Health Care Access: Maternal Child and Policy Factors

医疗保健可及性：孕产妇和政策因素

• 批准号: 7388261
• 负责人: SUSMITA PATI
• 金额: $ 13.33万
• 依托单位: CHILDREN'S HOSP OF PHILADELPHIA
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-04-01 至 2010-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7388261
• 关键词: Award; Caring; Centers for Disease Control and Prevention (U.S.); Child; Child Care; Child health care; Chronic Disease; Clinical; Clinical Investigator; Cohort Studies; Complement; Computerized Medical Record; Data; Data Analyses; Data Collection; Data Set; Development; Dimensions; Disease regression; Doctor of Philosophy; Eligibility Determination; Enrollment; Epidemiology; Equation; Event; Family; Fellowship; Future; Goals; Growth; Health; Health Insurance; Health Policy; Health Services; Health Services Accessibility; Health Services Research; Healthcare; Informed Consent; Institutes; Insurance Coverage; Interview; K-Series Research Career Programs; Lead; Link; Literature; Low income; Medicaid; Medical; Medically Underserved Area; Mental Health Services; Mentors; Mentorship; Methodology; Mothers; Multivariate Analysis; National Health Interview Survey; Outcome; Pennsylvania; Philadelphia; Policies; Population; Population Analysis; Poverty; Procedures; Public Health; Rate; Research; Research Design; Research Personnel; Risk Factors; Sampling; Secondary to; Series; Social Welfare; Statistical Methods; Surveys; Survival Analysis; Techniques; Testing; Time; Training; Training and Education; Underserved Population; Uninsured; United States; United States National Center for Health Statistics; Work; base; career; cohort; design; experience; hazard; health care service utilization; medically underserved; medically underserved population; multidisciplinary; patient oriented; pediatrician; programs; research and development; safety net; skills; time use; trend

DESCRIPTION (provided by applicant): This career development award supports the growth of Dr. Susmita Pati into an independent health services researcher focusing on health care access for medically underserved children and families. Dr. Pati brings to this award her prior experience as a pediatrician with particular expertise in underserved populations and fellowship training in epidemiology. Dr. Pati's career development will be guided by a multidisciplinary team of nationally recognized research mentors including Donald F. Schwarz, MD MPH (longitudinal cohort studies, career development, health policy), Daniel Polsky, PhD (research development, methodology, health care access), Trevor Hadley, PhD (mental health services research, health policy), and Avital Cnaan, PhD (advanced statistical methods). Her program will consist of formal didactics and practical experience gained through conduct of original research, complemented by intensive mentorship. The proposed projects will allow her to utilize and further develop her skills in population-based primary research (i.e. study design, sampling and survey techniques, advanced statistical analysis) to examine predictors of stable health care access among medically underserved populations. The mentoring relationships, advanced formal training and education, and protected time afforded by this career development award will raise the sophistication, rigor and quality of her work and significantly facilitate her transition to a highly successful, independent, patient-oriented clinical investigator. Dr. Pati's research plan primarily examines associations between child, maternal, policy-level factors and stability of Medicaid coverage at the national and local level through two linked studies. In the first study, she investigates national trends (1997-2001) in various dimensions of health care access (insurance status, coverage gaps, access barriers) by low-income children and families, both welfare-recipients and non-recipients, using nationally representative datasets. In the second study, she conducts a longitudinal cohort study of medically underserved children from Philadelphia to identify child, maternal, and policy predictors of discontinuous Medicaid coverage and she begins to examine links between unstable coverage and child health care utilization and child health. The analyses from the first study will anchor the results from the second study in a national context and guide variable definition in the subsequent analysis. The cohort study is closely tied to her educational goals to gain practical experience in the design, conduct, and analysis of population-based cohort studies involving primary data collection. In the future, these projects will lead to examination of the relationship between unstable Medicaid coverage, child health care utilization, and, ultimately, child health and developmental outcomes.

描述（由申请人提供）：该职业发展奖支持 Susmita Pati 博士成长为一名独立的卫生服务研究员，专注于为医疗服务不足的儿童和家庭提供医疗保健服务。 Pati 博士为该奖项带来了她之前作为儿科医生的经验，在服务不足的人群和流行病学研究员培训方面拥有特殊的专业知识。 Pati 博士的职业发展将由国家认可的研究导师组成的多学科团队指导，其中包括 Donald F. Schwarz, MD MPH（纵向队列研究、职业发展、卫生政策）、Daniel Polsky, Ph.D（研究开发、方法论、医疗保健获取） ）、Trevor Hadley 博士（心理健康服务研究、卫生政策）和 Avital Cnaan 博士（高级统计方法）。她的课程将包括正式的教学和通过进行原创研究获得的实践经验，并辅以密集的指导。拟议的项目将使她能够利用并进一步发展她在基于人群的初级研究方面的技能（即研究设计、抽样和调查技术、高级统计分析），以检查医疗服务不足的人群中稳定获得医疗保健的预测因素。该职业发展奖提供的指导关系、高级正规培训和教育以及受保护的时间将提高她工作的复杂性、严谨性和质量，并显着促进她转变为非常成功、独立、以患者为导向的临床研究者。帕蒂博士的研究计划主要通过两项关联研究来研究儿童、孕产妇、政策层面因素与国家和地方层面医疗补助覆盖范围稳定性之间的关联。在第一项研究中，她调查了低收入儿童和家庭（包括福利领取者和非领取者）在医疗保健获取各个方面（保险状况、覆盖差距、获取障碍）的国家趋势（1997-2001），利用全国范围内的数据代表性数据集。在第二项研究中，她对费城医疗服务不足的儿童进行了纵向队列研究，以确定医疗补助覆盖不连续的儿童、孕产妇和政策预测因素，并开始研究不稳定的覆盖范围与儿童医疗保健利用和儿童健康之间的联系。第一项研究的分析将在国家背景下锚定第二项研究的结果，并指导后续分析中的变量定义。该队列研究与她的教育目标密切相关，以获得设计、进行和分析涉及主要数据收集的基于人群的队列研究的实践经验。未来，这些项目将导致对不稳定的医疗补助覆盖范围、儿童医疗保健利用以及最终儿童健康和发育结果之间的关系进行检查。