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  1. Fulltext. Obstetric care and payment source : Do low-risk medicaid women get less care ?

    Article - En anglais

    Fulltext.

    Objectives

    This study examined whether Medicaid-insured women at low risk receive less adequate obstetrical care than privately insured women.

    Methods

    Low-risk women who were cared for by a random sample of obstetrical providers in Washington State were randomly selected.

    Information on all prenatal and intrapartum services was ed from medical records.

    Service information was aggregated into standardized resource-use units.

    Results compared Medicaid-insured women with those who were privately insured.

    Results

    Medicaid-insured women were significantly younger (22.5 years vs 26.9 years) and averaged 6% fewer visits than privately insured women.

    Nonetheless, Medicaid status had no meaningful association with prenatal, intrapartum, or overall resource use.

    Some variation occurred in individual resources received.

    Medicaid-insured women had 38.8% more resources expended on testing for sexually transmitted diseases.

    Privately insured women had more resources expended on alpha-fetoprotein testing and on amniocentesis.

    There were no-meaningful differences in birthweight or gestational age at delivery.

    Conclusions

    In this study of women who entered obstetrical care at low risk, similar care and resources were expended on Medicaid-insured and on privately insured women.

    Mots-clés Pascal : Soin, Obstétrique, Accessibilité, Pauvreté, Revenu, Faible, Epidémiologie, Facteur risque, Femme, Homme, Etats Unis, Amérique du Nord, Amérique, Medicaid

    Mots-clés Pascal anglais : Care, Obstetrics, Accessibility, Poverty, Tempering, Low, Epidemiology, Risk factor, Woman, Human, United States, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0252749

    Code Inist : 002B30A01B. Création : 11/09/1998.