The effect of a Medicaid managed care program on the adequacy of prenatal care utilization in Rhode Island
Bibliographic Data
| ID | 11032782 |
|---|---|
| Authors | J F Griffin (Barrington Public Library), Joseph W Hogan (0000-0001-7959-7361), Jay S Buechner, T M Leddy, Tricia Leddy |
| Year | 1999 |
| Volume | 89 |
| Issue | 4 |
| Pages | 497-501 |
| Publication date | 1999-04-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | American Journal of Public Health (JOURNAL) |
| Journal identifiers | ISSN: 0090-0036 • E-ISSN: 1541-0048 |
| Publisher | American Public Health Association (PUBLISHER • US) |
| DOI | 10.2105/ajph.89.4.497 |
| PMID | 10191790 |
| OpenAlex | W2072360667 |
| Language | EN |
| Citations received | 8 |
| References cited | 18 |
OBJECTIVES: The purpose of this study was to determine whether adequacy of prenatal care utilization improved after the implementation of a Medicaid managed care program in Rhode Island. METHODS: Rhode Island birth certificate data (1993-1995; n = 37021) were used to analyze pre- and post-program implementation changes in adequacy of prenatal care utilization. Logistic regression models were used to characterize the variation in prenatal care adequacy as a function of both time and the various covariates. RESULTS: Adequacy of prenatal care utilization for Medicaid patients improved significantly after implementation of the program, from 57.1% to 62.1% (odds ratio [OR] = 1.2, 95% confidence interval [CI] = 1.1, 1.3). After the program was implemented, Medicaid patients who went to private physicians' offices for prenatal care were 1.4 times as likely as before to receive adequate prenatal care (OR = 1.4, 95% CI = 1.2, 1.7). CONCLUSIONS: Unlike many other Medicaid expansions for pregnant women, the RIte Care program in Rhode Island has resulted in significant improvement in adequacy of prenatal care utilization for its enrollees. This improvement was due to specific program interventions that addressed and changed organizational and delivery system barriers to care
Birth certificate · Confidence interval · Environmental health · Family medicine · Health care · Logistic regression · Managed care · Medicaid · Odds ratio · Population · Prenatal care · Psychological intervention · Global Maternal and Child Health · Healthcare Policy and Management · Maternal and Perinatal Health Interventions · Medicine · Nursing
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| Citations per year | 0.3 |
|---|---|
| Citation span | 1999 - 2017 (19) |
| Highly cited | No |