North Carolina

Child Health Extramural Research by State and Country

North Carolina

Principal Investigator: Bernard, Shula
Title: Validating the Healthcare Cost and Utilization Projects (HCUP) Patient Safety Quality Indicators
Institution: Research Triangle Institute, Research Triangle Park, NC
E-mail: sbernard@rti.org
Project Dates: 10/01/01-03/31/03
Project No.: 290-00-0018-3
Summary: The purpose of this study is to validate HCUP quality indicators to include patient safety indicators using data from three integrated delivery systems (Intermountain Health Care, Providence Health System, and UPMC Health System) to accurately measure adverse events. Some of the HCUP quality indicators being validated will focus on the care of children. The AHRQ Quality Indicators were formerly called the HCUP Quality Indicators.

Principal Investigator: Campbell, William
Title: Rational Therapeutics for the Pediatric Population
Institution: University of North Carolina, Chapel Hill, NC
E-mail: bill_campbell@unc.edu
Project Dates: 09/30/99-09/29/02
Project No.: U18 HS10397
Summary: The Program on Health Outcomes at UNC will establish a Center for Education and Research in Therapeutics (CERT). The goals are to focus the expertise of a diverse and unique clinical, research, and education community on the needs of children and adolescents (birth to 18 years) and to achieve optimum outcomes from the use of drugs and evices in this population.

Principal Investigator: Downs, Stephen
Title: Evaluating Computer Decision Support for Preventive Care
Institution: University of North Carolina, Chapel Hill, NC
E-mail: across@unc.edu
Project Dates: 09/30/1996-09/29/00
Project No.: R01 HS09507
Summary: This study will expand and modify for everyday use in pediatric office practices an existing guideline-based computerized decision service for childhood preventive services. The study will evaluate the effects of the system on process of care and outcomes of patients.

Principal Investigator: Ford, Carol
Title: Parents and Health Care Professionals Working Together to Improve Adolescent Health
Institution: University of North Carolina, Chapel Hill, NC
E-mail: carol_ford@med.unc.edu
Project Dates: 06/01/06-05/31/07
Project No.: R03 HS16021
Summary: The North Carolina Adolescent Research Consortium for Health is an emerging network focused on improving adolescent health and health care through collaborative research. In this study, focus groups will be conducted with the parents of adolescents to help researchers better understand the parents' perceptions of adolescent health, the amount of discordance between perceptions of "ideal" and "actual" adolescent health during early, middle, and late adolescence, and the perceived roles of parents and health care professionals in addressing areas of discordance. Health content areas include general health, obesity prevention, detection of asymptomatic sexually transmitted infections, and prevention of alcohol related injuries. Minorities, women, and adolescents will be included in this study.

Principal Investigator: Gesler, Wilbert
Title: Geographic Accessibility of Health Care in Rural Areas
Institution: University of North Carolina, Chapel Hill, NC
E-mail: wgesler@email.unc.edu
Project Dates: 09/30/98-09/29/00
Project No.: R01 HS09624
Summary: The specific aims of this study are to (1) measure the effects of geographic factors on the use of health care facilities and practitioners by rural residents at the county level of analysis and (2) measure the extent to which sociodemographic, cultural, and health status characteristics reduce the effects of geographic factors on the use of health care facilities and practitioners by rural residents at the county level of analysis.

Principal Investigator: Hughes, Tegwyn L.
Title: The Effect of Public Insurance on Dental Health Outcomes
Institution: University of North Carolina, Chapel Hill, NC
E-mail: teqwyn_hughes@dentistry.unc.edu
Project Dates: 09/30/01-06/30/02
Project No.: R03 HS11514
Summary: The aim of this dissertation project is to conduct an in-depth comparison of the utilization of dental services, effectiveness of established pediatric oral health performance measures, and dental health status for children (ages 1-5) enrolled in either the NC Medicaid program or the NC SCHIP/Health Choice program.

Principal Investigator: Ireland, Andrea
Title: Preventive Asthma Care Utilization Among Black Children
Institution: University of North Carolina, Chapel Hill, NC
E-mail: aireland@email.unc.edu
Project Dates: 04/01/02-03/31/06
Project No.: F31 HS11929
Summary: The aim of this Predoctoral Award is to explore factors such as health insurance coverage, access to preventive health care, financial resources, and health beliefs that contribute to the disparity in preventive asthma care utilization among African-American children.

Principal Investigator: Kramer, Judith
Title: Managing the Risks of Therapeutic Products—January 12-14, 2003*
Institution: Duke University, Durham, NC
E-mail: krame009@mc.duke.edu
Project Dates: 01/06/03-01/05/04
Project No.: R13 HS 13929
Summary: The workshop explored current and future methods of managing the risks of FDA approved therapeutic products against criteria extended to all populations, including urban, rural, and low-income groups; racial and ethnic minorities; women; children; the elderly; and those with special health needs. A research agenda will be developed to monitor the effectiveness of these risk management approaches. This workshop is one of five sessions in the Risk Series. The workshop was co-sponsored by The Centers for Education and Research on Therapeutics/Duke University, AHRQ, FDA and the Pharmaceutical Research and Manufacturers of America.

