chronic disease management and cancer screening; and patient portal use during 2016. Pooled data weighted from the 2011, 2014/2015, and 2017 KPNC Member Health Surveys will also be used to compare the Asian ethnic groups on sociodemographic characteristics, health status, health behaviors, and information technology (IT) use. Asian ethnic groups will also be compared with non-Hispanic whites, blacks, and Latinos.


Investigator: Gordon, Nancy
Funder: Northern California Community Benefit Programs

Does Information about Members’ Social Determinants of Health Improve Prediction of Risk for Hospitalization, Emergency Department Visits, and Outpatient Utilization?

The new Kaiser Permanente Your Current Life Situation (YCLS) screening questionnaire will be mailed to a random sample of 7,000 adult members of Kaiser Permanente Northern California (KPNC), oversampling patients at low to medium risk for hospitalization. After receiving responses, YCLS data will be linked with existing variables known to be predictors of utilization, including age, sex, COPS2 (COmorbidity Point Score, version 2), abLAPS (abbreviated Laboratory-based Acute Physiology Score), other composite indices currently available in KPNC electronic databases, and U.S. census-derived socioeconomic status data. The linked data will be analyzed to determine the extent to which the YCLS data improves prediction of hospitalization, emergency department use, and total outpatient utilization, and, if improvement in prediction is found after incorporating YCLS data, which specific items from the YCLS have the greatest impact. Responses to the YCLS survey, weighted to the adult membership, will also be used to estimate prevalence of KPNC adult members’ social and economic needs.
Investigator: Escobar, Gabriel; Gordon, Nancy
Funder: Kaiser Permanente Program Offices

Does Combining Asians Into One Group Mask Important Ethnic Group Differences in Health and Health Care Use?

This study will examine whether significant differences across Asian ethnic groups in prevalence of chronic diseases, behavioral and psychosocial risk factors, preventive service use, and patient-portal use are masked when statistics are reported for Asians. We will use a very large cohort of adults aged 20 to 90 who were members of Kaiser Permanente Northern California for two or more years as of December 2016 to compare six Asian ethnic groups (Filipino, Chinese, Korean, Japanese, South Asian, and Southeast Asian). Electronic health record and clinical and administrative data linked to the cohort will be used to compare prevalence of chronic conditions, HEDIS (Healthcare Effectiveness Data and Information Set) performance on chronic disease management and cancer screening, frequency of smoking, frequency of obesity and exercise, and patient-portal use. Pooled data from the 2011 and 2014-15 Member Health Surveys will be used to compare Asian ethnic groups on sociodemographic characteristics, health status, and health behavior and psychosocial risks. Asian ethnic groups will also be compared with non-Hispanic white, black, and Latino adults.
Investigator: Gordon, Nancy
Funder: Northern California Community Benefit Programs

Barriers to Health Care in a Latino Population with Autism Spectrum Disorder

This study will identify barriers to the use of recommended assessment, diagnostic, and treatment services among Latino children and adolescents with autism spectrum disorder. The study population will comprise Kaiser Permanente Northern California Latino members, and comparisons will be made between commercially insured versus federally insured (Medicaid) patients, and English versus Spanish speakers.
Investigator: Croen, Lisa; Gordon, Nancy
Funder: Northern California Community Benefit Programs

The Kaiser Permanente Northern California Adult Member Health Survey

Author(s): Gordon N; Lin T

Perm J. 2016 Aug 19;20(4). Epub 2016-8-19.

PubMed abstract

Differences in Access to and Preferences for Using Patient Portals and Other eHealth Technologies Based on Race, Ethnicity, and Age: A Database and Survey Study of Seniors in a Large Health Plan

Author(s): Gordon NP; Hornbrook MC

J Med Internet Res. 2016;18(3):e50. Epub 2016-03-04.

PubMed abstract

Factors associated with use and non-use of the Fecal Immunochemical Test (FIT) kit for Colorectal Cancer Screening in Response to a 2012 outreach screening program: a survey study

Author(s): Gordon NP; Green BB

BMC Public Health. 2015;15:546. Epub 2015-06-11.

PubMed abstract

Variation in vitamin D supplementation among adults in a multi-race/ethnic health plan population, 2008

Author(s): Gordon NP; Caan BJ; Asgari MM

Nutr J. 2012 Dec 11;11:104.

PubMed abstract

Health-related characteristics and preferred methods of receiving health education according to dominant language among Latinos aged 25 to 64 in a large Northern California health plan

Author(s): Gordon NP; Iribarren C

BMC Public Health. 2008 Sep 9;8:305.

