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Health Systems, Managment & Policy

Health Systems, Managment & Policy
 

Research

Beyond Teaching, Our Faculty are Experts in the Field


In addition to teaching at the Colorado School of Public Health, our faculty also conduct research and are experts on a variety of topics.  Faculty are currently involved in a broad range of research areas including health outcomes, health economics, medicaid/medicare, drug safety and risk management, and vaccine delivery. Check out our faculty experts page to learn more about our research areas.

Research Highlights:

Outcome Research for Infants and Toddlers with Developmental Delays and Disabilities

Project Summary:  Among the general population, more than 1 in 10 infants and toddlers has a diagnosis or developmental delay that would make them eligible for policy-governed therapy services (e.g., physical, occupational, and speech therapy services through Part C early intervention or Medicaid).  Understanding predictors and costs of therapy services for low-income children with developmental difficulties has important implications for structuring and reimbursing policy-governed therapy services for this high need and vulnerable population.  Yet, little information exists about:  1) these children beyond their discrete disability categories and 2) how cost-effective therapy services are in improving child and family outcomes.  An understanding of utilization of therapy services requires more information than the prevalence of developmental impairments of infants and toddlers.  Studies of utilization require information not only about the severity of the child's condition but also the age of diagnosis and co-occuring impairments.  Without an applied classification system, it is difficult to understand which children need therapy services, who is served by pediatric therapists, the intensity of service delivery, and for whom what intensity of therapy might be most beneficial.  To this end, little empirical evidence exists to elucidate the effectiveness of population-based therapy, and the costs and changes in children's mobility following these therapy services are not well understood.  Finally, a major criticism of previous studies of children's receipt of therapy services has been reliance on parent-report.  This proposal addresses these issues. 

The purpose of this study is to utilize administrative databases to 1) apply a classification system that captures the diverse variables that define the developmental vulnerability of children served by pediatric therapists, 2) to describe the costs of therapy services, and 3) to describe changes in children's function post-therapy.  To address these goals, we utilize data from 1-2 state Early Intervention data systems.  Moreover, since developmental difficulty prevalence rates and therapy access difficulties are sustainably higher for low-income children, objectives 1 and 2 are studied in samples of low-income enrolled in Children's Medicaid across several years within multiple states.

FacultyBeth McManus, Richard LindroothAllison KempeMary Jane Rapport 

Preventing Unintentional Ingestion of Marijuana by Children:  A Health Impact Assessment of Packaging Regulations in Retail Marijuana Establishments in Colorado

Project Summary:  The legalization of recreational marijuana by the State of Colorado raises concerns about the unintentional ingestion of marijuana by children.  In July and August of 2013, the Colorado State Licensing Authority formed working groups to develop the final regulatory structure for retail marijuna in the state.  To inform this process, the group conducted a Health Impact Assessment focused on the issue of preventing intended ingestion of marijuana by children and the potential role that the use of child-resistant packing could play at mitigating the problem.  After reviewing the scientific evidence and incorporating stakeholder input, the following recommendations were made:

1. All retail majijuana and majijuana products should leave retail establishments in child-resistant packaging as definded by ASTM International and the Poison Prevention Packaging Act of 1970 (PPPA)

2. All child-resistant packaging should be opaque

3. All child-resistant packaging should be re-closeable

4. Allowance should be made to re-use appropriate child-resistant packages

The full report is available here.

Faculty: Gregory Tung, Jodi K. Duke, Katherine Collins, Robin Kimbrough-Melton, Heidi Baskfield

 

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