James M Perrin
Biographic Data
| ID | 5542523 |
|---|---|
| NAME | James M Perrin |
| GIVEN NAMES | James M |
| FAMILY NAME | Perrin |
| SIGNATURE | PERRIN J M |
| AFFILIATIONS | Massachusetts General Hospital |
| ORCID | 0000-0002-1810-3708 |
| VERIFIED | Yes |
| TOTAL WORKS | 19 |
| TOTAL CITATIONS | 4 |
| AUTHOR COUNT | 19 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1977 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 1 |
Variability in Insurance Adequacy for Children With Special Health Care Needs on Medicaid
This survey study quantifies state-to-state variation and predictors of Medicaid insurance continuity and adequacy among children with special health care needs
Children and Youth with Special Health Care Needs
How Three Clinical Professions Addressed Disability in Recent Decades
ndrew Hogan's Disability Dialogues provides an interesting recent history of three related professions and changes in their experience of disability, evolving scientific approach and theory, inclusion of people with disabilities, and approach to environmental and political disability issues.The three professions-psychology, genetics (emphasizing genetic counselors), and pediatrics-share some joint interest in the assessment and care of people wit…
The Death of George Floyd
We have seen the horrifying cell phone and surveillance video footage of the murder of George Floyd replay again and again in the last few weeks. The aftermath begs the question why this particular murder of a Black man by a police officer has sparked the international response so few have received.1 Scores of other Black men, women, and children have been killed by police since the 2014 murder of Eric Garner in New York City, in which he suffere…
Adolescents’ use of the built environment for physical activity
Adolescents were more likely to engage in physical activity, and achieved their highest physical activity levels, when using built environments located outdoors. Novel objective methods for determining physical activity can provide insight into adolescents' spatial physical activity patterns, which could help guide physical activity interventions. Promoting zoning and health policies that encourage the design and regular use of outdoor spaces may…
Care Coordination for Children with Special Health Care Needs
The Financial Implications of Availability and Quality of a Usual Source of Care for Children with Special Health Care Needs
Are Minority Children the Last to Benefit from a New Technology
BACKGROUND: Racial and ethnic disparities in health and health care have been well documented, but few studies have addressed how disparities may change over time. OBJECTIVE: We sought to determine the change in relative rates over time of corticosteroid metered dose inhaler (MDI) use in minority and nonminority populations with asthma. DESIGN AND SETTING: We used a cross-sectional survey for 5 periods of 2 years' each (1989-1990, 1991-1992, 1993…
Financial Burden for Families of Children with Special Health Care Needs
Continuity of Health Insurance Coverage for Children with Special Health Care Needs
Pharmacy- and Diagnosis-Based Risk Adjustment for Children With Medicaid
BACKGROUND: Risk adjustment is useful for adjusting health care payments based on patients' health status. OBJECTIVE: This work seeks to examine how well pharmacy- and diagnosis-based risk adjusters predict child health expenditures in Medicaid populations. RESEARCH DESIGN: We used 1994-1995 Medicaid claims files for all children ages 0-18 years who were not covered by managed care in 3 states: Georgia, New Jersey, and Wisconsin. We examined sepa…
A New Definition of Children With Special Health Care Needs
Abbreviations: MCH = : Maternal and Child Health (program) • CSHCN = : Children With Special Health Care Needs (program) • DSCSHCN = : (Maternal and Child Health Bureau's) Division of Services for Children With Special Health Care Needs. Developing community systems of services for children with special health care needs represents a significant challenge for pediatricians, families, managed care organizations, and public and private agencies pro…
State variations in supplemental security income enrollment for children and adolescents
OBJECTIVES: The purpose of this study was to determine the effects of poverty, program generosity, and health on state variations in enrollment of children and adolescents in the Supplemental Security Income (SSI) program during recent program expansions. METHODS: The relationship of state SSI rates for 1989 and 1992 to child poverty, health, and program generosity were determined by multiple regression. RESULTS: The mean percentage of children e…
Social and Economic Consequences of Overweight in Adolescence and Young Adulthood
BACKGROUND AND METHODS: Overweight in adolescents may have deleterious effects on their subsequent self-esteem, social and economic characteristics, and physical health. We studied the relation between overweight and subsequent educational attainment, marital status, household income, and self-esteem in a nationally representative sample of 10,039 randomly selected young people who were 16 to 24 years old in 1981. Follow-up data were obtained in …
