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Mayer, Michelle (deceased)
University of North Carolina at Chapel Hill
Grant Title: Access
to Pediatric Subspecialty Care in the USA
Grant Number: K02 HS0133090
Total Award: $293,675
Project Description: This project had five main
- To depict the practice location of pediatric and adult
- To explore the relationship between county characteristics
and access to pediatric subspecialty care.
- To ascertain the extent to which
adult subspecialists expand access to care for children with rheumatic
diseases 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
- To determine the independent effects of selected
training, personal, and practice characteristics on the likelihood that an
adult subspecialist treats pediatric patients. In addition, two pilot studies
explored the role of general pediatricians in treating children with rheumatic
conditions and compared care received across physician management types for
children with JRA were be conducted.
Career Goals: The former grantee was a
Research Assistant Professor in the Department of Health Policy and
Administration at the University of North Carolina, Chapel Hill and a Research
Associate at the Cecil G. Sheps Center for Health Services Research also at Chapel Hill. Dr. Mayer received both her M.P.H. and Ph.D. from the University of North Carolina, Chapel Hill and was awarded a post-doc at the Sheps Center for Health Services
Progress to Date: This grant was
completed. Highlights from the research can be found in the publications
Highlights and Specific Accomplishments:
for Health Services Research and Health Policy.
Nurse, State of NC.
American Journal of Public Health
Research Service Award (NRSA) Pre-Doctoral Fellowship.
Mayer ML, Skinner AC. Too many, too few, too concentrated? A
review of the pediatric subspecialty workforce literature. Archives of Pediatrics and Adolescent Medicine 2004. 158(12):1158-65.
Mayer ML. Are we there yet? Distance to care and relative
supply among pediatric medical subspecialities in the United States. Pediatrics 2006. 118(6):2313-21.
Mayer ML, Brogan LA, Sandborg CI. Availability of pediatric
rheumatology training in US pediatric residencies. Arthritis & Rheumatism
Skinner AC, Slifkin RT, Mayer
ML. The effect of rural residence on dental unmet need for children with
special health care needs. Journal of Rural Health 2007. 22(1):36-42.
Bergman DA, Mayer ML,
Pantell RH, et al. Does patient presentation explain practice variability in
the treatment of febrile infants? Pediatrics 2006. 117(3):787-95.
Mayer ML, Slifkin RT, Skinner AC. Rural residence and
perception of need for preventive and specialty care among children with
special health care needs. Medical Care Research and Review 2006.
Mayer ML, Preisser JS. The changing composition of the
pediatric subspecialty workforce. Pediatrics 2005: 116(4):833-40.
Mayer ML, Skinner AC, Slifkin RF. Unmet need for routine and
specialty care: data for the national survey of children with special health
care needs. Pediatrics 2004. 113(2):e109-15.
Skinner AC, Mayer ML,
et al. Health status and health care expenditures in a nationally
representative sample: How do overweight and health-weight children compare?
Pediatrics 2008. 121(2):e269-E277.
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