Mary Tinetti, MD
Gladys Phillips Crofoot Professor of Medicine (Geriatrics) and Professor in the Institution for Social and Policy StudiesCards
About
Research
Overview
Many of the most frequent health conditions that cause morbidity and compromised functioning and quality of life among older persons result from combinations of medical, psychological, social, environmental, and other factors. The focus of my work has been on the assessment, management, and prevention of multifactorial geriatric health conditions such as falls, immobility, and dizziness. Observational studies and randomized controlled trials are conducted in various settings including the home, hospital, nursing home and outpatient clinics. The research projects are interdisciplinary including nursing, rehabilitation, epidemiology, biostatistics, medicine, and other disciplines.
Other ongoing projects include determining the contribution of multiple conditions to death; mapping disease-specific health outcomes onto a set of universal health outcomes; determining the prevalence and effects of the co-occurrence of competing health conditions; and determining the disease-specific and universal health outcomes associated with treating one disease in the face of the co-occurrence of another disease that worsens with treatment of the first disease (therapeutic competition). I am leading a national effort to develop and test an approach to health care that realigns primary and specialty care to focus on the health priorities of older adults with multiple conditions.
- Multimorbidity in older adults (Variable priorities in the face of competing outcomes: The tradeoff among cardiovascular events, medication symptoms, and fall injuries.)
- Universal outcomes as a common metric across multiple diseases among elders.
- Aligning clinical-decision-making and care with the health priorities of older adults with multiple chronic conditions
Medical Subject Headings (MeSH)
Academic Achievements & Community Involvement
Clinical Care
Overview
Mary Tinetti, MD, is a geriatrician focused on helping patients with multiple health conditions receive well-rounded care, as well as weigh the benefits and harms of commonly used medicines.
Dr. Tinetti is at the forefront of a nationwide effort to develop and test an approach to health care that aligns clinical care and decision-making with specific priorities of older adults with multiple health problems. This involves assisting patients in identifying their most important health goals and teaching clinicians to translate these goals into care decisions. She is also evaluating how feasible this approach is for clinical care and its effect on patient outcomes.
In her research, Dr. Tinetti and her team helped identify the causes, consequences, and prevention of fall injuries in older adults and translated these findings into clinical and public health practice.
The National Institutes of Health (NIH) and several foundations fund Dr. Tinetti’s work, and she has published more than 250 peer-reviewed articles. She has received numerous awards, is a member of the National Academy of Medicine, and is the recipient of a MacArthur Foundation fellowship.
Dr. Tinetti is the Gladys Phillips Crofoot Professor of Medicine (Geriatrics) at Yale School of Medicine.
Clinical Specialties
Fact Sheets
Alzheimer's Disease
Learn More on Yale Medicine
Board Certifications
Internal Medicine
- Certification Organization
- AB of Internal Medicine
- Original Certification Date
- 1981
Yale Medicine News
News & Links
Media
- Patient identify their health priorities with the help of a member of the healthcare team; clinicians then focus on achieving these priorities not merely treating each disease in isolation
News
- July 06, 2024Source: The Wall Street Journal
A New Political Question: What’s Normal Aging, and Does It Mean Decline?A New Political Question: What’s Normal Aging, and Does It Mean Decline?
- February 21, 2024
‘I’m Acknowledging and Bearing Witness to My Patient’s Concern’: Exploring Clinician Experiences With Patient Priorities Care
- February 12, 2024
Meet Robbin Bonanno, Senior Administrative Assistant (Geriatrics)
- February 05, 2024
Patient Priorities Care Shows Potential for Improving Outcomes for Older Adults With Multiple Chronic Conditions