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Institution: Oregon Health and Science University (OHSU)
Grant Title: Does Parental Health Insurance Loss Affect Children's Access to Care?
Grant Number: K08 HS16181
Duration: 5 years (2006-2011)
Total Award: $664,000
This research has two aims:
- Explore the potential barriers to children's health insurance and access to health care with the use of cross-sectional secondary analysis of the Medical Expenditure Panel Survey (MEPS), and primary collection and analysis of the Oregon Children's Access to Healthcare Study.
- Conduct a longitudinal analysis of data from three survey waves of the Oregon Health Plan (OHP)
Prospective Cohort Study to determine how parental loss of health insurance is associated with changes in children's health insurance status over time.
Career Goals: Dr. Devoe is an Assistant Professor in the Department of Medicine at Oregon Health and Science University. Prior to this appointment, she was a National Research Service Award (NRSA) Postdoctoral Fellow Research Instructor in the Department of Family Medicine. She received her MD from Harvard Medical School and served her residency in Family Medicine at OHSU. Dr. Devoe received her DPhil from Oxford University in Comparative Health Policy. She would like to become an established independent investigator in health services research translating knowledge to inform decisions about future innovations in
health insurance policy aimed at improving access and health outcomes.
Progress to Date: Dr. DeVoe has completed all of the cross sectional analyses of the statewide data from the Oregon Children's Access to Healthcare Study. She created over 400 variables for descriptive and multivariable analyses. For Aim #2, the grantee has conducted a longitudinal analysis of the relationship between insurance coverage for children and parents during Oregon's recent Medicaid changes.
Future Plans: Further studies and manuscripts are planned using the Oregon Children's Access to Healthcare Study data. The preliminary findings from Aim #2 will become available during the next year and new grant applications will be submitted. Dr. DeVoe will complete the requirements for her Master's in Clinical Research.
Highlights and Specific Accomplishments:
- North American Primary Care Research Group Board, National Fellow Representative.
- American Academy of Family Physicians Resident Scholar, 2003.
Devoe J, Baez A, Angier H, et al. Insurance plus access does not equal healthcare: A typology of barriers to healthcare access for low-income families. Annals of Family Medicine 2007. 5(6):511-18.
Devoe J, Krois L, Edlund C, et al. Uninsured but eligible children: Are their parents insured? Recent findings from Oregon. Medical Care 2008. 46(1):3-8.
Devoe J, Krois L, Edlund T, et al. Uninsurance among children whose parents are losing Medicaid coverage: Results from a statewide survey of Oregon families. Health Services Research 2008. 43:401-18.
Devoe J, Graham A, Krois L, et al. Mind the gap in children's health care coverage: Does the length of a child's coverage gap matter? Ambulatory Pediatrics 2008. 8(2)129-34.
Carlson M, DeVoe J, Wright B. Short-term impacts of coverage loss in a Medicaid population: Early results from a prospective cohort study of the Oregon Health Plan (OHP). Annals of Family Medicine. 2006. 4(5):391-98.
Biagioli F, DeVoe J, Hamilton A. What are appropriate screening tests in infants and children? Clinical inquiries from the Family Physicians Inquiries Network (FPIN). The Journal of Family Practice. 2006. 55(9):803-08.
Biagioli F, DeVoe J, Hamilton A. What are appropriate screening tests in adolescents? Clinical inquiries from the Family Physicians Inquiries Network (FPIN). The Journal of Family Practice. 2006. 55(10):907-10.
DeVoe J, Judkins D, Woods L. What is the best approach to the evaluation of resting tachycardia in an adult? Clinical inquiries from the Family Physicians Inquiries Network (FPIN). The Journal of Family Practice. 2007. 56(1):59-61.
DeVoe J, Fryer CE, Straub, et al. Congruent satisfaction: Is there geographic correlation between patient and physician satisfaction? Medical Care. 2007. 45(1):88-94.
Wallace L, DeVoe J, Rogers ES, et al. The medical dialogue: Disentangling differences between Hispanics and non-Hispanics. Journal of General Internal Medicine. 2008. 22(1):1538-43.
DeVoe, JE, Tillotson C, Wallace LS. Uninsured children with insured parents. Journal of the American Medical Association. 2008. 300(16):1904-13.
DeVoe JE, Petering R, Krois L. A usual source of care: Supplement or substitute for health insurance among low-income children? Recent findings from Oregon. Medical Care. 2008. 46(10):1041-48.
DeVoe, JE, Graham A, Angier H, et al. Obtaining healthcare services for low-income children: A hierarchy of needs. Journal of Health Care for the Poor and Underserved. 2008. 19(4):1192-1211.
DeVoe, JE. The unsustainable US healthcare system: A blueprint for change. Annals of Family Medicine. 2008. 6:262-66.
DeVoe, JE, Graham A, et al. “Mind the gap” in children's health insurance coverage. Does the length of a child's coverage gap matter? Ambulatory Pediatrics. 2008. 8:19-134.
DeVoe JE, Tillotson C, Wallace LS. Children's receipt of healthcare services and family health insurance patterns. Annals of Family Medicine. 2009. 7(5):406-13.
DeVoe JE. Educaid: What if the US systems of education and healthcare were more alike? Family Medicine. 2009. 41(9):654-57.
DeVoe JE, Saultz JW, Krois L, Tillotson CJ. A medical home versus temporary housing: The importance of a stable usual source of care. Pediatrics. 2009. 124:1363-71.
DeVoe JE, Wallace L, Fryer GE. Patient age influences perceptions about healthcare communication. Family Medicine. 2009. 41(2):126-33.
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