ArticleAmerican journal of public health1999
The effect of a Medicaid managed care program on the adequacy of prenatal care utilization in Rhode Island.
Article in American journal of public health, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- The effect of the capitation policy withdrawal on maternal health service provision in Ashanti Region, Ghana: an interrupted time series analysis.Global health research and policy · 2022Article
- Oregon's Coordinated Care Organizations and Their Effect on Prenatal Care Utilization Among Medicaid Enrollees.Maternal and child health journal · 2017Article
- Disparities and barriers encountered by immigrant Dominican mothers accessing prenatal care services in Puerto Rico.Journal of immigrant and minority health · 2014Article
- Association between contraceptive use and gestational diabetes: Missouri Pregnancy Risk Assessment Monitoring System, 2007-2008.Preventing chronic disease · 2014Article
- The effect of Medicaid managed care on prenatal care: the case of Puerto Rico.Maternal and child health journal · 2009Article
- The influences of Taiwan's National Health Insurance on women's choice of prenatal care facility: Investigation of differences between rural and non-rural areas.BMC health services research · 2008Article
- Racial and ethnic disparities in potentially avoidable delivery complications among pregnant Medicaid beneficiaries in South Carolina.Maternal and child health journal · 2006Article
- The impact of Medicaid managed care on pregnant women in Ohio: a cohort analysis.Health services research · 2004Article
- Prenatal care in the Paso del Norte border region.Journal of perinatology : official journal of the California Perinatal Association · 2004Article
- Mortality from breast carcinoma among US women: the role and implications of socio-economics, heterogeneous insurance, screening mammography, and geography.Health care management science · 2003Article
- Evolution of Medicaid managed care systems and eligibility expansions.Health care financing review · 2000Article
- Use of social services by pregnant Medicaid eligible women in Baltimore.Maternal and child health journal · 1999Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe 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.
methodsRhode Island birth certificate data (1993-1995; n = 37021) were used to analyze pre- and post-program 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.
resultsAdequacy 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).
conclusionsUnlike 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.
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