Elaine Khoong, MD, MS
Assistant Professor
Medicine
School of Medicine

Elaine Khoong is a general internist and clinical informatician at San Francisco General Hospital. She is interested in leveraging technology and implementation science to improve equity in delivery of primary care. Her research aims to reduce chronic disease disparities in historically excluded populations. Dr. Khoong's research interests are driven by her experiences as a primary care clinician caring for diverse patients within a safety-net setting.

Awards

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• Alpha Omega Alpha Honor Society, 2013
• Herbert W. Nickens Medical Student Fellowship, AAMC, 2012

Education & Training

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• UCSF Primary Care Research Fellowship 2019
• Diversity, Equity, and Inclusion Champion Training University of California 2019
• Internal Medicine Residency UCSF - Primary Care Track at San Francisco General Hospital 2017
• MD, MS MS in Clinical Investigations Washington University 2014
• BS, BS Biomedical Sciences; Healthcare Management and Policy; Business & Public Policy University of Pennsylvania 2007

Interests

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• Health Inequities
• Health Informatics
• Vulnerable Populations
• Implementation Science
• Limited English Proficient Patients

Websites

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• @@elainekhoong on Twitter (twitter.com)

Grants and Projects

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• Implementation Strategies for Self-Measured Blood Pressure Monitoring in Racially and Ethnically Diverse Populations (InS2PiRED)., AHRQ, 2023-2028
• Designing a Remote Monitoring Intervention for Value & Equity in Hypertension (DRIVE-HTN), NIH, 2021-2026

Publications (61)

Top publication keywords:
Ambulatory CareTelemedicinePatient DischargeInformation Seeking BehaviorMultilingualismSafety-net ProvidersUrban HealthWeb BrowserTranslatingAftercareCommunicationPeer ReviewHealth LiteracyCulturally Competent CareClinical Medicine

• Lessons From the Field From a Volunteer Telehealth Ambassador Program to Enhance Video Visits Among Low-Income Patients: Qualitative Improvement Study.
  JMIR formative research 2024 Tuot DS, Mukherjee A, Churape A, DeFries T, Su G, Khoong EC, Lyles C
• Perinatal Community Health Workers: Lessons From California
  Health Affairs Forefront 2024 Malini A. Nijagal, Elaine C. Khoong, Elizabeth B. Sherwin, Erinn Lance, Erin Saleeby, Amanda P. Williams, Melanie R. Thomas
• Telemedicine and Depression Screening After the Start of the COVID-19 Pandemic.
  JAMA network open 2024 Garcia ME, Neuhaus J, Livaudais-Toman J, Feldman MD, Ochoa-Frongia L, Khoong E, Karliner LS
• Association between language discordance and unplanned hospital readmissions or emergency department revisits: a systematic review and meta-analysis.
  BMJ quality & safety 2023 Chu JN, Wong J, Bardach NS, Allen IE, Barr-Walker J, Sierra M, Sarkar U, Khoong EC
• ChatGPT Influence on Medical Decision-Making, Bias, and Equity: A Randomized Study of Clinicians Evaluating Clinical Vignettes.
  medRxiv : the preprint server for health sciences 2023 Goh E, Bunning B, Khoong E, Gallo R, Milstein A, Centola D, Chen JH

