PREDICTING VACCINE STATUS & ED USE IN MEDICAID NEWBORNS

预测疫苗状况

• 批准号: 6387365
• 负责人: EVALINE A ALESSANDRINI
• 金额: $ 15.98万
• 依托单位: CHILDREN'S HOSP OF PHILADELPHIA
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-07-12 至 2005-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6387365
• 关键词: Medicare /Medicaid; behavioral /social science research tag; clinical research; emergency health services; health care service availability; health care service evaluation; health care service utilization; health services research tag; human subject; immunization; managed care; medical indigency; medical records; newborn human (0-6 weeks); questionnaires

The overall goal of this research career award is to contribute to the professional, academic and research development of Dr. Evaline A. Alessandrini. By combining a focus on ambulatory and emergency services, a strong commitment to vulnerable pediatric populations and expertise in pediatric emergency care, Dr. Alessandrini hopes to make significant contributions to the field of pediatric outcomes and health services research. She plans to achieve these goals via a comprehensive, interdisciplinary program that includes a preceptorship with J. Sanford Schwartz, M.D., and completion of formal training and independent study in health services research, public policy and advanced research methodology. Dr. Alessandrini hopes to use this award to establish herself as an academic leader in the area of pediatric outcomes and health services research. Equitable access to primary health care is a social goal that has proved difficult to achieve in the U.S. Despite attempts to improve access to health care through Medicaid and other programs, poverty among children continues to be associated with decreased physician contacts, inability to identify a medical home and increased reliance on the emergency department (ED). The candidate's previous research demonstrated that Medicaid managed care did not alter ED use or immunization status in a cohort of newborns compared to infants enrolled in fee-for- service Medicaid. She now hopes to develop strong health services research skills to generate the knowledge required to more effectively improve ambulatory care for indigent children. The specific aims of the current study are three-fold. First, clinical prediction rules will be developed to identify Medicaid enrolled newborns at risk for delayed immunization and reliance on the ED for ambulatory care. Next, the clinical prediction rules will be prospectively validated in different populations, assuring that they are usable and generalized tools. Finally, the accuracy of administrative claims data will be assessed by comparison to medical record review. The broad goals of the research project are to delineate factors that place poor children at risk for inadequate primary care health services and to identify these children so that effective interventions may be made.

该研究职业奖的总体目标是为Evaline A博士的专业，学术和研究发展做出贡献。亚历山德罗尼 通过结合对门诊和急诊服务的关注，对弱势儿科人群的坚定承诺和儿科急诊护理的专业知识，Alessandrini博士希望为儿科成果和卫生服务研究领域做出重大贡献。 她计划通过一个全面的跨学科计划来实现这些目标，该计划包括与J.桑福德施瓦茨，医学博士，并完成卫生服务研究、公共政策和先进研究方法方面的正规培训和独立学习。 Alessandrini博士希望利用该奖项将自己确立为儿科结果和卫生服务研究领域的学术领袖。公平获得初级卫生保健是一个社会目标，已被证明难以实现，在美国，尽管试图通过医疗补助和其他计划，以改善获得卫生保健，贫困儿童继续与减少医生接触，无法确定医疗之家，并增加对急诊科（艾德）的依赖。候选人先前的研究表明，与参加收费服务医疗补助的婴儿相比，医疗补助管理式护理并没有改变新生儿队列中艾德的使用或免疫状态。她现在希望发展强大的卫生服务研究技能，以产生更有效地改善贫困儿童的流动护理所需的知识。 本研究的具体目标有三个方面。 首先，将制定临床预测规则，以确定医疗补助登记的新生儿有延迟免疫接种的风险，并依赖艾德进行门诊护理。 接下来，临床预测规则将在不同人群中进行前瞻性验证，确保它们是可用且通用的工具。 最后，将通过与医疗记录审查进行比较来评估行政索赔数据的准确性。 该研究项目的广泛目标是确定使贫困儿童面临初级保健服务不足风险的因素，并确定这些儿童，以便采取有效的干预措施。