Department of Obstetrics & Gynecology, Virginia Commonwealth University, Richmond, Virginia, USA.
J Womens Health (Larchmt). 2010 Mar;19(3):443-51. doi: 10.1089/jwh.2009.1602.
To determine if (1) birth outcomes among women on Medicaid differ significantly from outcomes of those with private insurance, after controlling for known risk factors, and (2) enhanced prenatal care influences care use and birth outcomes.
This is a review of studies published between 1989 and 2009 that examined birth outcomes (1) between women on Medicaid and those with private insurance and (2) among Medicaid enrollees who received comprehensive prenatal care.
When corrected for risk variables, birth outcomes are not different between private insurance and Medicaid patients. The impact of comprehensive prenatal care programs on birth outcomes varies across states and regions.
There is a need for critical evaluation of comprehensive programs in a regional and state context to determine opportunities for improvement.
确定在控制已知风险因素后，（1）参加医疗补助计划的妇女与拥有私人保险的妇女的分娩结果是否存在显著差异，以及（2）强化产前护理是否会影响护理的使用和分娩结果。
这是对 1989 年至 2009 年间发表的研究进行的综述，这些研究考察了（1）参加医疗补助计划的妇女与拥有私人保险的妇女之间的分娩结果，以及（2）接受全面产前护理的医疗补助计划受保人之间的分娩结果。
在对风险变量进行校正后，私人保险和医疗补助计划患者的分娩结果并无差异。全面产前护理计划对分娩结果的影响因州和地区而异。
需要在区域和州一级对全面计划进行严格评估，以确定改进的机会。