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• Visit and Between-Visit Interaction Frequency Before and After COVID-19 Telehealth Implementation.
  JAMA network open 2023 Nouri S, Lyles CR, Sherwin EB, Kuznia M, Rubinsky AD, Kemper KE, Nguyen OK, Sarkar U, Schillinger D, Khoong EC
• Impact of standardized, language-concordant hospital discharge instructions on postdischarge medication questions.
  Journal of hospital medicine 2023 Khoong EC, Sherwin EB, Harrison JD, Wheeler M, Shah SJ, Mourad M, Khanna R
• Experimental evidence for structured information-sharing networks reducing medical errors.
  Proceedings of the National Academy of Sciences of the United States of America 2023 Centola D, Becker J, Zhang J, Aysola J, Guilbeault D, Khoong E
• Telehealth Policy, Practice, and Education: a Position Statement of the Society of General Internal Medicine.
  Journal of general internal medicine 2023 Chen A, Ayub MH, Mishuris RG, Rodriguez JA, Gwynn K, Lo MC, Noronha C, Henry TL, Jones D, Lee WW, Varma M, Cuevas E, Onumah C, Gupta R, Goodson J, Lu AD, Syed Q, Suen LW, Heiman E, Salhi BA, Khoong EC…
• Evaluation of Commercially Available Machine Interpretation Applications for Simple Clinical Communication.
  Journal of general internal medicine 2023 Lee W, Khoong EC, Zeng B, Rios-Fetchko F, Ma Y, Liu K, Fernandez A
• Randomized trial protocol for remote monitoring for equity in advancing the control of hypertension in safety net systems (REACH-SNS) study.
  Contemporary clinical trials 2023 Fontil V, Khoong EC, Green BB, Ralston JD, Zhou C, Garcia F, McCulloch CE, Sarkar U, Lyles CR
• Multilevel Determinants of Digital Health Equity: A Literature Synthesis to Advance the Field.
  Annual review of public health 2022 Lyles CR, Nguyen OK, Khoong EC, Aguilera A, Sarkar U
• The Impact of the COVID-19 Pandemic on Internet Use and the Use of Digital Health Tools: Secondary Analysis of the 2020 Health Information National Trends Survey.
  Journal of medical Internet research 2022 Zeng B, Rivadeneira NA, Wen A, Sarkar U, Khoong EC
• Use of Self-Measured Blood Pressure Monitoring to Improve Hypertension Equity.
  Current hypertension reports 2022 Khoong EC, Commodore-Mensah Y, Lyles CR, Fontil V
• Assessing Medical Student Readiness to Navigate Language Barriers in Telehealth: Cross-sectional Survey Study.
  JMIR medical education 2022 Yin L, Ng F, Rutherford-Rojas M, Williams M, Cornes S, Fernandez A, Garcia ME, Khoong EC
• System Interventions to Reduce Disparities in Covid-19 Vaccine Offer Rates.
  NEJM Catalyst 2022 Blake Gregory, Ariel Franks, Lilibeth Morales, Henry Rafferty, Elaine Khoong, Robin George, Carol Taniguchi, Anna Robert
• Extent of Follow-Up on Abnormal Cancer Screening in Multiple California Public Hospital Systems: A Retrospective Review.
  Journal of general internal medicine 2022 Khoong EC, Rivadeneira NA, Pacca L, Schillinger D, Lown D, Babaria P, Gupta N, Pramanik R, Tran H, Whitezell T, Somsouk M, Sarkar U
• Factors Associated with Malpractice Claim Payout: An Analysis of Closed Emergency Department Claims.
  Joint Commission journal on quality and patient safety 2022 Gupta K, Szymonifka J, Rivadeneira NA, Khoong EC, Adler-Milstein J, Ross J, Sarkar U
• Diagnostic Trajectories in Primary Care at 12 Months: An Observational Cohort Study.
  Joint Commission journal on quality and patient safety 2022 Fontil V, Khoong EC, Lyles C, Rivadeneira NA, Olazo K, Hoskote M, Sarkar U
• Policy Considerations To Ensure Telemedicine Equity.
  Health affairs (Project Hope) 2022 Khoong EC
• System-Level Factors Associated With Telephone and Video Visit Use: Survey of Safety-Net Clinicians During the Early Phase of the COVID-19 Pandemic.
  JMIR formative research 2022 Sharma AE, Khoong EC, Sierra M, Rivadeneira NA, Nijagal MA, Su G, Lyles CR, DeFries T, Tuot DS, Sarkar U
• Satisfaction can co-exist with hesitation: qualitative analysis of acceptability of telemedicine among multi-lingual patients in a safety-net healthcare system during the COVID-19 pandemic.
  BMC health services research 2022 Nguyen MT, Garcia F, Juarez J, Zeng B, Khoong EC, Nijagal MA, Sarkar U, Su G, Lyles CR
• A Research Agenda for Using Machine Translation in Clinical Medicine.
