Linking clinical and public health approaches to improve access to health care for socially disadvantaged mothers and children : A feasibility study.
To test the feasibility of combining home-and office-based interventions to improve access to health care and health outcomes of Medicaid-eligible mothers and infants.
Randomized trial in 2 counties in North Carolina (1 rural, 1 urban).
Information on health and developmental outcomes was obtained by face-to-face interviews, medical chart abstractions, hospital medical records, and state data tapes.
Ninety-three Medicaid-eligible first-time pregnant women in their third trimester and their subsequently born infants, who were followed up until they were 6 months old, and 3 pediatric practices and 1 family practice.
Coordinated home visit and office intervention, office intervention, and usual care.
Home visits by 3 public health nurses provided parental education and social support and linked families with needed community resources.
Women in the office intervention group were encouraged to seek health care for their infants from one of the primary care practices.
Participating offices received assistance with Medicaid billing, help developing a system to improve preventive care, and customized patient education materials.
Mothers reported that the nurses helped them in areas related to the content of the program.
An office system for prevention was developed and implemented in all 4 practices for study patients. (...)
Mots-clés Pascal : Faisabilité, Amélioration, Qualité, Soin, Mère, Enfant, Homme, Environnement social, Statut économique, Essai clinique, Adulte, Précarité
Mots-clés Pascal anglais : Feasibility, Improvement, Quality, Care, Mother, Child, Human, Social environment, Economic status, Clinical trial, Adult
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0384476
Code Inist : 002B30A03B. Création : 10/04/1997.