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Ambulatory Care Access Project
The Robert Wood Johnson Foundation, United Hospital Fund
This four-year project evaluated access barriers in New York and eleven other states. The project involved analysis of patterns of hospital admission rates for conditions that are sensitive to receiving timely and effective outpatient care. The goal of the project was to develop tools to evaluate access barriers to outpatient care and to assess the performance of the ambulatory care delivery system. The project also included a survey of patients in nine northern Manhattan and Queens hospitals to determine the extent of contact with the health care delivery system prior to admission, and to identify more explicitly the types of barriers encountered by low income patients in obtaining outpatient care.
Principal Investigator(s): John Billings
Dynamics of Homelessness and Mental Illness Among Families
National Institute of Mental Health
This collaborative effort between the Center for Health and Public Service Research and NYU's Department of Community Psychology builds on earlier research on family homelessness undertaken by CHPSR. Nearly 600 public assistance families who were originally interviewed in 1988 were located and re-interviewed approximately five years later; about half of these families entered emergency shelter at the time of the first interview, while the others were never homeless. The study will permit a deeper understanding of the causes and consequences of homelessness for women and their children. The interviews explored a number of critical areas including housing histories, health and mental health indicators, social networks, and educational histories.
Principal Investigator(s): Beth Weitzman, Marybeth Shin
Grandparents Who Are Raising Their Granchildren: Factors Influencing Health and Well-Being
The Robert Wood Johnson Foundation
There has been a dramatic increase in the number of children being raised in their grandparents' homes over the last three decades. Previous studies have documented that caregiving grandparents have significant health problems, including high rates of chronic disease and depression; however, the degree to which caregiving grandparents receive health care is not known. This project uses the 1997 National Survey of America's Families to examine the health care utilization, the postponement of needed care and the availability of resources to maintain well-being of caregiving grandparents.
Principal Investigator(s): Jan Blustein
Learning from Dying Patients
Death in America Project (Open Society), Fetzer Institute and Others
This project is assembled firsthand narrative accounts of the experiences of dying patients during their final months of life. By giving voice to these people's experiences, the intent was to provide a vehicle for enhancing the responsiveness of health care practitioners and programs to the needs of dying patients. To further this goal, following inductive analysis of in-depth interviews with patients and their families, a synthesis of their perspectives was shared with health care providers and managers to elicit their views on how to improve the care of these patients.
Collaborator(s): Betsy MacGregor
Medicaid Managed Care Consumer Education
The importance of reaching and educating Medicaid beneficiaries during and after their transition into managed care has recently been recognized by states, enrollment brokers, managed care plans and community groups. This two-part project involves: (1) an evaluation of a three-city Medicaid managed care consumer education demonstration, focusing on the role of community based organizations as potential community resources, and (2) an overview and the development of a typology of educational approaches being used in 13 major metropolitan areas across the country, including five in-depth case studies. The goal of this project is to understand the challenges of educating Medicaid beneficiaries about Medicaid managed care, and to identify the current state of the art in order to help develop the next generation of educational interventions.
Principal Investigator(s): Sue Kaplan, Chris Molnar
Project Director(s): Jessica Greene
Collaborator(s): Susan Ghanbarpour, Abby Bernstein
The Impact of Managed Care on Physician Participation in Medicaid
The Commonwealth Fund
Since the inception of Medicaid, a substantial proportion of doctors have been unwilling to participate in the program. This study investigated whether the rise of Medicaid managed care that took place during the 1990s impacted 1) physicians' willingness to accept Medicaid patients, or 2) the type of physicians accepting Medicaid patients. The study used the Community Tracking Study Physician Survey, a national survey of physicians, as well as Medicaid managed care programmatic information from state Medicaid agencies.
Principal Investigator(s): Jessica Greene
