Research Files pertain to Starfield’s research projects, including initial ideas and preliminary research for studies. In addition to her major research projects and measurement tools, PCAT, CHIP, ACG, and ASI, Starfield studied, among other things, healthcare organizations’ use of surveys of patient satisfaction with their healthcare, including surveying children; the relation of primary care residency training programs, as compared to traditional residency programs, to career choice; the impact of federal funding on primary care training in pediatrics; the impact of changes in funding policies on access to medical care for poor children; and national differences in health care service delivery.
Materials include blank survey questionnaires; correspondence; data, data analyses, and blank data coding forms; definitions of terms; figures, graphs, & tables for papers; copies of completed grant applications and proposals; literature reviews; meeting minutes; notes; papers; presentation and conference materials; reports; and printouts of power point slides. These files contain many publication records including correspondence about publications, annotated manuscript drafts, galley proofs, peer reviews, and published articles.
See also series 11, Publication files, which contain a large amount of research study materials; Series 4 for documents pertaining to CHIP, ACG, and PCAT; and sub-series 8.2 for international collaborative studies, including with the World Health Organization.
Folder 1: Includes correspondence with Malika Hague, Henry P. Staub, Richard H. Rapkin, Norman S. Ellerstein, Jack Shonkoff, Karen Olness, Dorothy J. Jones (John H. Gundy), Katherine K. Christoffel, Margaret C. Heagarty, Matilda S. McIntire, and Jeffrey Weiss, as well as other notes and research subject materials by Barbara Starfield.
Folder 2: Includes correspondence with Vera Loening-Baucke, Margaret C. Heagarty (Weiss, Staub, Shelov, Shonkoff, Olness, McIntire, Jones, Haque, Gundy, Ellerstein), Norman S. Ellerstein, Dorothy J. Jones, Michael L. Grush (McIntire), Malika Haque, Karen Olness, Steve Shelov, Jeffrey C. Weiss, and Jack Shonkoff, as well as other notes and research subject materials by Barbara Starfield.
Folder 3: Includes correspondence with Margaret C. Heagarty, Michael L. Grush, Matilda S. McIntire, Norman S. Ellerstein, Jeffrey C. Weiss, and Dorothy J. Jones, as well as notes and many research subject materials by Barbara Starfield.
Folder 4: Includes correspondence with Steven P. Shelov, Malika Haque, Karen Olness, Margaret C. Heagarty (Shelov, McIntire, Tanner, Ellerstein, Staub, Weiss, Haque, Gundy), Jeffrey C. Weiss, Michael L. Grush, John H. Gundy, and Norman S. Ellerstein, as well as notes and many research subject materials by Barbara Starfield.
Folder 5: Includes correspondence with Margaret C. Heagarty, Steven P. Shelov, Karen Olness, Dorothy J. Jones, Malika Haque, Henry P. Staub, and Marie McCormick, as well as notes and many research subject materials by Barbara Starfield.
The bulk of materials concern Project CHILD (Child Health and Illness Data) a study that was conducted in the 1980s by the Ambulatory Pediatric Association to obtain information on child health problems of major public concern and to determine the impact on poor children of changes in public policy concerning financial access to care. This study was a response to concerns about cutbacks in federally funded services. The project was based in several cities across the U. S. An aim of the study was to develop a network of practices (private practitioners, HMOs, Public clinics, health department, academic facilities) which would collaborate in providing data and sharing in the analyses of patterns of care, their effects, and their costs. At the time, Starfield was the Chair of the APA’s Committee on Monitoring of Sentinel Events in Child Health Care.
This research developed an instrument, the ambulatory severity index, to measure the severity of a patient’s illness at the time s/he sought treatment at an ambulatory care setting and explored the ability of such an instrument to predict resource use for ambulatory visits.
[Folder 10.1.004.01 - 10.1.004.15] Ambulatory Severity Index Project (ASI) 1983-1991 Barbara Starfield notes about the project; Distribution/Marketing of ASI; Pew Grant; Working File. — 1983;1985-1992. — 15 folders
The collection contain the following research-related publication: Maguire AM, Powe NR, Starfield B, Andrews J, Weiner JP, Anderson GF. “Carving out” conditions from global capitation rates: protecting high-cost patients, physicians, and health plans in a managed care environment. Am J Manag Care 1998; 4: 797-806.
Materials pertain to the following studies: Continuity and Coordination in Primary Care: Their Achievement and Utility; Coordination of Care: Its Relationship to Continuity and Medical Records; Information Factors Affecting Problem Follow-up in Ambulatory Care; A Minirecord Approach to Continuity of Care for a Large Population of Ambulatory Patients; and Physicians and New Health Practitioners: The Characteristics of Their practices and Their Interrelationships
[Folder 10.1.012.01] Continuity + Coordination Studies: Reliability Info System Project 1974-6. — 1974-1996. — 1 Folder
[Folder 10.1.021.01] Comorbidity - Who Cares for Diagnoses in the Elderly? [Paper - J. Wolff et al 2001]. — 2001. — 1 Folder
Includes correspondence, with Jennifer Wolff and Gerard Anderson, and data for research conducted in 2001 on hospitalizations for ambulatory care sensitive conditions (ACSCs) and preventable complications among Medicare beneficiaries with chronic conditions.
[Folder 10.1.026.01 - 10.1.026.03] Managed Care and Child Health 1993-1997 NACHRI (National Association of Children's Hospitals and Related Institutions) and Packard Foundation. — 1963-1967;1993-1997;ca. 2007. — 3 folders
PROS is a practice-based research network established by the American Academy of Pediatrics for conducting national collaborative practice-based research in order to enhance primary care practice. Starfield was on the Steering Committee of PROS from its inception and wrote the original proposal for PROS during her sabbatical at The Center for Advanced Study in the Behavioral Sciences.
[Sub-sub-series 10.1.43] Setting Medicare Capitation Rates (HCFA), 1994-2001 & Testing of Risk Factors in the General Population, 2000-2001. — 1994-1995; 2000-2001
Creator: Starfield, Barbara, 1932-2011
This research was conducted under an HCFA contract (grant) to develop and test a risk adjuster and a risk adjustment methodology for application to the under 65 insured population. The risk adjuster was based on refinement and integration of two methodologies developed at JHU: the Ambulatory Care Group (ACG) case-mix measure and the Payment Amount for Capitated Systems (PACS) method. This project sought to complement another HCFA contract (by the same investigators at JHU) to develop and test an adjustment system for the over 65 Medicare population.
[Folder 10.1.043.01 - 10.1.043.03] Setting Medicare Capitation Rates (HCFA) 1994-2001 & Testing of Risk Factors in General Population 2000-2001. — 1994-1995; 2000-2001. — 3 folders
[Sub-sub-series 10.1.44] Traditional vs. Primary Care Residency Training: Federally vs. Nonfederally funded (HRSA), 1985-1988. — 1979-1980; 1983; 1985-1990
The bulk of the materials consist of abstracts and journal articles, mostly photocopies. There are also bibliography, newspaper clippings, Starfield’s notes, reports, photocopies of blank research study tools, and papers. Materials include a small number of Starfield’s publications and correspondence. Primary Care materials include papers by Kerr White and articles by Vicente Navarro.