An Unexpected Success Story
We used data from the National Longitudinal Survey of Youth (NLSY; 1987) to examine the relationship between having a chronic physical health condition during youth (ages 14 to 21), and the subsequent transition to adulthood among a nationally representative sample (10,485), followed from 1979 to 1986. We controlled for theoretically important baseline characteristics of the youths and their families in multivariate regression models examining ed…
Health Care Services for Children and Adolescents
The authors of this paper identify risks to health and other factors that determine the need for health care services among children and adolescents. They document service utilization patterns in the areas of well-child care and immunizations, acute ambulatory care and hospital services, and injury prevention. They also acknowledge the special health care needs of adolescents and of children with chronic illnesses. It appears that neither the tra…
Uncompensated Hospital Care
Children and schools
(1984). Children and schools: The special issues of chronically Ill children. Peabody Journal of Education: Vol. 61, Education and chronically Ill children: A need‐based policy orientation, pp. 10-15
Foreign Medical Graduates in Rural Primary Care
To determine whether foreign medical graduates (FMGs) provide a disproportionate and increasing share of primary care in some rural areas, changes in physician distribution in a rural section of upstate New York over a 20-year period (1953-1973) were evaluated by country of medical education and type of practice. A contiguous urban area was examined for comparison. In 1953, FMGs accounted for a higher proportion of primary care physicians in rura…
An Unexpected Success Story
We used data from the National Longitudinal Survey of Youth (NLSY; 1987) to examine the relationship between having a chronic physical health condition during youth (ages 14 to 21), and the subsequent transition to adulthood among a nationally representative sample (10,485), followed from 1979 to 1986. We controlled for theoretically important baseline characteristics of the youths and their families in multivariate regression models examining ed…
State variations in supplemental security income enrollment for children and adolescents
OBJECTIVES: The purpose of this study was to determine the effects of poverty, program generosity, and health on state variations in enrollment of children and adolescents in the Supplemental Security Income (SSI) program during recent program expansions. METHODS: The relationship of state SSI rates for 1989 and 1992 to child poverty, health, and program generosity were determined by multiple regression. RESULTS: The mean percentage of children e…
Health Care Services for Children and Adolescents
The authors of this paper identify risks to health and other factors that determine the need for health care services among children and adolescents. They document service utilization patterns in the areas of well-child care and immunizations, acute ambulatory care and hospital services, and injury prevention. They also acknowledge the special health care needs of adolescents and of children with chronic illnesses. It appears that neither the tra…
Foreign Medical Graduates in Rural Primary Care
To determine whether foreign medical graduates (FMGs) provide a disproportionate and increasing share of primary care in some rural areas, changes in physician distribution in a rural section of upstate New York over a 20-year period (1953-1973) were evaluated by country of medical education and type of practice. A contiguous urban area was examined for comparison. In 1953, FMGs accounted for a higher proportion of primary care physicians in rura…
Children and schools
(1984). Children and schools: The special issues of chronically Ill children. Peabody Journal of Education: Vol. 61, Education and chronically Ill children: A need‐based policy orientation, pp. 10-15
Uncompensated Hospital Care
Health Care Services for Children and Adolescents
The authors of this paper identify risks to health and other factors that determine the need for health care services among children and adolescents. They document service utilization patterns in the areas of well-child care and immunizations, acute ambulatory care and hospital services, and injury prevention. They also acknowledge the special health care needs of adolescents and of children with chronic illnesses. It appears that neither the tra…
Social and Economic Consequences of Overweight in Adolescence and Young Adulthood
BACKGROUND AND METHODS: Overweight in adolescents may have deleterious effects on their subsequent self-esteem, social and economic characteristics, and physical health. We studied the relation between overweight and subsequent educational attainment, marital status, household income, and self-esteem in a nationally representative sample of 10,039 randomly selected young people who were 16 to 24 years old in 1981. Follow-up data were obtained in …
