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  1. Utilization of well-child care services for African-American infants in a low-income community : Results of a randomized, controlled case management/home visitation intervention.

    Article - En anglais

    Objective

    To evaluate a case management/home visitation intervention to improve access to and utilization of well-child care (WCC) visits.

    Study Design

    Randomized, controlled trial with baseline and follow-up interview surveys.

    Mothers and infants in the intervention group were assigned to a case manager who made at least four home visits during the infant's first year of life.

    In addition, the case managers contacted clients by telephone and mail to see if they had kept their WCC appointments and to follow up on other issues.

    Sample and Data Collection

    A population-based random sample of African-American mothers of newborns from South Central Los Angeles : 185 mothers in the intervention group and 180 in the control group completed both interview surveys.

    The principal outcome variable was number of WCC visits.

    Additional outcome variables included the child's type of insurance, the number of months with insurance coverage during the first year of life, age when first enrolled in Medi-Cal, age at the first WCC visit, usual source of WCC, travel time to the usual source of care, whether the child had a regular provider, and whether the child ever needed care but did not get it.

    Results

    There was little change in the overall distribution of number of WCC visits during the first year of life. (...)

    Mots-clés Pascal : PMI, Promotion santé, Surveillance, Consultation, Noir américain, Pauvreté, Etats Unis, Amérique du Nord, Amérique, Amélioration, Dépistage, Nourrisson, Homme, A domicile, Accessibilité, Programme sanitaire, Evaluation performance, Organisation santé

    Mots-clés Pascal anglais : Mother and child health care, Health promotion, Surveillance, Consultation, Black American, Poverty, United States, North America, America, Improvement, Medical screening, Infant, Human, At home, Accessibility, Sanitary program, Performance evaluation, Public health organization

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

    Cote : 98-0284625

    Code Inist : 002B30A03B. Création : 27/11/1998.