Gold R B, Singh S, Frost J
Alan Guttmacher Institute (AGI), Washington, D.C.
Fam Plann Perspect. 1993 Sep-Oct;25(5):196-207.
Surveys of state Medicaid agencies and maternal and child health programs were conducted in late 1991 and in 1992 to evaluate the extent to which states carried out a series of federal policy changes intended to improve low-income women's access to prenatal care. The results show a great deal of variability in the aggressiveness with which states implemented these Medicaid eligibility expansions. Overall, North Carolina, Maryland, Massachusetts, New York and Arkansas moved most aggressively to carry out the expansions; Kansas, Nebraska, South Dakota, North Dakota and Wyoming were ranked least aggressive. States with relatively high levels of poor birth outcomes or low-birth-weight deliveries prior to the Medicaid expansions were generally more likely than other states to have undertaken reforms intended to increase the number of women eligible for assistance and ease their enrollment. In addition, expansion efforts were greater in states where the federal government paid more of the cost of caring for Medicaid recipients.
1991年末和1992年对各州医疗补助机构以及母婴健康项目进行了调查，以评估各州在多大程度上实施了一系列旨在改善低收入妇女获得产前护理机会的联邦政策变化。结果显示，各州在实施这些医疗补助资格扩大措施时的积极程度存在很大差异。总体而言，北卡罗来纳州、马里兰州、马萨诸塞州、纽约州和阿肯色州在实施扩大措施方面最为积极；堪萨斯州、内布拉斯加州、南达科他州、北达科他州和怀俄明州的积极性最低。在医疗补助扩大之前出生结果较差或低体重儿分娩比例相对较高的州，通常比其他州更有可能进行改革，以增加有资格获得援助的妇女数量并简化她们的登记手续。此外，在联邦政府承担更多医疗补助受助人护理费用的州，扩大措施的力度更大。
