Outcomes Of Enhanced Prenatal Services For Medicaid-Eligible Women In Public And Private Settings

Simpson, L; Korenbrot, C; Greene, J

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Outcomes Of Enhanced Prenatal Services For Medicaid-Eligible Women In Public And Private Settings

03/01/1997
By Simpson, L ; Korenbrot, C ; Greene, J
Source: Public Health Rep. 112(2):122-134

[PDF-2.15 MB]

English

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Alternative Title:

Public Health Rep
Personal Author:

Simpson, L ; Korenbrot, C ; Greene, J

Simpson, L ; Korenbrot, C ; Greene, J Less -
Description:

With changes in Medicaid, more low-income women are receiving prenatal care in private practice settings. The authors sought to determine whether private settings can provide the enhanced prenatal support services for low-income women that have been offered for decades in public settings. The authors analyzed birth outcomes of Medicaid-eligible women receiving care from public and private providers certified to deliver enhanced prenatal care services, which included assessments of nutritional, psychosocial, and health educational risks and individualized counseling along with clinical care. Birth outcomes were compared by type of provider setting using multivariate logistic regression models to adjust for differences in risks and use of care. Among settings certified to deliver enhanced perinatal support services, private physicians' offices had the best risk-adjusted birth outcomes and public health department clinics the worst, while public hospital clinics had outcomes no different from private physicians' offices. Adjusted for prenatal care use, outcomes were still better for women seen in private physicians' offices than for women seen in public health department clinics, community clinics, or private hospital clinics. The findings suggest that given a certification process, private providers can provide enhanced support services as effectively as providers in public practice settings.
Subjects:

[+]

Ambulatory Care Facilities Data Collection Female Humans Medicare Outcome Assessment (Health Care) Pregnancy Pregnancy Outcome Prenatal Care Quality Of Health Care
Source:

Public Health Rep. 112(2):122-134
Pubmed ID:

9071274
Pubmed Central ID:

PMCnull
Document Type:

Journal Article
Funding:

MCJ 06-0620/PHS HHS/U.S.
Place as Subject:

North America
Collection(s):

Public Health Reports
Main Document Checksum:

[+]

urn:sha256:f87eeae0604b52f402394c1a800b7b27267bc91ac7b689d92bfa00c7e0e37d10
Download URL:

https://stacks.cdc.gov/view/cdc/64519/cdc_64519_DS1.pdf
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Outcomes Of Enhanced Prenatal Services For Medicaid-Eligible Women In Public And Private Settings

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