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Alexander, Greg R.; Hulsey, Thomas C.; Foley, Kathleen A.; Keller, Elizabeth; Cairns, Katherine

doi:10.1023/a:1026204527786

Cited by 10 publications

(3 citation statements)

References 19 publications

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“…Positive associations between comprehensive care coordination and improved pregnancy outcomes have been observed in studies from such geographically diverse locations as Minnesota, California, Florida, and North Carolina, to name but a few. While these studies employed different income levels, the generally comparable direction of the results adds to the collective interpretation that these services are beneficial (Buescher, et al, 1991;Alexander et al, 1997;Simpson et al, 1997;Long and Marques, 1998).…”

Section: Discussionmentioning

confidence: 95%

“…Subsequently, the authors chose term-SGA as the indicator of pregnancy outcome because previous literature has suggested that prenatal care through nutritional services and counseling is associated with reductions in term-SGA (Alexander et al, 1997). Further, SGA has preventive health significance because of an association with problems of lower cognitive performance, lessened educational achievement, impaired growth and development, and diminished motor ability (Paz et al, 1996;Pryor et al, 1995;Goldenberg et al, 1996;Karlberg et al, 1996;Hutton et al, 1997).…”

Section: Introductionmentioning

confidence: 99%

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An Evaluation of a Medicaid Managed Maternity Program: The Impact of Comprehensive Care Coordination on Utilization and Pregnancy Outcome

Nason,

Alexander,

Pass

et al. 2002

Journal of Health and Human Services Administration

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The purpose of this study is to evaluate the effectiveness of the implementation of a Medicaid managed maternity care program in a public health department service population, analyzing race-specific models of WIC participation and risk of small-for-gestational age of term. There were 13,095 singleton deliveries during the period 1987-1990 to women with prenatal care in this managed maternity care program. The research design entailed comparison of the intervention group (those receiving regular prenatal care plus comprehensive care coordination in 1989 -90) with an historical comparison group of women who received only regular prenatal care in the two years (1987-88). For the intervention groups, black women were 1.7 times and white women 2.1 times more likely to participate in WIC than their compar-ison groups. The impact of care coordination on term-SGA births indicates a protective odds ratio of 0.851 for black women. Results for white women were not significant. These findings suggest that care coordination is associated with an increase in WIC participation and with lower risk of term-SGA births for black women but not for white women. The overall results add to growing evidence regarding the efficacy of comprehensive care coordination in improving specific pregnancy outcomes and inform our understanding of the evaluation of a comprehensive approach in preventive, community-based inter-vention

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Section: Discussionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

An Evaluation of a Medicaid Managed Maternity Program: The Impact of Comprehensive Care Coordination on Utilization and Pregnancy Outcome

Nason,

Alexander,

Pass

et al. 2002

Journal of Health and Human Services Administration

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

An Evaluation of a Medicaid Managed Maternity Program: The Impact of Comprehensive Care Coordination on Utilization and Pregnancy Outcomes

Nason,

Alexander,

Pass

et al. 2003

Journal of Health and Human Services Administration

View full text Add to dashboard Cite

The purpose of this study is to evaluate the effectiveness of the implementation of a Medicaid managed maternity care program in a public health department service population, analyzing race-specific models of WIC participation and risk of small-for-gestational age of term. There were 13,095 singleton deliveries during the period 1987–1990 to women with prenatal care in this managed maternity care program. The research design entailed comparison of the intervention group (those receiving regular prenatal care plus comprehensive care coordination in 1989–90) with an historical comparison group of women who received only regular prenatal care in the two years (1987–88). For the intervention groups, black women were 1.7 times and white women 2.1 times more likely to participate in WIC than their comparison groups. The impact of care coordination on term-SGA births indicates a protective odds ratio of 0.851 for black women. Results for white women were not significant. These findings suggest that care coordination is associated with an increase in WIC participation and with lower risk of term-SGA births for black women but not for white women. The overall results add to growing evidence regarding the efficacy of comprehensive care coordination in improving specific pregnancy outcomes and inform our understanding of the evaluation of a comprehensive approach in preventive, community-based intervention.

show abstract

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

Korenbrot

Wong

Stewart

2005

Matern Child Health J

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Untitled

Cited by 10 publications

References 19 publications

An Evaluation of a Medicaid Managed Maternity Program: The Impact of Comprehensive Care Coordination on Utilization and Pregnancy Outcome

An Evaluation of a Medicaid Managed Maternity Program: The Impact of Comprehensive Care Coordination on Utilization and Pregnancy Outcome

An Evaluation of a Medicaid Managed Maternity Program: The Impact of Comprehensive Care Coordination on Utilization and Pregnancy Outcomes

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

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