ArticleMaternal and child health journal1998
A performance indicator of psychosocial services in enhanced prenatal care of Medicaid-eligible women.
Article in Maternal and child health journal, 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
6 citing papers in PubMed, 33 citations in OpenAlex.
- Quality of prenatal care questionnaire: instrument development and testing.BMC pregnancy and childbirth · 2014Article
- Who participates in state sponsored Medicaid enhanced prenatal services?Maternal and child health journal · 2010Article
- Lower rates of low birthweight and preterm births in the California Black Infant Health Program.Journal of the National Medical Association · 2004Article
- Pregnancy intentions, pregnancy attitudes, and the use of prenatal care in Missouri.Maternal and child health journal · 1998Article
- Reducing preterm and low birthweight rates in the United States: is psychosocial assessment the answer?Maternal and child health journal · 1998Article
- Physician awareness of enhanced prenatal services for medicaid-insured pregnant women.Journal of public health management and practice : JPHMPArticle
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
objectivePsychosocial services for low-income pregnant women vary widely in practice, and validated indicators of effective performance are lacking. The study presented here aims to determine whether a measure of provider compliance with a psychosocial service delivery guideline is associated with improved birth outcomes and therefore meets an important validity criterion of a performance indicator.
methodsData on psychosocial services delivered to 3467 pregnant women came from 27 sites certified by the California Department of Health Services to provide enhanced perinatal services to Medicaid-eligible women. Multivariate regression analyses were used to test the association of adequate service delivery according to a performance guideline with birth outcomes and the dependence of the association on the credentials of the provider and the type of practice setting.
resultsWomen who received at least one psychosocial assessment each trimester of care according to the guideline were half as likely as women with inadequate services to have a low birthweight (OR = 0.49; CI 0.34, 0.71) or preterm birth (OR = 0.53; CI 0.40, 0.72) outcome. The effect did not depend on the credentials of the provider or the practice setting type.
conclusionsThe indicator of the adequacy of psychosocial services according to a performance guideline appears to meet a fundamental criterion for a performance indicator, an association with improved outcomes. This indicator may be useful in monitoring performance of enhanced perinatal services for continuous quality improvement of services to low-income pregnant women.
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