James Guevara is associate professor of pediatrics and epidemiology at the University of Pennsylvania School of Medicine and an attending physician at The Children’s Hospital of Philadelphia. He is the director of interdisciplinary initiatives with PolicyLab at The Children’s Hospital of Philadelphia. He is also a senior fellow at the Leonard Davis Institute of Health Economics and a senior scholar at the Center for Clinical Epidemiology and Biostatistics at the University of Pennsylvania School of Medicine.
He is a member of the Early Childhood Mental Health Steering Committee for the Commonwealth of Pennsylvania and a member of the Executive Research Committee of the Academic Pediatrics Association. He has interests in the organization, financing, and delivery of health care services to children with developmental and behavioral disabilities. He has previously published on the medical expenditures and health disparities among children with chronic health conditions. He is the principal investigator on a K23 Research Career Development Award from the National Institute of Mental Health 1) to develop a measure of collaborative Attention Deficit and Hyperactivity Disorder (ADHD) care and 2) to pilot an intervention to link schools, mental health, primary care, and families for ADHD management. He is also the principal investigator on an R18 Award from the Centers for Disease Control and Prevention to evaluate the feasibility, acceptability, and effectiveness of the American Academy of Pediatrics policy on developmental screening in urban primary care settings. He is a collaborator on an R40 Award (PI: Power) from the Maternal and Child Health Bureau to assess the feasibility of implementation of a collaborative mental health intervention in urban primary care practices and an R21 Award (PI: Bell) from the Agency for Healthcare Research and Quality to test the effectiveness of decision support tools for the management of asthma in primary care.
Through these diverse research initiatives, he has focused on improving the delivery of healthcare in primary care settings, reducing health disparities, and translating research findings into practice and policy.
Family and parenting supports
Tailored pediatric preventive care
Bell LM, Grundmeier R, Localio R, Zorc J, Fiks AG, Zhang X, Stephens TB, Swietlik M, Guevara JP. Electronic health record-based decision support to improve asthma care: a cluster-randomized trial. Pediatrics. 2010 Apr;125(4):e770-7. Epub 2010 Mar 15.
Guevara JP, Greenbaum PE, Shera D, Bauer L, Schwarz DF. Survey of mental health consultation and referral among primary care pediatricians. Acad Pediatr. 2009;9(2):123-7.
Guevara JP, Greenbaum PE, Shera D, Shea JA, Bauer L, Schwarz DF. Development and psychometric assessment of the collaborative care for attention deficit disorders scale. Ambulatory Pediatrics. 2008;8:18-24.
Guevara JP, Rothbard A, Shera D, Zhao H, Forrest CB, Kelleher K, Schwarz DF. Correlates of behavioral care management strategies used by primary care pediatric providers. Ambulatory Pediatrics. 2007;7:160-6.
Guevara JP, Forrest CB. Modernizing pediatric primary care to better manage children’s behavioral health (editorial). Current Opinion in Pediatrics. 2006;18:639-40.
Mandell DS, Guevara JP, Pati S. Search for coordinated, continuous community-based care: How the parallel efforts of the medical home and systems of care can inform each other in Fisher, WH. (Ed.) Research on Community-Based Mental Health Services for Children and Adolescents. JAI Press, Amsterdam, 2007, pp. 77-94.
Guevara JP, Mandell DS, Rostain AT, Zhao H, Hadley TR: Disparities in the reporting and treatment of health conditions in children: An analysis of the Medical Expenditure Panel Survey. Health Services Research. 2006;41:532-49.
Guevara JP, Lozano P, Wickizer T, Mell L, Gephart H. Utilization and cost of health care services for children with attention-deficit/hyperactivity disorder. Pediatrics. 2001;108:71-8.
Guevara JP, Stein MT. Attention deficit hyperactivity disorder. Western Journal of Medicine. 2001;175:189-93.
Guevara JP, Stein MT. Evidence based management of attention deficit hyperactivity disorder. BMJ. 2001;323:1232-5.
Guevara JP, Lozano P, Wickizer T, Mell L, Gephart H. Psychotropic medication use in a population of children with attention-deficit/hyperactivity disorder. Pediatrics. 2002;109:733-9.
Mandell DS, Guevara JP, Rostain AL. Hadley TR. Use of and charges associated with medical care among children with behavioral disorders in a Medicaid population. Psychiatric Services. 2003;54:465-7.
Guevara JP, Mandell DS, Rostain AL, Zhao H, Hadley TR. National estimates of health services expenditures for children with behavioral disorders: An analysis of the Medical Expenditure Panel Survey. Pediatrics. 2003;112:e440-e446.