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Weighing costs and benefits of adequate prenatal care for 12,023 births in Missouri's Medicaid program, 1988.
  • Published Date:
    1992 Nov-Dec
  • Source:
    Public Health Rep. 107(6):647-652
  • Language:
    English
Filetype[PDF-1.17 MB]


Details:
  • Alternative Title:
    Public Health Rep
  • Personal Author:
    Schramm, W F
  • Description:
    Numerous studies have shown that the receipt of adequate prenatal care is associated with improvements in pregnancy outcome, particularly a reduction in the risk of low birth weight. Since medical costs for these low birth weight infants are several times higher than for normal birth weight infants, one would expect that medical costs for newborns would be lower for babies whose mothers have had adequate prenatal care than for those with inadequate prenatal care. Explored in this paper is whether the reduction in Medicaid costs for newborn and post-partum maternal care is greater than the increase in prenatal costs for a Medicaid population. The analysis used a file of 12,023 Missouri Medicaid records linked with the corresponding 1988 birth certificates. A modified version of the Kessner index was used to define the adequacy of prenatal care. Prenatal care costs were $233 higher for pregnancies with adequate prenatal care than for those in which prenatal care was inadequate. Newborn and post-partum costs starting within 60 days after the birth were $347 lower for the adequate prenatal care pregnancies, resulting in a savings of $1.49 for each extra $1 spent on prenatal care. Among the other factors studied in determining this benefit to cost ratio were global billing, Supplemental Food Program for Women, Infants, and Children (WIC), and participation in Medicaid under the expanded eligibility provisions that were effective in Missouri in 1988.

  • Subject:
  • Pubmed ID:
    1454976
  • Pubmed Central ID:
    PMCnull
  • Document Type:
    Journal Article
  • Collection(s):
    Public Health Reports
  • Main Document Checksum:
  • Supporting Files:
    No Additional Files
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      Rubel, A J; Garro, L C;
      Published Date:
      1992 Nov-Dec
      Source:
      Public Health Rep. 107(6):626-636
      Description:
      The burden of tuberculosis on the public health is staggering. Worldwide, annual incidence of new cases is estimated to be about 8 million. Almost 3 million deaths occur yearly. Early case identification and adherence to treatment regimens are the re...
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    2. PUBLIC HEALTH PROGRAMS AND PRACTICES
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      Bourdon, K H; Rae, D S; Locke, B Z; Narrow, W E; Regier, D A;
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      1992 Nov-Dec
      Source:
      Public Health Rep. 107(6):663-668
      Description:
      The National Institute of Mental Health Epidemiologic Catchment Area Survey is a comprehensive, community-based survey of mental disorders and use of services by adults, ages 18 and older. Diagnoses are based on the criteria in the "Diagnostic and St...
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      Filetype[PDF - 1.11 MB]
    4. Group counseling at STD clinics to promote use of condoms.
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      Cohen, D A; MacKinnon, D P; Dent, C; Mason, H R; Sullivan, E;
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      Source:
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    6. Area-level predictors of use of prenatal care in diverse populations.
      Personal Author:
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      Published Date:
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      Source:
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      Description:
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      File Type:
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    7. Development and supermarket field testing of videotaped nutrition messages for cancer risk reduction.
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      Cotugna, N; Vickery, C E;
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    8. Vitamin supplement use and its correlates among elderly Japanese men residing on Oahu, HI.
      Personal Author:
      Kato, I; Nomura, A M; Stemmermann, G N; Chyou, P H;
      Published Date:
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      Source:
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      Description:
      Use of vitamin supplements and the association with personal characteristics were investigated among 4,654 American men of Japanese ancestry in Hawaii. A total of 58 percent of the subjects who were ages 68 to 90 took vitamin supplements. Among suppl...
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    9. The FPbase microcomputer system for managing community health screening and intervention data bases.
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      Assaf, A R; Banspach, S W; Lasater, T M; Ramsey, J; Tidwell, R J; Carleton, R A;
      Published Date:
      1992 Nov-Dec
      Source:
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      Description:
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      1992 Nov-Dec
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      Description:
      A survey of breast cancer and breast cancer screening beliefs was mailed to a random sample of 1,000 women who contacted a telephone bank in response to a television-promoted, reduced-cost mammography project. Beliefs and demographics of women in the...
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    11. Maternal pregravid weight, age, and smoking status as risk factors for low birth weight births.
      Personal Author:
      Nandi, C; Nelson, M R;
      Published Date:
      1992 Nov-Dec
      Source:
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      Description:
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    12. An evaluation of the Vermont worksite smoking law.
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      Paulozzi, L J; Spengler, R F; Gower, M A;
      Published Date:
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      Description:
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    13. Needle sharing and participation in the Amsterdam Syringe Exchange program among HIV-seronegative injecting drug users.
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      Source:
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      File Type:
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      Personal Author:
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      Published Date:
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      Source:
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      Published Date:
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      Source:
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