Understanding the impact of perinatal insurance disruptions on maternal and child health outcomes

项目摘要/摘要 候选人：林赛·阿德蒙，医学博士，硕士，妇产科医生，初级卫生服务研究员 重点是改善孕妇和产后妇女的健康状况。阿德蒙博士的长期职业生涯 目标是成为一名致力于促进孕产妇健康的独立调查员 通过孕产妇保健政策评估在美国实现公平。 研究背景：围产期保险覆盖中断在以下4个国家中经常发生 美国每年有数百万妇女分娩，特别影响到低收入、种族和少数民族， 以及农村妇女以及患有慢性病的妇女。这项提议的首要假设是 保险中断会导致不利的妇幼保健(MCH)结果。《知识》 这项提议产生的数据将为解决孕产妇健康危机的临床和政策战略提供参考。 应聘者背景和成就：阿德蒙博士是一名助教，研究产科和 密歇根大学妇科。她获得了健康和医疗研究的硕士学位 通过国家临床医生学者计划。到目前为止，她已经发表了24本经过同行评议的原创作品 研究出版物，包括她是第一作者或资深作者的15本。基于她的科学身体 工作，她最近被邀请在尤尼斯·肯尼迪颤抖国家儿童健康研究所演讲 人类发展研讨会：美国的产妇死亡率：未来的研究方向。 职业发展计划：为了实现她的目标，阿德蒙博士将开发新的专业知识 计量经济学和调查方法，处理医疗补助申请，并了解医疗补助政策。Dr。 阿德蒙的职业发展目标将得到一个跨学科团队的密切指导， 高级教学课程，并在她的研究中持续指导。 具体目标：1)衡量围产期保险中断和医疗保健利用之间的关联 和母亲及其子女的健康结果(出生到产后60天)；2)特征关联 保险中断和未得到满足的医疗需求(出生到产后六个月)之间的关系；以及3) 密歇根州低收入母亲，研究新母亲是否有资格获得医疗补助 医疗补助扩大覆盖范围(产后60天至一年)和孕产妇和婴儿登记 婴儿出生后第一年的医疗补助和医疗保健利用情况。 交付成果：拟议的目标将有助于成功开发两个R01提案：1) 进一步评估保险资格和福利设计在支持孕妇和妇女健康方面的作用 产后妇女；2)在全国范围内进行调查，以探索更多关于这种联系的完善假设 在产后第一年，保险覆盖范围、未得到满足的医疗保健需求和妇幼保健结果之间的关系。

PROJECT SUMMARY / ABSTRACT Candidate: Lindsay Admon, MD, MSc is an obstetrician-gynecologist and junior health services researcher focused on improving health outcomes for pregnant and postpartum women. Dr. Admon’s long-term career objective is to become an independent investigator who is deeply committed to advancing maternal health equity in the United States (US) through maternal health policy evaluation. Research Context: Disruptions in insurance coverage during the perinatal period are frequent among the 4 million women giving birth in the US each year and particularly affect low-income, racial and ethnic minority, and rural women as well as those with chronic conditions. The overarching hypothesis of this proposal is that insurance disruptions contribute to adverse maternal and child health (MCH) outcomes. The knowledge generated by this proposal will inform clinical and policy strategies for addressing the maternal health crisis. Candidate’s Background and Achievements: Dr. Admon is an Assistant Professor in Obstetrics & Gynecology at the University of Michigan. She earned a Masters degree in Health and Healthcare Research through the National Clinician Scholar’s Program. To date, she has published 24 original, peer-reviewed research publications, including 15 on which she was the first or senior author. Based on her scientific body of work, she was recently invited to lecture at the Eunice Kennedy Shiver National Institute of Child Health and Human Development’s Workshop “Maternal Mortality in the United States: Future Research Directions.” Career Development Plan: In order to achieve her goals, Dr. Admon will develop new expertise in econometrics and survey methodology, working with Medicaid claims, and understanding Medicaid policy. Dr. Admon’s career development goals will be supported by close mentorship from an interdisciplinary team, advanced didactic coursework, and ongoing guidance in her research. Specific Aims: 1) Measure the association between perinatal insurance disruptions and healthcare utilization and health outcomes for mothers and their children (birth to 60 days postpartum); 2) Characterize association between insurance disruptions and unmet healthcare needs (birth to six months postpartum); and 3) Among low-income mother sin Michigan, examine the associations between new maternal eligibility for Medicaid coverage (60 days to one year postpartum) under Medicaid expansion and maternal and infant enrollment in Medicaid and healthcare utilization among infants during the first year after birth. Deliverables: The proposed aims will contribute to the successful development of two R01 proposals: 1) To further evaluate the role of insurance eligibility and benefit design in supporting the health of pregnant and postpartum women; 2) To conduct a nationwide survey to explore more refine hypotheses on the associations between insurance coverage, unmet healthcare needs, and MCH outcomes during the first year postpartum.