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Education:
B.A., Mount Holyoke College, Magna cum laude in Mathematics
M.A., Boston University,
Mathematics
Ph.D., Yale University,
Epidemiology and Public Health
(Health Services Research)
Research
(active)
09/30/01–08/31/04 Health Services
Research in Under-Served Populations, Principal Investigator, Agency for
Healthcare Research and Quality 1R24HS11618
07/01/99–06/30/04
Clinical Research Training Program at UTMB, Co-investigator, NIH
K30HL04126 (K Anderson PI)
06/01/96–02/28/04 Evaluating
Mammography Claims Data, Principal Investigator, NCI R01CA72076
9/01/03-08/31/08 UTMB Center for
Population Health and Health Disparities, Co-investigator, NCI P50CA105631
(J Goodwin PI)
7/01/03-6/30/06
Health Concordance in Older Mexican American Couples, Co-investigator,
NIA AG417840 (MK Peek PI)
Publications
Freeman JL, Fetter RG, Park H, Schneider
KC, Lichtenstein JL, Hughes JS, Bauman WA, Duncan CC, Freeman DH and
Palmer GR. DRG refinement with diagnostic specific co-morbidities and
complications. Medical Care 33:806-827, 1995.
Goodwin JS, Freeman JL, Freeman DH,
Nattinger AB. Geographic variations in breast cancer mortality: Do higher
rates imply elevated incidence or poorer survival? American Journal of
Public Health 88(3):458-460, 1998.
Freeman JL, Zhang D, Freeman D, Goodwin
JS. An approach to identifying incident breast cancer cases using Medicare
data. Journal of Clinical Epidemiology 2000; 53: 605-614.
Freeman JL, Klabunde C, Schussler N,
Warren J, Virnig B, Cooper G. Measuring breast, colo-rectal and prostate
screening with Medicare claims data. Medical Care 2002; 40(8)
(supplement): IV-36-IV-42.
Randolph WM, Goodwin JS, Mahnken JD,
Freeman JL. Outcomes of screening mammography in women aged 75 and older:
Regular use of mammography eliminates age-related disparities in size and
stage of breast cancer at diagnosis. Annals of Internal Medicine 2002;
137:783-790.
Freeman JL, Goodwin JS, Zhang D,
Nattinger ASB, Freeman DH. Measuring the performance of screening
mammography in community practice with Medicare claims data. Women &
Health 2003; 37(2): 1-15.
Biography
Dr. Freeman has designed and directed
studies in health services research for over 20 years. Her recent work is
focused on the use of administrative datasets (Medicare data and tumor
registry data) to assess the quality of breast cancer care nationally and
the factors associated with quality care. Over the past six years she has
had funding from the Department of Defense (DAMD17-96-1-6215) and the
National Cancer Institute (RO1CA72076) to examine the use and outcomes of
mammography services in older women. Of interest is the effectiveness of
screening mammography in older women, with a focus on the very old (75+)
and disadvantaged populations. Also of interest is the extent to which
older women are receiving appropriate care for breast cancer and how this
affects health outcomes such as breast cancer mortality and survival. A
major aim of this research is to investigate whether the disparities in
mortality and survival observed in older minority and economically
disadvantaged populations can be explained by their lower use of screening
and appropriate therapy.
Dr. Freeman is also a member of the
Graduate School of Biomedical Sciences and teaches in the Preventive
Medicine and Community Health Graduate Program. In the PMCH PhD Program
she directs courses in the Clinical Sciences Curriculum (Methods in Health
Services Research, Outcomes Research) and supervises students in their
dissertation research. In the PMCH MPH program she co-directs the Health
Policy and Management course with Dr. James Goodwin.
In September 2001, she was awarded a
grant on "Health Services Research in Underserved Populations" by the
Agency for Healthcare Research and Quality (R24HS11618) to strengthen
UTMB's capacity to conduct rigorous health services research. Through this
grant she and her co-PI Gayle Weaver are building a faculty development
program that includes advanced training in research methods and data
analysis, short courses in scientific writing and a mentoring system to
support research proposal development for NIH grant submissions.
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