Shih-Chuan Chou, MD, MPH

Title(s)Assistant Professor, Emergency Medicine
SchoolSchool of Medicine
Address521 Parnassus Avenue, #7318
San Francisco CA 94117
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    Collapse Biography 
    Collapse Education and Training
    Yale New Haven Hospital, New Haven, CT2017Emergency Medicine
    Tufts University School of Medicine , Boston, MAMD2013Medicine
    Tufts School of Public Health, Boston, MAMPH2013Public Health
    Harvard School of Public Health, Boston, MASM2019Health Policy and Management

    Collapse Overview 
    Collapse Overview
    Shih-Chuan (Andrew) Chou, MD, MPH, SM is an Assistant Professor of Emergency Medicine at UCSF and an affiliate member of the UCSF Philip R. Lee Institute for Health Policy Studies (IHPS). He practices as an attending physician at the UCSF Medical Center in Parnassus Heights Emergency Department, where he provides emergency care to a diverse patient population.

    Dr. Chou’s research focuses on the impact of health insurance design—particularly High Deductible Health Plans (HDHPs)—on emergency care utilization, patient outcomes, and healthcare costs. His work specifically examines how financial barriers influence clinical decision-making in acute care settings, with a special emphasis on patients with acute coronary syndrome (ACS) and other cardiac conditions. Dr. Chou is funded by the National Institutes of Health (NIH), including the National Heart, Lung, and Blood Institute (NHLBI), to explore how HDHPs affect the evaluation, treatment, and outcomes of emergency department patients, including hospital admissions, advanced testing, and major cardiac events. In addition to his work on healthcare access and insurance, Dr. Chou is interested in how cost-sharing impacts patient-clinician decision-making in emergency care. His research aims to inform healthcare policy that improves the value of care while reducing the financial burden on patients. His studies have been published in high-impact journals, including the Journal of American Medical Association, Annals of Emergency Medicine, and Health Affairs, and he collaborates with experts across multiple disciplines to address critical health services issues.

    Dr. Chou earned his medical degree and Master of Public Health from Tufts University School of Medicine, and he also holds a Master of Science from the Harvard T.H. Chan School of Public Health. He completed his clinical training at the Yale-New Haven Hospital and a health policy research fellowship at the Brigham and Women's Hospital. He is the recipient of the NIH K23 Career Development Award for his work on HDHPs and their impact on emergency cardiac care. Through his research and clinical practice, Dr. Chou is committed to improving both patient outcomes and healthcare policy in the U.S. emergency care system.

    Collapse Research 
    Collapse Research Activities and Funding
    Impact of Health Deductible Health Plans on the Evaluation, Treatment, and Outcomes for Acute Coronary Syndrome
    NIH K23HL164970Aug 9, 2023 - Jul 31, 2028
    Role: Principal Investigator

