This study examined whether Medicaid-insured women at low risk receive less adequate obstetrical care than privately insured women.
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.
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.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0252749
Code Inist : 002B30A01B. Création : 11/09/1998.