An Unexpected Success Story
We used data from the National Longitudinal Survey of Youth (NLSY; 1987) to examine the relationship between having a chronic physical health condition during youth (ages 14 to 21), and the subsequent transition to adulthood among a nationally representative sample (10,485), followed from 1979 to 1986. We controlled for theoretically important baseline characteristics of the youths and their families in multivariate regression models examining ed…
A New Definition of Children With Special Health Care Needs
Abbreviations: MCH = : Maternal and Child Health (program) • CSHCN = : Children With Special Health Care Needs (program) • DSCSHCN = : (Maternal and Child Health Bureau's) Division of Services for Children With Special Health Care Needs. Developing community systems of services for children with special health care needs represents a significant challenge for pediatricians, families, managed care organizations, and public and private agencies pro…
State variations in supplemental security income enrollment for children and adolescents
OBJECTIVES: The purpose of this study was to determine the effects of poverty, program generosity, and health on state variations in enrollment of children and adolescents in the Supplemental Security Income (SSI) program during recent program expansions. METHODS: The relationship of state SSI rates for 1989 and 1992 to child poverty, health, and program generosity were determined by multiple regression. RESULTS: The mean percentage of children e…
Financial Burden for Families of Children with Special Health Care Needs
Continuity of Health Insurance Coverage for Children with Special Health Care Needs
Pharmacy- and Diagnosis-Based Risk Adjustment for Children With Medicaid
BACKGROUND: Risk adjustment is useful for adjusting health care payments based on patients' health status. OBJECTIVE: This work seeks to examine how well pharmacy- and diagnosis-based risk adjusters predict child health expenditures in Medicaid populations. RESEARCH DESIGN: We used 1994-1995 Medicaid claims files for all children ages 0-18 years who were not covered by managed care in 3 states: Georgia, New Jersey, and Wisconsin. We examined sepa…
Are Minority Children the Last to Benefit from a New Technology
BACKGROUND: Racial and ethnic disparities in health and health care have been well documented, but few studies have addressed how disparities may change over time. OBJECTIVE: We sought to determine the change in relative rates over time of corticosteroid metered dose inhaler (MDI) use in minority and nonminority populations with asthma. DESIGN AND SETTING: We used a cross-sectional survey for 5 periods of 2 years' each (1989-1990, 1991-1992, 1993…
The Financial Implications of Availability and Quality of a Usual Source of Care for Children with Special Health Care Needs
Care Coordination for Children with Special Health Care Needs
Adolescents’ use of the built environment for physical activity
Adolescents were more likely to engage in physical activity, and achieved their highest physical activity levels, when using built environments located outdoors. Novel objective methods for determining physical activity can provide insight into adolescents' spatial physical activity patterns, which could help guide physical activity interventions. Promoting zoning and health policies that encourage the design and regular use of outdoor spaces may…
The Death of George Floyd
We have seen the horrifying cell phone and surveillance video footage of the murder of George Floyd replay again and again in the last few weeks. The aftermath begs the question why this particular murder of a Black man by a police officer has sparked the international response so few have received.1 Scores of other Black men, women, and children have been killed by police since the 2014 murder of Eric Garner in New York City, in which he suffere…
How Three Clinical Professions Addressed Disability in Recent Decades
ndrew Hogan's Disability Dialogues provides an interesting recent history of three related professions and changes in their experience of disability, evolving scientific approach and theory, inclusion of people with disabilities, and approach to environmental and political disability issues.The three professions-psychology, genetics (emphasizing genetic counselors), and pediatrics-share some joint interest in the assessment and care of people wit…
Children and Youth with Special Health Care Needs
Variability in Insurance Adequacy for Children With Special Health Care Needs on Medicaid
This survey study quantifies state-to-state variation and predictors of Medicaid insurance continuity and adequacy among children with special health care needs
Medicine (16 works) · Health care (12 works) · Family medicine (10 works) · Healthcare Policy and Management (9 works) · Environmental health (7 works) · Nursing (7 works) · Public health (7 works) · Child and Adolescent Health (6 works) · Economic growth (6 works) · Adolescent and Pediatric Healthcare (4 works)