Incidence and Outcomes of Ectopic Pregnancy in the Medicaid Population

简介(申请人提供)：我是一名家庭医生，学术背景优秀，对卫生服务研究有扎实的了解，并对弱势妇女和儿童的福祉做出了明确的承诺。目标：从长远来看，我的目标是帮助改善生殖健康成果，消除孕产妇和儿童健康方面的差距。我的五年目标是确定医疗补助人群中异位妊娠的发生率和结果，并在此过程中开发一种新的、广泛适用的方法来研究异位妊娠流行病学。职业发展计划：为了实现这些目标，我需要获得管理和分析大型管理数据集的知识和技能。为此，我将参加关于定量研究方法和卫生政策的正式课程，参加关于使用公共保险数据的研讨会，定期与导师和顾问会面，并在内部和国家会议上介绍我的工作以供审查。研究计划：我将对医疗补助分析摘录文件进行二次分析，测量异位妊娠的发生率、发生率和结局。然后，我将开发一个多变量模型来解释异位妊娠中基于个体和国家的差异。研究环境：我得到以下方面的支持：一位具有长期开发初级调查人员经验的主要导师；一支由具有相关内容和方法专业知识的医生和人口科学家组成的多元化导师团队；一个由孕产妇健康流行病学、医疗补助政策和卫生计量经济学方面的国家专家组成的顾问委员会；以及一个被证明致力于卓越研究的机构。 公共卫生相关性：宫外孕是孕产妇发病率和死亡率的主要原因。目前缺乏宫外孕流行病学知识，特别是对低收入妇女。我的工作将为改善早孕结局和减少健康差距的政策和临床干预提供信息。

DESCRIPTION (provided by applicant): I am a family physician with a background of academic excellence, a solid introduction to health services research, and a demonstrated commitment to the well-being of disadvantaged women and children. Goals: In the long term, I aim to help improve reproductive health outcomes and eliminate disparities in maternal and child health. My five-year goal is to identify ectopic pregnancy incidence and outcomes in the Medicaid population and in the process to develop a new, widely-applicable methodology for studying ectopic pregnancy epidemiology. Career Development Plan: In order to accomplish these goals, I need to acquire the knowledge and skills to manage and analyze large administrative data sets. I will do so by taking formal courses in quantitative research methods and health policy, participating in workshops on the use of public insurance data, meeting regularly with mentors and advisors, and presenting my work internally and at national meetings for review. Research Plan: I will conduct secondary analysis of Medicaid Analytic Extract files, measuring ectopic pregnancy incidence, rate, and outcomes. I will then develop a multivariate model to explain individual and state-based variation in ectopic pregnancy. Research Environment: I am supported by a primary mentor with long-standing experience developing junior investigators; a diverse mentorship team of physicians and population scientists with relevant content and methodology expertise; an advisory board of national experts in maternal health epidemiology, Medicaid policy, and health econometrics; and an institution with proven dedication to research excellence. PUBLIC HEALTH RELEVANCE: Ectopic pregnancy is a leading cause of maternal morbidity and mortality. Current knowledge of ectopic pregnancy epidemiology is lacking, especially for low-income women. My work will inform policy and clinical interventions to improve early pregnancy outcomes and reduce health disparities.