This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://info.ahrq.gov. Let us know the nature of the problem, the Web address of what you want, and your contact information.
Please go to www.ahrq.gov for current information.
Institution: Johns Hopkins University
Grant Title: Child
Health Services Outcomes Research
Grant Number: K02 HS00003
Total Award: $423,300
Project Description: This project had three main research goals:
- To improve
understanding of the mechanisms by which the financial and organizational
features of managed care influence children's access to medical care, specialty
care service use, and healthcare expenditures.
- Assess the effects of
alternative models of generalist and specialist involvement in patient care on
coordination of care and the effectiveness of the specialty referral process.
- To develop a new research program focused on examining longitudinal
changes in child health.
Career Goals: Dr. Forrest is an Associate
Professor of Health Policy and Management at the Johns Hopkins School of Public
Health. He wanted to diversify his expertise in child health research and
expand his mentoring and capacity building activities in the field. He sought
new skills in the analysis of multilevel and longitudinal study designs, which
would be necessary for developing the proposed new program of research. At the
same time, he desired to expand his mentorship activities of doctoral and
post-doctoral trainees, and faculty within and outside of his institution.
Progress to Date: Dr. Forrest successfully completed
his K02 grant in August 2004. The publications listed below highlight his
research findings. Research results provided empirical justification for a
national reevaluation of how the gatekeeping role of primary care physicians is
Highlights and Specific Accomplishments:
2004 Recipient of the Nemours
Child Health Services Research Award presented at the Academy Health meeting.
Public Health Association.
Society for Quality of Life Research.
appointed in the Departments of Health Policy and Management and Pediatrics.
K-Generated Publications (selected):
Forrest CB, Shi L, von Schrader S, Ng J. Managed care, primary care,
and the patient-practitioner relationship. Journal of General Internal Medicine
Shi L, Forrest CB, von
Schrader S, Ng J. Vulnerability and the patient-practitioner relationship: The
roles of gatekeeping and primary care performance. American Journal of Public Health 2003. 93:138-44.
Forrest CB, Nutting P, Starfield B, von Schrader S. Family physicians'
referral decisions: Results from the ASPN referral study. Journal of Family
Practice 2002. 51:215-22.
Forrest CB, Nutting P, Werner JJ, Starfield B, von Schrader S,
Rohde C. Managed health plan effects on the specialty referral process:
results from the ASPN referral study. Medical Care 2003. 41:242-253.
Forrest CB, Majeed A, Weiner JP, Carroll K, Bindman AB. Referral
of children to specialists in the United States and United Kingdom. Archives of
Pediatric and Adoloscent Medicine 2003. 157:279-85.
Forrest CB. Primary care gatekeeping and referrals: Effective
filter or failed experiment? British Medical Journal 2003. 326:692-95.
Braun BL, Fowles JB, Forrest
CB, et al. Which enrolles bypass their gatekeepers in a point-of-service
plan? Medical Care 2003. 41(7):836-41.
Forrest CB, Shipman SA, Doughterty D, Miller MR. Outcomes research
in pediatric settings: Recent trends and future directions. Pediatrics 2003. 111:171-78.
Forrest CB. Outcomes research on children, adolescents, and
their families: Directions for future inquiry. Medical Care 2004. 42(4
Forrest CB, Riley AW. Childhood origins of adult health: A basis
for life-course health policy. Health Affairs 2004 Sep-Oct. 23(5):155-64.
CB, Weiner JP, Fowles J, et al. Self-referral
in point-of-service plans. JAMA 2001. 285:2223-231.
CB, Reid RJ. Prevalence of health problems
and primary care physicians' specialty referral decisions. Journal of Family
Practice 2001. 50:427-32.
CB, Majeed A, Weiner JP, et al.
Comparison of specialty referral rates in the United Kingdom versus United States: Retrospective cohort analysis. British Medical Journal 2002. 325:370-71.
CB, Simpson L, et al. Child health services
research. Challenges and opportunities. Journal of the American Medical Association 1997. 22:1787-93.
Return to Career Development Award Grants