The research component will focus on the examination of the relationship between sociodemographic, medical and behavioral risk factors, the process of prenatal care and maternal and infant health outcomes for disadvantaged women. A more thorough understanding of the relationships between these factors is crucial to the planning of any interventions directed towards improving health outcomes. In addition, this research program will examine markers of maternal health status beyond the traditional indicator of mortality. By focusing on more common, intermediate outcomes of adverse health status, we believe that we will provide valuable information about health conditions that cause significant disability among pregnant women, and are more amenable to intervention. this focus on maternal health status is consistent with the NIH's women's health initiative. For the training component of the Award, Dr. Haas will develop """"""""content"""""""" expertise in the area of prenatal care and maternal health assessment, and methodologic expertise in risk stratification and the assessment of confounding.

National Institute of Health (NIH)
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Clinical Investigator Award (CIA) (K08)
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Maternal and Child Health Research Committee (HDMC)
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Brigham and Women's Hospital
United States
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Wee, C C; Phillips, R S; Burstin, H R et al. (2001) Influence of financial productivity incentives on the use of preventive care. Am J Med 110:181-7
Haas, J S; Cook, E F; Puopolo, A L et al. (2000) Is the professional satisfaction of general internists associated with patient satisfaction? J Gen Intern Med 15:122-8
Haas, J S; Cook, E F; Puopolo, A L et al. (2000) Differences in the quality of care for women with an abnormal mammogram or breast complaint. J Gen Intern Med 15:321-8
Haas, J S; Meneses, V; McCormick, M C (1999) Outcomes and health status of socially disadvantaged women during pregnancy. J Womens Health Gend Based Med 8:547-53
Haas, J S; Cleary, P D; Puopolo, A L et al. (1998) Differences in the professional satisfaction of general internists in academically affiliated practices in the greater-Boston area. Ambulatory Medicine Quality Improvement Project Investigators. J Gen Intern Med 13:127-30
Haas, J S; McCormick, M C (1997) Hospital use and health status of women during the 5 years following the birth of a premature, low-birthweight infant. Am J Public Health 87:1151-5
Haas, J S; Berman, S; Goldberg, A B et al. (1996) Prenatal hospitalization and compliance with guidelines for prenatal care. Am J Public Health 86:815-9
Haas, J S; Orav, E J; Goldman, L (1995) The relationship between physicians' qualifications and experience and the adequacy of prenatal care and low birthweight. Am J Public Health 85:1087-91