Professor of global health policy in the Dept. of Public Policy and the Dept. of Health Policy and Mgmt. at the University of North Carolina–Chapel Hill
Epidemiologist at the University of North Carolina–Chapel Hill
Manel Kappagoda, JD, MPH
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Program Director and Senior Staff Attorney ChangeLab Solutions Oakland, CA
"When our dataset changes in the future it will be relatively easy to update it — it’s easier than in normal legal research to see where those changes are."
Manel’s story:
I was an RWJF Public Health Law Research program grantee. We were trying to understand the nuisances of prescription drug monitoring programs, and there are a lot of differences between states and changes over time. Policy surveillance was useful in cataloging that information, which we then combined with outcome data and used in analysis of how effective PDMPs have been.
As an epidemiologist, I saw value in working with legal research colleagues so that we were not blindly using dichotomous variables in our research without understanding how they were derived. The legal research gave us an additional discriminatory power to understand differences between states that had these databases, and allowed us to find more nuisance between them, instead of relying on whether at PDMP was simply there or not. It allowed us to ask more interesting questions and allowed us to more systematically collect that information.
Beyond that, having an independent and reproducible methodology to monitor policy change disentangles the potential conflict of interest of the people who are enacting the policies. It prevents bias.
Nabarun Dasgupta is an epidemiologist at the University of North Carolina–Chapel Hill.
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