  Journal of general internal medicine 2022 Khoong EC, Rodriguez JA
• Association of Differences in Treatment Intensification, Missed Visits, and Scheduled Follow-up Interval With Racial or Ethnic Disparities in Blood Pressure Control.
  JAMA cardiology 2022 Fontil V, Pacca L, Bellows BK, Khoong E, McCulloch CE, Pletcher M, Bibbins-Domingo K
• The Abrupt Expansion of Ambulatory Telemedicine: Implications for Patient Safety.
  Journal of general internal medicine 2022 Khoong EC, Sharma AE, Gupta K, Adler-Milstein J, Sarkar U
• Warfarin Monitoring in Safety-Net Health Systems: Analysis by Race/Ethnicity and Language Preference.
  Journal of general internal medicine 2022 Sharma AE, Khoong EC, Rivadeneira N, Sierra M, Fang MC, Gupta N, Pramanik R, Tran H, Whitezell T, Fontil V, Lee SY, Sarkar U
• The reduction of race and gender bias in clinical treatment recommendations using clinician peer networks in an experimental setting.
  Nature communications 2021 Centola D, Guilbeault D, Sarkar U, Khoong E, Zhang J
• Evaluation of Sexual Harassment Policies at Medical Institutions to Understand Attention to Harassment of Physicians by Patients.
  JAMA network open 2021 Reed G, Ahmad SR, Khoong EC, Olazo K, Jagsi R, Mangurian C, Sarkar U
• Impact of language preference and health literacy on health information-seeking experiences among a low-income, multilingual cohort.
  Patient education and counseling 2021 Chu JN, Sarkar U, Rivadeneira NA, Hiatt RA, Khoong EC
• Comparison of Diagnostic Recommendations from Individual Physicians versus the Collective Intelligence of Multiple Physicians in Ambulatory Cases Referred for Specialist Consultation.
  Medical decision making : an international journal of the Society for Medical Decision Making 2021 Khoong EC, Nouri SS, Tuot DS, Nundy S, Fontil V, Sarkar U
• Mobile health strategies for blood pressure self-management in urban populations with digital barriers: systematic review and meta-analyses.
  NPJ digital medicine 2021 Khoong EC, Olazo K, Rivadeneira NA, Thatipelli S, Barr-Walker J, Fontil V, Lyles CR, Sarkar U
• Using incident reporting to understand and characterize sexual harassment of physicians by patients.
  Journal of general internal medicine 2021 Hemmat S, Khoong EC, Olazo K, Sharma AE, Mangurian C, Fernandez A, Sarkar U
• Addressing Gaps in Interpreter Use: Time for Implementation Science Informed Multi-Level Interventions.
  Journal of general internal medicine 2021 Khoong EC, Fernandez A
• Clinician experience with telemedicine at a safety-net hospital network during COVID-19: a cross-sectional survey.
  Journal of health care for the poor and underserved 2021 Sharma AE, Khoong EC, Nijagal MA, Lyles CR, Su G, DeFries T, Sarkar U, Tuot D
• Concentrating Vaccines in Neighborhoods with High Covid-19 Burden
  NEJM Catalyst: Innovations in Care Delivery. 2021 Rachel J. Stern, Henry F. Rafferty, Anna C. Robert, Carol Taniguchi, Blake Gregory, Elaine C. Khoong, Margaret A. Handley, Lukejohn W. Day, & Ellen Chen
• Impact of digitally acquired peer diagnostic input on diagnostic confidence in outpatient cases: A pragmatic randomized trial.
  Journal of the American Medical Informatics Association : JAMIA 2021 Khoong EC, Fontil V, Rivadeneira NA, Hoskote M, Nundy S, Lyles CR, Sarkar U
• Patient interest in and barriers to telemedicine video visits in a multilingual urban safety-net system.
  Journal of the American Medical Informatics Association : JAMIA 2021 Khoong EC, Butler BA, Mesina O, Su G, DeFries TB, Nijagal M, Lyles CR
• Clinician Experience with Telemedicine at a Safety-net Hospital Network during COVID-19: A Cross-sectional Survey.
  Journal of Health Care for the Poor and Underserved 2021 Anjana E. Sharma, Elaine C. Khoong, Malini A. Nijagal, Courtney R. Lyles, George Su, Triveni DeFries, Urmimala Sarkar, Delphine Tuot
• Abstract 17207: Impact of Racial Differences in Treatment Intensification and Missed Visits on Disparities in BP Control.
  Circulation 2020 Valy Fontil, Lucia Pacca, Brandon Bellows, Elaine Khoong, Charles McCulloch, Mark Pletcher, Kirsten Bibbins-Domingo
• A Direction for the Next Decade of NIH-Funded Health Literacy Research.
  Health literacy research and practice 2020 Khoong EC, Schillinger D