Principal Investigator: Lee, Jessica Y.
Title: Effects of WIC on Child Medicaid Dental Use and Costs
Institution: University of North Carolina, Chapel Hill, NC
E-mail: jessica_lee@dentistry.unc.edu
Project Dates: 09/30/01-09/29/02
Project No.: R03 HS11607
Summary: The aim of this dissertation project is to examine the Women, Infants and Children's (WIC) Supplemental Food Program focusing on oral health utilization patterns and cost to the Medicaid program for children under 5 years. The researcher will also explore a new aspect of Medicaid utilization, the role of WIC, and its partnership to help increase oral health access for these Medicaid children.

Principal Investigator: Lobach, David
Title: Showing Health Information Value in a Community Network*
Institution: Duke University, Durham, NC
E-mail: david.lobach@duke.edu
Project Dates: 09/30/04-08/31/07
Project No.: R01 HS015057
Summary: This 3-year project will assess the costs and benefits of health information technology in an established community-wide network of academic, private and public healthcare facilities created to share clinical information for the purpose of population-based care management of over 16,000 Medicaid beneficiaries in Durham County, NC. Researchers will evaluate the impact of information-driven interventions (clinical alerts to care providers, performance feedback reports to clinical managers, and care reminders to patients) on care quality, patient safety and healthcare costs across diverse stakeholders participating in this collaborative partnership. The majority of patients in this study will be minority children (African-American, Hispanic, and other ethnicities) and women.

Principal Investigator: Margolis, Peter
Title: Office Systems to Improve Preventive Care for Children
Institution: University of North Carolina, Chapel Hill, NC
E-mail: margolis@med.unc.edu
Project Dates: 09/30/1996-09/29/00
Project No.: R01 HS08509
Summary: This study will determine whether pediatric practices that use office systems for prevention have higher rates of immunizations and screening for anemia, tuberculosis, and lead, and if rates vary in relation to the number of system components used.

Principal Investigator: Mayer, Michelle
Title: Access to Pediatric Subspecialty Care in the USA
Institution: University of North Carolina, Chapel Hill, NC
E-mail: michelle_mayer@unc.edu
Project Dates: 09/01/03-08/31/07
Project No.: K02 HS13309
Summary: The aims of this Independent Scientist Award are to depict the practice location of pediatric and adult subspecialists; explore the relationship between county characteristics and access to pediatric subspecialty care; and ascertain the extent to which adult subspecialists expand access to care for children with rheumatic diseases. The project additionally aims to describe the practice patterns of subspecialists, their comfort with treating a variety of pediatric conditions, and the practice, provider, and market characteristics that influence their decisions to treat pediatric patients; and to determine the independent effects of selected training, personal, and practice characteristics on the likelihood that an adult subspecialist treats pediatric patients. Women and minorities will participate in this study.

Principal Investigator: O'Shea, Thomas
Title: Facilitating Home Care of Neonatal Chronic Lung Disease
Institution: Bowman Gray School of Medicine, Winston-Salem, NC
E-mail: moshea@wfubmc.edu
Project Dates: 07/01/1996-06/30/01
Project No.: R01 HS07928
Summary: A randomized controlled trial is assessing and comparing the outcomes and costs of two interventions to facilitate the home care of oxygen-dependent infants with chronic lung disease. These two potential alternatives to prolonged hospitalization involve multidisciplinary center-based followup care versus community-based followup care by a nurse.

Principal Investigator: Roberts, Joanne
Title: Otitis Media and Language Learning Sequelae—May 1-2, 2002 (Arlington, VA)
Institution: University of North Carolina, Chapel Hill, NC
E-mail: joanne_roberts@unc.edu
Project Dates: 01/15/02-01/14/03
Project No.: R13 HS12072
Summary: This purpose of this conference was to use an evidence-based medicine model to review current research on the effects of otitis media on children's hearing and development (i.e., speech, language, cognition, behavior, and academic achievement), define gaps, discuss implications for health care practices, and identify future directions for research.

Principal Investigator: Wasserman, Melanie
Title: Latina Immigrants, Bridge Persons, and Preventive Health*
Institution: University of North Carolina, Chapel Hill, NC
E-mail: wasserma@email.unc.edu
Project Dates: 09/01/03-08/31/04
Project No.: R03 HS13864
Summary: This dissertation research study will (1) test the theory that bridge persons, including advocacy organizations, churches, and service agencies, promote the use of preventive maternal and child health services by Latina immigrant women ages 15-35; (2) test the viability of the church based frame for small area sampling; and (3) conduct literature reviews of interventions to promote the utilization of preventive health services by Latina women and their young children. Since utilization of preventive health services is generally low among Latino populations, finding cost effective ways to promote access to care and appropriate use of preventive health services in a logical first step.

*Project includes children or children's health care issues but does not focus exclusively on children.

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