The purpose of this study was to determine whether adequacy of prenatal care utilization improved after the implementation of a Medicaid managed care program in Rhode Island.
Rhode Island birth certificate data (1993-1995 ; n=37021) were used to analyze pre-and postprogram implementation changes in adequacy of prenatal care utilization.
Logistic regression models were used to characterize the variation in prenatal care adequacy as a function of both time and the various covariates.
Adequacy of prenatal care utilization for Medicaid patients improved significantly after implementation of the program, from 57.1% to 62.1% (odds ratio [OR]=1.2,95% confidence interval [CI]=1.1,1.3).
After the program was implemented Medicaid patients who went to private physicians'offices for prenatal care were 1.4 times as likely as before to receive adequate prenatal care (OR=1.4,95% CI=1.2,1.7).
Unlike many other Medicaid expansions for pregnant women, the Rite Care program in Rhode Island has resulted in significant improvement in adequacy of prenatal care utilization for its enrollees.
This improvement was due to specific program interventions that addressed and changed organizational and delivery system barriers to care.
Mots-clés Pascal : Soin, Prénatal, Gestation, Utilisation, Service santé, Accessibilité, Programme sanitaire, Evaluation, Homme, Prévention, Politique sanitaire, Rhode Island, Etats Unis, Amérique du Nord, Amérique, Organisation santé
Mots-clés Pascal anglais : Care, Prenatal, Pregnancy, Use, Health service, Accessibility, Sanitary program, Evaluation, Human, Prevention, Health policy, Rhode Island, United States, North America, America, Public health organization
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0227367
Code Inist : 002B20F01. Création : 16/11/1999.