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

项目概要/摘要 候选人：林赛埃蒙，医学博士，理学硕士是一名妇产科医生和初级卫生服务研究员 专注于改善孕妇和产后妇女的健康状况。Admon博士的长期职业生涯 目标是成为一名独立的调查员，致力于促进孕产妇健康 美国（US）通过孕产妇健康政策评估。 研究背景：在围产期的保险覆盖中断是经常在4 每年有100万妇女在美国分娩，特别是影响低收入，种族和少数民族， 和农村妇女以及慢性病患者。这一提议的首要假设是， 保险中断会造成不利的妇幼保健结果。知识 该提案产生的信息将为解决孕产妇健康危机的临床和政策战略提供信息。 候选人的背景和成就：Admon博士是产科助理教授， 密歇根大学的妇科。她获得了健康和医疗保健研究硕士学位 通过国家临床医生学者计划到目前为止，她已经发表了24篇原创的，经过同行评审的 研究出版物，包括15上，她是第一或资深作者。根据她的科学身体， 工作，她最近被邀请到尤尼斯肯尼迪希弗国家儿童健康研究所讲课， 人类发展研讨会"美国产妇死亡率：未来研究方向"。 职业发展计划：为了实现她的目标，博士。 计量经济学和调查方法，处理医疗补助索赔，并了解医疗补助政策。博士 Admon的职业发展目标将得到跨学科团队的密切指导， 先进的教学课程，并在她的研究不断指导。 具体目标：1）测量围产期保险中断和医疗保健利用之间的关联 母亲及其子女的健康结果（出生至产后60天）; 2）描述 保险中断与未满足的医疗保健需求之间的关系（出生至产后六个月）;以及3） 密歇根州的低收入母亲，研究新的母亲获得医疗补助的资格之间的关联， 医疗补助扩大覆盖率（产后60天至一年）和孕产妇和婴儿入学率 婴儿出生后第一年的医疗补助和医疗保健利用。 可行性：所提出的目标将有助于成功制定两项R01提案：1） 进一步评估保险资格和福利设计在支持孕妇健康方面的作用， 产后妇女; 2）进行全国性的调查，以探索更完善的假设，对协会 在产后第一年，保险覆盖范围，未满足的医疗保健需求和妇幼保健结果之间存在差异。

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.