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本文引用的文献

1
Evaluation of the Medicaid competition demonstrations.医疗补助竞争示范项目评估
Health Care Financ Rev. 1989 Winter;11(2):81-97.
2
Preterm delivery among women in the South Carolina Medicaid High Risk Channeling Project.南卡罗来纳医疗补助高风险转诊项目中女性的早产情况。
J Health Care Poor Underserved. 1995;6(3):352-67. doi: 10.1353/hpu.2010.0053.
3
Measuring the impact of programs for mothers and infants on prenatal care and low birth weight: the value of refined analyses.衡量母婴项目对产前护理和低出生体重的影响：精细分析的价值。
Med Care. 1983 Jun;21(6):586-608. doi: 10.1097/00005650-198306000-00002.
4
The impact of prenatal care in different social groups.产前护理在不同社会群体中的影响。
Am J Obstet Gynecol. 1983 Apr 1;145(7):797-801. doi: 10.1016/0002-9378(83)90681-6.
5
The 1980 National Natality Survey and National Fetal Mortality Survey--methods used and PHS agency participation.1980年全国出生情况调查和全国胎儿死亡情况调查——所采用的方法及公共卫生服务机构的参与情况。
Public Health Rep. 1984 Mar-Apr;99(2):111-6.
6
Behavioral, health, and cost outcomes of an HMO-based prenatal health education program.一项基于健康维护组织（HMO）的产前健康教育项目的行为、健康及成本结果。
Public Health Rep. 1983 Nov-Dec;98(6):536-47.
7
Demographic correlates of low birth weight.低出生体重的人口统计学关联因素
Am J Epidemiol. 1970 Mar;91(3):260-72. doi: 10.1093/oxfordjournals.aje.a121135.
8
Prenatal care and the low birth weight infant.产前护理与低体重儿
Obstet Gynecol. 1985 Nov;66(5):599-605.
9
Prenatal care utilization: its measurement and relationship to pregnancy outcome.产前护理的利用：其测量方法及其与妊娠结局的关系。
Am J Prev Med. 1987 Sep-Oct;3(5):243-53.
10
The differential effect of prenatal care on the incidence of low birth weight among blacks and whites in a prepaid health care plan.预付医疗保健计划中，产前护理对黑人和白人低出生体重发生率的差异影响。
N Engl J Med. 1988 Nov 24;319(21):1385-91. doi: 10.1056/NEJM198811243192105.

爱荷华医疗补助计划中的初级保健病例管理与分娩结局

Primary care case management and birth outcomes in the Iowa Medicaid program.

作者信息

Schulman E D, Sheriff D J, Momany E T

机构信息

University of Kentucky, Lexington 40536-0003, USA.

出版信息

Am J Public Health. 1997 Jan;87(1):80-4. doi: 10.2105/ajph.87.1.80.

DOI:10.2105/ajph.87.1.80
PMID:9065232
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1380769/
Abstract

OBJECTIVES

This 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.

METHODS

Birth certificates linked with Medicaid hospitalization claims were analyzed for seven PCCM and seven FFS counties.

RESULTS

From 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.

CONCLUSIONS

PCCM, as implemented by the Iowa Medicaid program, has not appreciably improved prenatal care utilization or birth outcomes.

摘要

目的

本研究比较了在初级保健病例管理（PCCM）系统中接受护理的爱荷华州医疗补助受助者与在按服务收费（FFS）系统中接受护理的受助者之间的产前护理利用情况和出生结局。

方法

对七个PCCM县和七个FFS县与医疗补助住院理赔相关联的出生证明进行了分析。

结果

从1989年到1992年，（1）FFS县中接受充分产前护理的女性人数增加了20%，而PCCM县增加了5%；（2）FFS县中在孕早期开始接受护理的女性人数增加了17%，而PCCM县增加了6%；（3）FFS县中接受强化产前服务的女性人数增加了442%，而PCCM县增加了278%。两组之间的平均孕周或出生体重没有显著差异；然而，两组中极低出生体重婴儿的数量都有所增加。

结论

爱荷华州医疗补助计划实施的PCCM并未显著改善产前护理利用情况或出生结局。