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Increasing Medicaid child health screenings

The effectiveness of mailed pamphlets, phone calls, and home visits

Bibliographic Data

ID11033683
AuthorsM Selby-Harrington, Maija L Selby‐Harrington (University of North Carolina at Greensboro), J R Sorenson (University of North Carolina at Greensboro), D Quade (0009-0008-0341-5275, University of North Carolina at Greensboro), S C Stearns, Anita S Tesh (University of North Carolina at Greensboro), P L Donat (University of North Carolina at Greensboro)
Year1995
Volume85
Issue10
Pages1412-1417
Publication date1995-10-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.85.10.1412
PMID7573627
OpenAlexW2063136287
LanguageEN
Citations received2
References cited6

OBJECTIVES. A randomized controlled trial was conducted to test the effectiveness and cost effectiveness of three outreach interventions to promote well-child screening for children on Medicaid. METHODS. In rural North Carolina, a random sample of 2053 families with children due or overdue for screening was stratified according to the presence of a home phone. Families were randomly assigned to receive a mailed pamphlet and letter, a phone call, or a home visit outreach intervention, or the usual (control) method of informing at Medicaid intake. RESULTS. All interventions produced more screenings than the control method, but increases were significant only for families with phones. Among families with phones, a home visit was the most effective intervention but a phone call was the most cost-effective. However, absolute rates of effectiveness were low, and incremental costs per effect were high. CONCLUSIONS. Pamphlets, phone calls, and home visits by nurses were minimally effective for increasing well-child screenings. Alternate outreach methods are needed, especially for families without phones

Family medicine · Health care · Intervention (counseling) · Medicaid · Outreach · Phone · Psychological intervention · Randomized controlled trial · Food Security and Health in Diverse Populations · Health Promotion and Cardiovascular Prevention · Medicine · Nursing · Survey Methodology and Nonresponse

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  • A preventive child health program

    Dorothy S Oda, David C Heilbron et al.•American Journal of Public Health•1995

  • A preventive child health program

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  • EPSDT Impact on Health Status

    Patrick H Irwin, Rosemary Conroy-Hughes•Medical Care•1982

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    David L Olds, Charles Henderson et al.•Medical Care•1993

Unique citing works2
Citations per year0,06
Citation span1995 - 2023 (29)
Citation velocityhistorical
Highly citedNo

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