    Collapse Bibliographic 
    Collapse Publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact us for help. to make corrections and additions.
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    Altmetrics Details PMC Citations indicate the number of times the publication was cited by articles in PubMed Central, and the Altmetric score represents citations in news articles and social media. (Note that publications are often cited in additional ways that are not shown here.) Fields are based on how the National Library of Medicine (NLM) classifies the publication's journal and might not represent the specific topic of the publication. Translation tags are based on the publication type and the MeSH terms NLM assigns to the publication. Some publications (especially newer ones and publications not in PubMed) might not yet be assigned Field or Translation tags.) Click a Field or Translation tag to filter the publications.
    1. Trends in Urinary Catheter Use by Indication in US Emergency Departments, 2002-2019. JAMA. 2022 10 18; 328(15):1557-1559. Dickerson Mayes K, Schuur JD, Chou SC. PMID: 36053549; PMCID: PMC9579909.
      View in: PubMed   Mentions: 1     Fields:    
    2. Hospital Occupancy and its Effect on Emergency Department Evaluation. Ann Emerg Med. 2022 02; 79(2):172-181. Chou SC, Chang YC, Chen PC, Schuur JD, Weiner SG. PMID: 34756449.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    3. Evaluation of sex disparities in opioid use among ED patients with sickle cell disease, 2006-2015. Am J Emerg Med. 2021 Dec; 50:597-601. Wilson TT, Chou SC, Becker S, Schuur JD, Beaudoin F. PMID: 34592567.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    4. Impact of High-Deductible Health Plans on Emergency Department Patients With Nonspecific Chest Pain and Their Subsequent Care. Circulation. 2021 08 03; 144(5):336-349. Chou SC, Hong AS, Weiner SG, Wharam JF. PMID: 34176279; PMCID: PMC8323713.
      View in: PubMed   Mentions: 5     Fields:    Translation:HumansPHPublic Health
    5. Prescription and Prescriber Specialty Characteristics of Initial Opioid Prescriptions Associated with Chronic Use. Pain Med. 2020 12 25; 21(12):3669-3678. Weiner SG, Chou SC, Chang CY, Garner C, El Ibrahimi S, Hallvik S, Hendricks M, Baker O. PMID: 33094313; PMCID: PMC7770231.
      View in: PubMed   Mentions: 7     Fields:    Translation:Humans
    6. High-deductible health plans and low-value imaging in the emergency department. Health Serv Res. 2021 08; 56(4):709-720. Chou SC, Hong AS, Weiner SG, Wharam JF. PMID: 33025604; PMCID: PMC8313945.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    7. Advanced imaging and trends in hospitalizations from the emergency department. PLoS One. 2020; 15(9):e0239059. Chou SC, Nagurney JM, Schuur JD, Weiner SG. PMID: 32936833; PMCID: PMC7494122.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    8. Where Skilled Nursing Facility Residents Get Acute Care: Is the Emergency Department the Medical Home? J Appl Gerontol. 2021 08; 40(8):828-836. Venkatesh AK, Gettel CJ, Mei H, Chou SC, Rothenberg C, Liu SL, D'Onofrio G, Lin Z, Krumholz HM. PMID: 32842827; PMCID: PMC7904961.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    9. Medicaid Expansion Reduced Emergency Department Visits by Low-income Adults Due to Barriers to Outpatient Care. Med Care. 2020 06; 58(6):511-518. Chou SC, Gondi S, Weiner SG, Schuur JD, Sommers BD. PMID: 32000172.
      View in: PubMed   Mentions: 7     Fields:    Translation:Humans
    10. Changes in Emergency Department Care Intensity from 2007-16: Analysis of the National Hospital Ambulatory Medical Care Survey. West J Emerg Med. 2020 Feb 21; 21(2):209-216. Chou SC, Baker O, Schuur JD. PMID: 32191178; PMCID: PMC7081865.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    11. Association Between Insurance Status and Access to Hospital Care in Emergency Department Disposition. JAMA Intern Med. 2019 05 01; 179(5):686-693. Venkatesh AK, Chou SC, Li SX, Choi J, Ross JS, D'Onofrio G, Krumholz HM, Dharmarajan K. PMID: 30933243; PMCID: PMC6503571.
      View in: PubMed   Mentions: 25     Fields:    Translation:Humans
    12. Primary Care Office Visits For Acute Care Dropped Sharply In 2002-15, While ED Visits Increased Modestly. Health Aff (Millwood). 2019 02; 38(2):268-275. Chou SC, Venkatesh AK, Trueger NS, Pitts SR. PMID: 30715979.
      View in: PubMed   Mentions: 17     Fields:    Translation:Humans
    13. Analysis of a Commercial Insurance Policy to Deny Coverage for Emergency Department Visits With Nonemergent Diagnoses. JAMA Netw Open. 2018 10 05; 1(6):e183731. Chou SC, Gondi S, Baker O, Venkatesh AK, Schuur JD. PMID: 30646254; PMCID: PMC6324426.
      View in: PubMed   Mentions: 12     Fields:    Translation:Humans
    14. Trends in advanced imaging and hospitalization for emergency department syncope care before and after ACEP clinical policy. Am J Emerg Med. 2019 06; 37(6):1037-1043. Chou SC, Nagurney JM, Weiner SG, Hong AS, Wharam JF. PMID: 30177266; PMCID: PMC6386626.
      View in: PubMed   Mentions: 11     Fields:    Translation:Humans
    15. Patient centered medical homes did not improve access to timely follow-up after ED visit. Am J Emerg Med. 2018 May; 36(5):854-858. Chou SC, Rothenberg C, Agnoli A, Wiechers I, Lott J, Voorhees J, Bernstein SL, Venkatesh AK. PMID: 29452920.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    16. Insurance Status and Access to Urgent Primary Care Follow-up After an Emergency Department Visit in 2016. Ann Emerg Med. 2018 04; 71(4):487-496.e1. Chou SC, Deng Y, Smart J, Parwani V, Bernstein SL, Venkatesh AK. PMID: 29032870.
      View in: PubMed   Mentions: 14     Fields:    Translation:Humans
    17. ED utilization of medical clearance testing for psychiatric admission: National Hospital Ambulatory Medical Care Survey analysis. Am J Emerg Med. 2018 May; 36(5):745-748. Yun BJ, Chou SC, Nagurney JM, White BA, Wittmann CW, Raja AS. PMID: 28988848; PMCID: PMC5882593.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    18. Emergency Departments in Connecticut: A Report Utilizing the National Emergency Department Inventory Survey. Conn Med. 2016 09; 80(8):453-462. Chou SC, Schiller E, Faridi MK, Espinola JA, Raja AS, Camargo CA, Venkatesh AK. PMID: 29782779.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    19. Racial/ethnic differences in the presentation and management of severe bronchiolitis. J Hosp Med. 2014 Sep; 9(9):565-72. Santiago J, Mansbach JM, Chou SC, Delgado C, Piedra PA, Sullivan AF, Espinola JA, Camargo CA. PMID: 24913444.
      View in: PubMed   Mentions: 13     Fields:    Translation:Humans
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