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Titolo:
Quality care in a medicaid managed care program: Adequacy of prenatal carefor teens in chicago
Autore:
Gifford, BD;
Indirizzi:
Univ Colorado, Grad Sch Business Adm, Denver, CO 80217 USA Univ Colorado Denver CO USA 80217 Sch Business Adm, Denver, CO 80217 USA
Titolo Testata:
PUBLIC HEALTH NURSING
fascicolo: 4, volume: 18, anno: 2001,
pagine: 236 - 242
SICI:
0737-1209(200107)18:4<236:QCIAMM>2.0.ZU;2-9
Fonte:
ISI
Lingua:
ENG
Soggetto:
INFANT BIRTH-WEIGHT; NORTH-CAROLINA; OUTCOMES; SERVICES; WOMEN;
Keywords:
Medicaid; managed care; prenatal care;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
36
Recensione:
Indirizzi per estratti:
Indirizzo: Gifford, BD Univ Colorado, Grad Sch Business Adm, Campus Box 165,POB 173364, Denver, CO 80217 USA Univ Colorado Campus Box 165,POB 173364 Denver CO USA 80217 SA
Citazione:
B.D. Gifford, "Quality care in a medicaid managed care program: Adequacy of prenatal carefor teens in chicago", PUBL HEAL N, 18(4), 2001, pp. 236-242

Abstract

This study considers whether obstetricians offer less adequate care to teen prenatal patients in the Healthy Moms, Healthy Kids (HMHK) Medicaid managed care program in Chicago than to non-Medicaid patients. Telephone surveysof obstetricians offices (n = 101) were conducted to determine the contentof care in the first prenatal visit. These survey data are combined with demographic and practice background data from The American Medical Association's Physician Master File. Analysis indicates there were no significant differences between groups for receiving: (1) medical histories, (2) physicalexam and tests, (3) health promotion counseling, and (4) availability of birthing education materials. Analysis further indicates, however, that teenMedicaid patients are less likely to receive blood tests and some urinalysis-related tests. Not receiving these tests is especially problematic because pregnant teens are more likely to drop out of the prenatal care regimen after their first visit, and teens are more likely to have poorer birth outcomes.

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Documento generato il 19/09/20 alle ore 22:00:33