Lennie J A, Klun J R, Hausner T
Health Care Financ Rev. 1987 Spring;8(3):83-6.
Obstetrical (OB) access was a Medicaid pilot project that operated in 13 California counties from July 1979 through June 1982. The project goals were to both improve access to care in underserved areas and improve pregnancy outcomes by providing enhanced prenatal care, including psychosocial, health education, and nutrition services. The project registered 6,774 women. The findings were: 87 percent of the registrants started prenatal care during the first or second trimester; 84 percent of the registrants completed care in the project; OB access mothers had a low-birth-weight rate of 4.7 percent, compared with 7.0 percent for a matched control group, suggesting a 33-percent reduction in low birth weight through the project; and the benefit-cost ratio of this program was about 2 to 1 for the short run because of savings in neonatal intensive care services. The State of California approved legislation in 1984 authorizing the project's scope of services for the Medi-Cal recipients on a statewide basis.
产科医疗救助是一项医疗补助试点项目，于1979年7月至1982年6月在加利福尼亚州的13个县开展。该项目的目标是通过提供强化产前护理，包括心理社会、健康教育和营养服务，改善服务欠缺地区的医疗服务可及性，并改善妊娠结局。该项目登记了6774名女性。研究结果如下：87%的登记者在孕早期或孕中期开始接受产前护理；84%的登记者在该项目中完成了护理；参与产科医疗救助项目的母亲低体重儿出生率为4.7%，而匹配对照组的这一比例为7.0%，这表明该项目使低体重儿出生率降低了33%；由于新生儿重症监护服务费用的节省，该项目的短期效益成本比约为2比1。1984年，加利福尼亚州批准立法，授权在全州范围内为医疗救助受助人提供该项目的服务范围。
