ArticleMaternal and child health journal2017
Understanding Perspectives of African American Medicaid-Insured Women on the Process of Perinatal Care: An Opportunity for Systems Improvement.
Article in Maternal and child health journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05555095 (The Medicaid Innovation Collaborative), which is not on this map. Cited by 35 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
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.
The Medicaid Innovation Collaborative (MIC) Experience: Transforming Care Through Digital Health: A Mixed Methods Analysis
Who cites it
35 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Patient-clinician communication amongst black perinatal people: a systematic review.Archives of women's mental health · 2025Pooled it
- Factors affecting women's access to primary care in the United States since the Affordable Care Act: A mixed-methods systematic review.PloS one · 2024Pooled it
- Structural interventions that affect racial inequities and their impact on population health outcomes: a systematic review.BMC public health · 2022Pooled it
- A systematic review of the qualitative literature on barriers to high-quality prenatal and postpartum care among low-income women.Health services research · 2022Pooled it
- A Systematic Review of Patient-, Provider-, and Health System-Level Predictors of Postpartum Health Care Use by People of Color and Low-Income and/or Uninsured Populations in the United States.Journal of women's health (2002) · 2021Pooled it
- Article
- Exploring the Lived Experience of Healthcare Discrimination and Resilience among Postpartum African American Women: A Qualitative Study.Journal of racial and ethnic health disparities · 2026Article
- Accessing primary care following the Affordable Care Act: a qualitative study of low-income women's experiences in urban California.BMC health services research · 2026Article
- Taxonomy of access to mental healthcare for economically marginalized women during a public health crisis: a qualitative study of obstetric professionals and perinatal women during the COVID-19 pandemic.Frontiers in psychiatry · 2026Article
- Measurement of Racial Microaggressions During Pregnancy and While Receiving Prenatal Care: a Validation Study of the Daily Life Experiences Scale Among Black Postpartum Women.Journal of racial and ethnic health disparities · 2025Article
- Study protocol: a mixed-methods study of the implementation of doula care to address racial health equity in six state Medicaid programs.Health research policy and systems · 2024Article
- Optimizing Postpartum Care in Rural Communities: Insights from Women in Arizona and Implications for Policy.Maternal and child health journal · 2024Article
- Attitudes Toward Pregnancy and Their Impact on Timing of Prenatal Care Initiation after Prior Spontaneous Preterm Delivery: A Qualitative Descriptive Study.Women's health reports (New Rochelle, N.Y.) · 2024Article
- State Approaches to Simplify Medicaid Eligibility and Implications for Inequality of Infant Health.The Russell Sage Foundation journal of the social sciences : RSF · 2023Article
- Implementation of cross-sector partnerships: a description of implementation factors related to addressing social determinants to reduce racial disparities in adverse birth outcomes.Frontiers in public health · 2023Article
- Midwives' and Other Perinatal Health Workers' Perceptions of the Black Maternal Mortality Crisis in the United States.Journal of midwifery & women's health · 2023Article
- Facilitators and barriers to seeking and engaging with antenatal care in high-income countries: A meta-synthesis of qualitative research.Health & social care in the community · 2022Review
- Role of ethnicity in high-level obstetric clinical incidents: a review of cases from a large UK NHS maternity unit.BMJ open quality · 2022Review
- Pre-pregnancy Diabetes, Pre-pregnancy Hypertension and Prenatal Care Timing among Women in the United States, 2018.Maternal and child health journal · 2022Article
- Study protocol: The Maternal Health Multilevel Intervention for Racial Equity (Maternal Health MIRACLE) Project.Contemporary clinical trials · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
Objectives To address disparities in adverse birth outcomes, communities are challenged to improve the quality of health services and foster systems integration. The purpose of this study was to explore the perspectives of Medicaid-insured women about their experiences of perinatal care (PNC) across a continuum of clinical and community-based services. Methods Three focus groups (N = 21) were conducted and thematic analysis methods were used to identify basic and global themes about experiences of care. Women were recruited through a local Federal Healthy Start (HS) program in Michigan that targets services to African American women. Results Four basic themes were identified: (1) Pursuit of PNC; (2) Experiences of traditional PNC; (3) Enhanced prenatal and postnatal care; and (4) Women's health: A missed opportunity. Two global themes were also identified: (1) Communication with providers, and (2) Perceived socio-economic and racial bias. Many women experienced difficulties engaging in early care, getting more help, and understanding and communicating with their providers, with some reporting socio-economic and racial bias in care. Delays in PNC limited early access to HS and enhanced prenatal care (EPC) programs with little evidence of supportive transitions to primary care. Notably, women's narratives revealed few connections among clinical and community-based services. Conclusions The process of participating in PNC and community-based programs is challenging for women, especially for those with multiple health problems and living in difficult life circumstances. PNC, HS and other EPC programs could partner to streamline processes, improve the content and process of care, and enhance engagement in services.
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