PubMed abstract

Understanding functional and social risk characteristics of frail older adults: a cross-sectional survey study

Author(s): Lee DR; Santo EC; Lo JC; Ritterman Weintraub ML; Patton M; Gordon NP

BMC Fam Pract. 2018 Oct 19;19(1):170. Epub 2018-10-19.

PubMed abstract

Older adults' readiness to engage with eHealth patient education and self-care resources: a cross-sectional survey

Author(s): Gordon NP; Hornbrook MC

BMC Health Serv Res. 2018 03 27;18(1):220. Epub 2018-03-27.

PubMed abstract

Racial-Ethnic Differences in Fall Prevalence among Older Women: A Cross-Sectional Survey Study

Author(s): Geng Y; Lo JC; Brickner L; Gordon NP

BMC Geriatr. 2017 Mar 11;17(1):65. Epub 2017-03-11.

PubMed abstract

The Kaiser Permanente Northern California Adult Member Health Survey

Author(s): Gordon N; Lin T

Perm J. 2016 Aug 19;20(4). Epub 2016-8-19.

PubMed abstract

Gay/Lesbian sexual orientation increases risk for cigarette smoking and heavy drinking among members of a large Northern California health plan

Author(s): Gruskin EP; Gordon N

BMC Public Health. 2006 Oct 3;6:241.

PubMed abstract

Accuracy of parent-reported information for estimating prevalence of overweight and obesity in a race-ethnically diverse pediatric clinic population aged 3 to 12

Author(s): Gordon NP; Mellor RG

BMC Pediatr. 2015;15:5. Epub 2015-02-12.

PubMed abstract

The Digital Divide and Patient Portals: Internet Access Explained Differences in Patient Portal Use for Secure Messaging by Age, Race, and Income

Author(s): Graetz I; Gordon N; Fung V; Hamity C; Reed ME

Med Care. 2016 Jun 16.

PubMed abstract

Differences in Access to and Preferences for Using Patient Portals and Other eHealth Technologies Based on Race, Ethnicity, and Age: A Database and Survey Study of Seniors in a Large Health Plan

Author(s): Gordon NP; Hornbrook MC

J Med Internet Res. 2016;18(3):e50. Epub 2016-03-04.

PubMed abstract

Obesity Severity, Dietary Behaviors, and Lifestyle Risks Vary by Race/Ethnicity and Age in a Northern California Cohort of Children with Obesity

Author(s): Ford MC; Gordon NP; Howell A; Green CE; Greenspan LC; Chandra M; Mellor RG; Lo JC

J Obes. 2016;2016:4287976. Epub 2016-01-14.

PubMed abstract

Patient-initiated e-mails to providers: associations with out-of-pocket visit costs, and impact on care-seeking and health

Author(s): Reed M; Graetz I; Gordon N; Fung V

Am J Manag Care. 2015;21(12):e632-9. Epub 2015-12-01.

PubMed abstract

Factors associated with use and non-use of the Fecal Immunochemical Test (FIT) kit for Colorectal Cancer Screening in Response to a 2012 outreach screening program: a survey study

Author(s): Gordon NP; Green BB

BMC Public Health. 2015;15:546. Epub 2015-06-11.

PubMed abstract

Patients' attitudes about the use of placebo treatments: telephone survey

Author(s): Hull SC; Colloca L; Avins A; Gordon NP; Somkin CP; Kaptchuk TJ; Miller FG

BMJ. 2013 Jul 2;347:f3757.

PubMed abstract

Variation in vitamin D supplementation among adults in a multi-race/ethnic health plan population, 2008

Author(s): Gordon NP; Caan BJ; Asgari MM

Nutr J. 2012 Dec 11;11:104.

PubMed abstract

Oral health considerations in older women receiving oral bisphosphonate therapy

Author(s): Lo JC; O'Ryan F; Yang J; Hararah MK; Gonzalez JR; Gordon N; Silver P; Ansfield A; Wang B; Go AS

J Am Geriatr Soc. 2011 May;59(5):916-22. Epub 2011 May 3.

PubMed abstract

Prevalence of osteonecrosis of the jaw in patients with oral bisphosphonate exposure

Author(s): Lo JC; O'Ryan FS; Gordon NP; Yang J; Hui RL; Martin D; Hutchinson M; Lathon PV; Sanchez G; Silver P; Chandra M; McCloskey CA; Staffa JA; Willy M; Selby JV; Go AS; Predicting Risk of Osteonecrosis of the Jaw with Oral Bisphosphonate Exposure (PROBE) Investigators

J Oral Maxillofac Surg. 2010 Feb;68(2):243-53. Epub 2009 Sep 24.

PubMed abstract

Ethnic disparities in accessing treatment for depression and substance use disorders in an integrated health plan

Author(s): Satre DD; Campbell CI; Gordon NS; Weisner C

Int J Psychiatry Med. 2010;40(1):57-76.

