To determine the impact of an experimental approach to case management on use of child health clinic and immunization services, a nonequivalent control group with covariate measures design was employed in a sample of 98 infants from low-income families.
The innovative pattern of care featured continuity of care ; a single public health nurse (PHN) provided child health care to an infant by integrating case management and preventive services.
In contrast, the customary pattern of child health care was characterized by fragmentation of services.
Case management was segregated from preventive services, and multiple PHNs delivered care to an infant.
As predicted, experimental-group infants (44%) were more likely to achieve adequate child health clinic services than control-group infants (8%) (p<0.001).
Mots-clés Pascal : Service santé, Prévention, Nourrisson, Statut socioéconomique, Revenu individuel, Faible, Infirmier, Analyse coût, Economie santé, Organisation santé, Système santé, Etats Unis, Homme, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Health service, Prevention, Infant, Socioeconomic status, Personal income, Low, Nurse, Cost analysis, Health economy, Public health organization, Health system, United States, Human, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0680194
Code Inist : 002B30A01B. Création : 09/06/1995.