The study evaluates the effectiveness of a pregnancy intervention
model (PIM) developed to improve first trimester prenatal care utilization in a
population of 2,694 low-income Medicaid women. Engagement in prenatal care is
critical before prenatal care can occur. Early initiation of prenatal care is important
for low income pregnant women at risk for poor birth outcomes and the Medicaid
managed care organizations that enroll them. Once identified and enrolled the health
plan utilization medical management staff assessed these women for a myriad of high
risk and socially detrimental behaviors in order to facilitate, in a sensitive manner,
their access to drug treatment or any needed service. Interventions included a real
time identification, reporting, incentive model using medical informatics to
supplement existing clinical based assessment of high risk pregnant women and
nursing care coordination that included outreach, enrollment assistance, support
services, interagency coordination, home visits, transportation and medical home
assignment. A difference was found in the utilization of first trimester prenatal care
visits for all women who conceived after the intervention compared to those who
conceived prior to the intervention date. A difference was also noted in the "no
prenatal care" category due a decrease in the number of women who did not receive
prenatal care. PIM appears to be a cost effective, simple solution to a real world
problem. / Graduation date: 2005
| Identifer | oai:union.ndltd.org:ORGSU/oai:ir.library.oregonstate.edu:1957/29956 |
| Date | 04 May 2005 |
| Creators | Buffa, Jan L. |
| Contributors | Friedman, Leonard H. |
| Source Sets | Oregon State University |
| Language | en_US |
| Detected Language | English |
| Type | Thesis/Dissertation |
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