PubMed abstract

Differences in reproductive risk factors for breast cancer in middle-aged women in Marin County, California and a sociodemographically similar area of Northern California

Author(s): Lea CS; Gordon NP; Prebil LA; Ereman R; Uratsu CS; Powell M

BMC Womens Health. 2009 Mar 25;9:6.

PubMed abstract

Health-related characteristics and preferred methods of receiving health education according to dominant language among Latinos aged 25 to 64 in a large Northern California health plan

Author(s): Gordon NP; Iribarren C

BMC Public Health. 2008 Sep 9;8:305.

PubMed abstract

Race/ethnicity and validity of self-reported pneumococcal vaccination

Author(s): Gordon NP; Wortley PM; Singleton JA; Lin TY; Bardenheier BH

BMC Public Health. 2008 Jul 3;8:227.

PubMed abstract

Alcohol consumption, medical conditions, and health behavior in older adults

Author(s): Satre DD; Gordon NP; Weisner C

Am J Health Behav. 2007 May-Jun;31(3):238-48.

PubMed abstract

Impacts of evidence-based quality improvement on depression in primary care: a randomized experiment

Author(s): Rubenstein LV; Meredith LS; Parker LE; Gordon NP; Hickey SC; Oken C; Lee ML

J Gen Intern Med. 2006 Oct;21(10):1027-35. Epub 2006 Jul 7.

PubMed abstract

Tobacco-cessation services and patient satisfaction in nine nonprofit HMOs

Author(s): Quinn VP; Stevens VJ; Hollis JF; Rigotti NA; Solberg LI; Gordon N; Ritzwoller D; Smith KS; Hu W; Zapka J

Am J Prev Med. 2005 Aug;29(2):77-84.

PubMed abstract

Use of dietary supplements by female seniors in a large Northern California health plan

Author(s): Gordon NP; Schaffer DM

BMC Geriatr. 2005 Feb 9;5:4.

PubMed abstract

Relationship between tobacco control policies and the delivery of smoking cessation services in nonprofit HMOs

Author(s): Stevens VJ; Solberg LI; Quinn VP; Rigotti NA; Hollis JA; Smith KS; Zapka JG; France E; Vogt T; Gordon N; Fishman P; Boyle RG

J Natl Cancer Inst Monogr. 2005;(35):75-80.

PubMed abstract

Use of complementary and alternative medicine by the adult membership of a large northern California health maintenance organization, 1999

Author(s): Gordon NP; Lin TY

J Ambul Care Manage. 2004 Jan-Mar;27(1):12-24.

PubMed abstract

Nonvitamin, nonmineral supplement use over a 12-month period by adult members of a large health maintenance organization

Author(s): Schaffer DM; Gordon NP; Jensen CD; Avins AL

J Am Diet Assoc. 2003 Nov;103(11):1500-5.

PubMed abstract

Patient knowledge and awareness of hypertension is suboptimal: results from a large health maintenance organization

Author(s): Alexander M; Gordon NP; Davis CC; Chen RS

J Clin Hypertens (Greenwich). 2003 Jul-Aug;5(4):254-60.

PubMed abstract

Understanding team-based quality improvement for depression in primary care

Author(s): Rubenstein LV; Parker LE; Meredith LS; Altschuler A; dePillis E; Hernandez J; Gordon NP

Health Serv Res. 2002 Aug;37(4):1009-29.

PubMed abstract

Tobacco-control policies in 11 leading managed care organizations: progress and challenges

Author(s): Rigotti NA; Quinn VP; Stevens VJ; Solberg LI; Hollis JF; Rosenthal AC; Zapka JG; France E; Gordon N; Smith S; Monroe M

Eff Clin Pract. 2002 May-Jun;5(3):130-6.

PubMed abstract

Patterns of cigarette smoking and alcohol use among lesbians and bisexual women enrolled in a large health maintenance organization

Author(s): Gruskin EP; Hart S; Gordon N; Ackerson L

Am J Public Health. 2001 Jun;91(6):976-9.

PubMed abstract

Effects of providing hospital-based doulas in health maintenance organization hospitals

Author(s): Gordon NP; Walton D; McAdam E; Derman J; Gallitero G; Garrett L

Obstet Gynecol. 1999 Mar;93(3):422-6.

PubMed abstract

Use of and interest in alternative therapies among adult primary care clinicians and adult members in a large health maintenance organization

Author(s): Gordon NP; Sobel DS; Tarazona EZ

West J Med. 1998 Sep;169(3):153-61.

PubMed abstract

Type of health care coverage and the likelihood of being screened for cancer

Author(s): Gordon NP; Rundall TG; Parker L

Med Care. 1998 May;36(5):636-45.

PubMed abstract