Trial reportAmerican journal of public health1997
Primary care case management and birth outcomes in the Iowa Medicaid program.
Trial report in American journal of public health, 1997. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effects of different payment methods on perinatal care outcomes: a systematic review.BMC health services research · 2025Pooled it
- Should case management be considered a component of obstetrical interventions for pregnancies at risk of preterm birth?American journal of obstetrics and gynecology · 2023Review
- Does Maternity Care Coordination Influence Perinatal Health Care Utilization? Evidence from North Carolina.Health services research · 2018Article
- Effects of maternity care coordination on pregnancy outcomes: propensity-weighted analyses.Maternal and child health journal · 2015Article
- Medicaid and preterm births in Virginia: an analysis of recent outcomes.Journal of women's health (2002) · 2010Article
- Medicaid and preterm birth and low birth weight: the last two decades.Journal of women's health (2002) · 2010Review
- Use of social services by pregnant Medicaid eligible women in Baltimore.Maternal and child health journal · 1999Article
- The effect of a Medicaid managed care program on the adequacy of prenatal care utilization in Rhode Island.American journal of public health · 1999Article
- A note on policymakers as research subjects.American journal of public health · 1998Article
- The road from managed care.American journal of public health · 1997Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study compares prenatal care utilization and birth outcomes between Iowa Medicaid recipients receiving care in a primary care case management (PCCM) system and those receiving care in a fee-for-service (FFS) system.
methodsBirth certificates linked with Medicaid hospitalization claims were analyzed for seven PCCM and seven FFS counties.
resultsFrom 1989 through 1992, there was (1) a 20% increase in the number of women who received adequate prenatal care in the FFS counties, vs a 5% increase in the PCCM counties; (2) a 17% increase in the number of women who initiated care within the first trimester in the FFS counties, vs a 6% increase in the PCCM counties; and (3) a 442% increase in the number of women who received enhanced prenatal services in the FFS counties, vs a 278% increase in the PCCM counties. There were no significant differences between groups in mean gestational age or birthweight; however, there was an increase of very-low-birthweight babies in both groups.
conclusionsPCCM, as implemented by the Iowa Medicaid program, has not appreciably improved prenatal care utilization or birth outcomes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.