• Addressing Equity in Telemedicine for Chronic Disease Management During the Covid-19 Pandemic
  NEJM Catalyst: Innovations in Care Delivery 2020 Nouri S, Khoong EC, Lyles CR, Karliner L
• The Use of Technology for Communicating With Clinicians or Seeking Health Information in a Multilingual Urban Cohort: Cross-Sectional Survey.
  Journal of medical Internet research 2020 Khoong EC, Rivadeneira NA, Hiatt RA, Sarkar U
• Language, culture and preventable readmissions: pragmatic, intervention studies needed.
  BMJ quality & safety 2019 Khoong EC, Fernandez A
• Evaluation of a Health Information Technology-Enabled Collective Intelligence Platform to Improve Diagnosis in Primary Care and Urgent Care Settings: Protocol for a Pragmatic Randomized Controlled Trial.
  JMIR research protocols 2019 Fontil V, Khoong EC, Hoskote M, Radcliffe K, Ratanawongsa N, Lyles CR, Sarkar U
• Sharing Stories, Searching for Solutions: Sexual Harassment of Physicians by Patients.
  The American journal of medicine 2019 Hemmat S, Khoong EC, Sharma AE, Sarkar U
• Unsound Evaluations of Medical Machine Translation Risk Patient Health and Confidentiality-Reply.
  JAMA internal medicine 2019 Khoong EC, Fernandez A
• A Pragmatic Cluster Randomized Trial of an Electronic Clinical Decision Support System to Improve Chronic Kidney Disease Management in Primary Care: Design, Rationale, and Implementation Experience.
  JMIR research protocols 2019 Khoong EC, Karliner L, Lo L, Stebbins M, Robinson A, Pathak S, Santoyo-Olsson J, Scherzer R, Peralta CA
• Health Information-seeking Behaviors and Preferences of a Diverse, Multilingual Urban Cohort.
  Medical care 2019 Khoong EC, Le GM, Hoskote M, Rivadeneira NA, Hiatt RA, Sarkar U
• Perspectives of English, Chinese, and Spanish-Speaking Safety-Net Patients on Clinician Computer Use: Qualitative Analysis.
  Journal of medical Internet research 2019 Khoong EC, Cherian R, Matta GY, Lyles CR, Schillinger D, Ratanawongsa N
• Assessing the Use of Google Translate for Spanish and Chinese Translations of Emergency Department Discharge Instructions.
  JAMA internal medicine 2019 Khoong EC, Steinbrook E, Brown C, Fernandez A
• Standardization in Diverse Populations: Implementation of Evidence-Based Practices in a Safety-Net Setting.
  Health literacy research and practice 2019 Cherian R, Sarkar U, Khoong EC, Ackerman S, Gourley G, Schillinger D
• Accurate Measurement In California's Safety-Net Health Systems Has Gaps And Barriers.
  Health affairs (Project Hope) 2018 Khoong EC, Cherian R, Rivadeneira NA, Gourley G, Yazdany J, Amarnath A, Schillinger D, Sarkar U
• Efficiency, Efficacy, and Power in the Implementation of a Medication Adherence Aid.
  Health literacy research and practice 2018 Cherian R, Sarkar U, Khoong EC, Ackerman S, Gourley G, Schillinger D
• Implementation of patient-centered prescription labeling in a safety-net ambulatory care network.
  American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists 2018 Khoong EC, Cherian R, Smith DE, Schillinger D, Wolf MS, Sarkar U
• Finding Meaning in Medication Reconciliation Using Electronic Health Records: Qualitative Analysis in Safety Net Primary and Specialty Care.
  JMIR medical informatics 2018 Matta GY, Khoong EC, Lyles CR, Schillinger D, Ratanawongsa N
• An Appeal for Evidence-Based Resident Duty Hours Reform.
  JAMA internal medicine 2017 Khoong EC, Linker AS
• Pagers and Beyond in an Era of Microcommunications-What Is Old Is New Again.
  JAMA internal medicine 2017 Mandl KD, Khoong E
• The Need to Test Strategies Based on Common Sense.
  JAMA internal medicine 2017 Khoong EC, Ross JS
• State practitioner insights into local public health challenges and opportunities in obesity prevention: a qualitative study.
  Preventing chronic disease 2014 Stamatakis KA, Lewis M, Khoong EC, Lasee C
• Rural, suburban, and urban differences in factors that impact physician adherence to clinical preventive service guidelines.
  The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association 2013 Khoong EC, Gibbert WS, Garbutt JM, Sumner W, Brownson RC
• Bridging research and practice: models for dissemination and implementation research.
  American journal of preventive medicine 2012 Tabak RG, Khoong EC, Chambers DA, Brownson RC