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Agency for Healthcare Research Quality www.ahrq.gov
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Child Health Extramural Research by State and Country

Wisconsin

Principal Investigator: Brousseau, David
Title: Disparities in Quality of Healthcare Affect Utilization
Institution: Medical College of Wisconsin, Milwaukee, WI
E-mail: broussea@mcw.edu
Project Dates: 03/02/06-02/28/11
Project No.: K08 HS15482
Summary: This Mentored Clinical Scientist Development Award will attempt to determine the impact of disparities in the perception of primary care quality on health care utilization patterns for a nationally representative population (from the Medical Expenditure Panel Survey), and a low-income, high-risk pediatric population (the Wisconsin Medicaid administrative database). The researcher will also define the parental perspective on non-urgent use of the emergency department (ED), and determine the effect of the parent/provider relationship on non-urgent ED utilization using focused interviews with parents who brought their children to the ED with non-urgent conditions. Finally, the project will also define the primary care provider perspective on non-urgent utilization of the ED, and determine provider responses to the views expressed by parents from their practice. Low-income, inner-city and minority (Hispanic or Latino, American Indian/Alaska Native, Asian, Native Hawaiian or other Pacific Islander, and African American) children and parents will be included in the study.

Principal Investigator: Brousseau, David
Title: The Unmet Medical Needs: Risk Factors for Their Presence and Their Effect on Pediatric Emergency Department Utilization
Institution: Medical College of Wisconsin, Milwaukee, WI
E-mail: broussea@mcw.edu
Project Dates: 04/28/03-12/31/04
Project No.: 03R000173
Summary: This study will examine the relationship between parental satisfaction with primary care and emergency department utilization with a validated measure to assess the level of parental satisfaction from AHRQ's Medical Expenditure Panel Survey database.

Principal Investigator: Cox, Elizabeth
Title: Shared Decisionmaking and Inappropriate Antibiotic Use
Institution: University of Wisconsin, Madison, WI
E-mail: ed.cox@hosp.wisc.edu
Project Dates: 07/01/02-06/30/07
Project No.: K08 HS13183
Summary: The aim of this Mentored Clinical Scientist Development Award is to develop and validate an instrument to measure shared decisionmaking in pediatric primary care, and to improve the quality of care and outcomes for children with upper respiratory infections.

Principal Investigator: Flores, Glenn
Title: Insuring Uninsured Children
Institution: Medical College of Wisconsin, Milwaukee, WI
E-mail: gflores@mail.mcw.edu
Project Dates: 09/18/00-08/31/05
Project No.: K02 HS11305
Summary: This Independent Scientist Award is intended to enable the investigator to reach his goal of becoming a leading child health services researcher who focuses on children who are minority, poor, and underserved. The aims of the research project funded by this grant are to: (1) use focus groups to identify the reasons why parents are unable to obtain health insurance for their uninsured children, with an emphasis on Latino families; and (2) conduct a randomized trial to evaluate whether specially-trained community-based case managers are more effective than traditional methods in reaching out to and enrolling uninsured children in public insurance programs.

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