Health Promotion and Psychosocial Services and Women’s Assessments of Interpersonal Prenatal Care in Medicaid Managed Care

Korenbrot, Carol C.; Wong, Sabrina T.; Stewart, Anita L.

doi:10.1007/s10995-005-4871-9

Cited by 25 publications

(35 citation statements)

References 29 publications

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“…Variations in health promotion content might be related to variations in patient-provider communication. Another study with ethnic low-income women receiving prenatal care found that receiving prenatal health promotion advice was associated with higher quality interpersonal care (communication, decision making and interpersonal style) and satisfaction, an important outcome and indicator of the quality of care (Korenbrot et al, 2005). Therefore, in our study, higher quality patient-provider communication might have contributed to discussion of more topics.…”

Section: Discussionmentioning

confidence: 59%

“…Wide variations have also been found in the proportion of women who report receiving recommended advice on health promotion topics with a range from 21% to 98% (Korenbrot, Wong, & Stewart, 2005;Petersen, Connelly, Martin, & Kupper, 2001;Sable & Herman, 1997;Vonderheid, Montgomery, & Norr, 2003;Yu & Jackson, 1995). Data from the Pregnancy Risk Assessment Monitoring System (PRAMS) for 1997 and 1998 (Petersen et al, 2001) also indicated that women at higher need based on five topics (cigarette use, alcohol use, breastfeeding, partner violence, and preterm labor) did not receive adequate coverage of health promotion content.…”

Section: Prenatal Health Promotion Contentmentioning

confidence: 99%

See 1 more Smart Citation

Prenatal Health Promotion Content and Health Behaviors

2007

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To improve the effectiveness of prenatal care, there is a need to understand the association between health promotion content and health behaviors during pregnancy. The purpose of this study was to determine the association between prenatal health promotion content and health behaviors during pregnancy among low-income African American and Mexican American women. Twenty-two recommended health promotion topics and their related health behaviors were measured. Structured interviews on health promotion topics and health behaviors were conducted with 159 pregnant women receiving prenatal care at a low-risk urban clinic. Wide variation was found in the number of health promotion topics discussed. Bivariate and regression analyses examined the association between content topics and behaviors. Healthier behaviors were associated with women's reports of discussing more health promotion topics, using fewer substances prepregnancy, and having a more positive attitude toward pregnancy. Data suggest that increasing prenatal health promotion content during routine visits might improve the effectiveness of prenatal care.

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Section: Discussionmentioning

confidence: 59%

Section: Prenatal Health Promotion Contentmentioning

confidence: 99%

Prenatal Health Promotion Content and Health Behaviors

2007

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“…Positive experiences with prenatal care are strong predictors of consistent use of paediatric and preventive health services. [39][40][41] This exploratory study showed a discrepancy between patients' and providers' perceptions of the offering of anticipatory guidance during the prenatal healthcare experience. These results show physical abuse, folic acid and seat-belt use were not talked about regularly by providers nor remembered by patients in the four Friendly Access pilot communities.…”

Section: Resultsmentioning

confidence: 80%

Case study: Consumer and provider perceptions of offered anticipatory guidance during prenatal care

Detman¹,

Quinn²,

Ellery³

et al. 2008

Journal of Communication in Healthcare

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The prenatal period is an ideal time to offer anticipatory guidance about healthy behaviours and lifestyle changes. This study examined recently delivered, under-served women's recall of discussions with their provider during pregnancy about a variety of health topics and then compared these responses to provider recall of these discussions. Data were collected as a baseline indicator across four communities participating in a national intervention to improve perinatal healthcare services. Results of these dyads showed a 15 per cent or greater difference in patient-provider perceptions of whether or not discussions had occurred in the areas of seat-belt use, birth-control method after pregnancy, physical abuse and folic acid. Patient and provider differences in recall can be attributed to many factors; however, these results suggest miscommunication between perceptions. Providers may need tools to deliver anticipatory guidance in ways that are culturally relevant to patients and the opportunity for ancillary staff to provide anticipatory guidance should be explored.

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“…Most have lacked a theoretical framework (Handler et al, 1998. ; Korenbrot et al, 2005). One quantitative study described the content and process of communication during prenatal care; but, it was with women of advanced maternal age (>33 year old) and over 75% of the population was white (Roter, Geller, Bernhardt, Larson, & Doksum, 1999).…”

Section: Patient-provider Communication During Prenatal Carementioning

confidence: 99%

“…In addition, dimensions of prenatal interpersonal processes of care that were associated with greater satisfaction among pregnant African American women were communication and provider interpersonal style (Korenbrot et al, 2005). …”

Section: Patient-provider Communication During Prenatal Carementioning

confidence: 99%

African American Women and Prenatal Care

2014

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Poor patient-provider interaction among racial/ethnic minorities is associated with disparities in healthcare. In this descriptive, cross-sectional study, we examine African American women’s perspectives and experiences of patient-provider interaction (communication and perceived discrimination) during their initial prenatal visit and their influences on perceptions of care received and prenatal health behaviors. Pregnant African American women (n=204) and their providers (n=21) completed a pre and post-visit questionnaire at the initial prenatal visit. Women were also interviewed face to face at the subsequent return visit. Women perceived high quality patient-provider communication and perceived low discrimination in their interaction with providers. Multiple regression analyses showed that patient-provider communication had a positive effect on trust in provider (p <.001) and on prenatal care satisfaction (p <.001) but not on adherence to selected prenatal health behaviors. Findings suggest that quality patient-provider communication improves the prenatal care experience for African American women.

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Health Promotion and Psychosocial Services and Women’s Assessments of Interpersonal Prenatal Care in Medicaid Managed Care

Abstract: Prenatal health promotion and psychosocial services have associated benefits to enrollees that should matter to Medicaid health plans and their providers.

Cited by 25 publications

References 29 publications

Prenatal Health Promotion Content and Health Behaviors

Prenatal Health Promotion Content and Health Behaviors

Case study: Consumer and provider perceptions of offered anticipatory guidance during prenatal care

African American Women and Prenatal Care

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