Comparative Effectiveness Research Tools for Examining Public Health Services and Outcomes

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Overview

This project of the North Carolina PBRN applies new methodological approaches from the field of comparative effectiveness research (CER) to an ongoing study of the impact of a state funding reduction policy on local public health delivery of evidence-based maternity outreach and postpartum services to low-income women and their children. The new methodological approaches augment the existing research by: (1) enhancing the current propensity score matched analysis to provide improved control groups for estimating policy impact, and (2) allowing researchers to better estimate differences in policy impact across a range of vulnerable subgroups of women and children. Findings will illustrate how novel CER methods can be applied to strengthen the evidence produced by studies of public health policies, services, and outcomes.

Presentations

• How sensitive are local health departments to funding cuts? An application to maternal care services (ASHEcon, June 2012)
• Effect of Maternal Care Coordination on Pregnancy and Health Service Outcomes (NCPHA Academic Practice-Based Research Section, February 2013)

Publications

• Effects of Maternity Care Coordination on Pregnancy Outcomes: Propensity-Weighted Analyses.

Research Areas

• System Structure & Performance
• Performance Measurement, Quality Improvement, & Accreditation

Contact Us

Marisa E. Domino, Ph.D.
domino@unc.edu

Dorothy Cilenti, Dr.P.H.
cilenti@email.unc.edu