Abstract:
:Introduction A practice-based care coordination (CC) model was developed by Louisiana's Title V Children's Special Health Services (CSHS) program to meet the overwhelming needs of the New Orleans post-Katrina population. The pilot clinic demonstrated an improvement in medical home (MH) capacity over the course of 3 months. The purpose of the current study is to evaluate the replicability of the model and sustainability of MH improvement over at least 2 years, while identifying factors that may modify the effect of the intervention. Methods The CSHS CC model utilizing a practice based care coordinator was implemented in 15 academic primary care pediatric clinics. Increase in MH capacity was determined using the MH Index-Short Version (MHI-SV) tool. Results The analysis of the MHI-SV scores for the ten clinics with >2 years of data demonstrated a significant improvement with each of the ten MHI-SV indicators. The mean clinic MHI-SV score improved from 19.70 to 34.15 on a scale of 10-50. Characteristics associated with the greatest MHI score improvement were rural geographic location, having an electronic health record, and using social workers or nurses as care coordinators. Characteristics associated with lower MHI scores were physician or care coordinator turnover and using stand-alone databases rather than tracking CC activities within the central patient record. Conclusion This study provides a flexible framework for implementing CC services in pediatric, family medicine, and medicine-pediatric practices, and demonstrates the value of CC as a driver for improvement in medical home capacity.
journal_name
Matern Child Health Jjournal_title
Maternal and child health journalauthors
Berry S,Barovechio P,Mabile E,Tran Tdoi
10.1007/s10995-017-2312-1subject
Has Abstractpub_date
2017-10-01 00:00:00pages
1949-1960issue
10eissn
1092-7875issn
1573-6628pii
10.1007/s10995-017-2312-1journal_volume
21pub_type
杂志文章abstract::Life-course analytic frameworks expressly link the determinants of health and illness across the lifespan. Such frameworks could serve as a foundation for integrating child and adult health policies by emphasizing the potential that social and biologic processes early in life can find clinical expression as adult-onse...
journal_title:Maternal and child health journal
pub_type: 评论,杂志文章
doi:10.1023/a:1025180203483
更新日期:2003-09-01 00:00:00
abstract::Information on patterns and correlates of residential mobility can be important in studies of environmental factors and birth outcomes. The objective of this study was to describe residential mobility patterns and possible sociodemographic correlates of residential mobility among pregnant women. We obtained informatio...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-009-0492-z
更新日期:2010-07-01 00:00:00
abstract::West Virginia has one of the highest prenatal smoking prevalence rates in the nation. While overall national prenatal smoking rates have been declining, the prevalence rates in West Virginia continue to climb. Smoking in pregnancy has been associated with deleterious health outcomes in infants, including decreased bir...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-010-0582-y
更新日期:2011-02-01 00:00:00
abstract::Maternal exposure to environmental tobacco smoke (ETS) is a major health hazard as it contains lower doses of the toxins that smokers' inhale. Prenatal exposure to wood fuel smoke has been linked to delivering low birth weight (LBW) infants. The study aims to assess the association between prenatal exposure to ETS and...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-011-0851-4
更新日期:2012-11-01 00:00:00
abstract:OBJECTIVES:Little is known about provider attitudes regarding safety of selected hormonal contraceptives among breastfeeding women. METHODS:Using a nationwide survey, associations were analyzed between provider characteristics and perception of safety of combined oral contraceptives (COCs) in breastfeeding women ≥ 1 m...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-019-02743-2
更新日期:2019-08-01 00:00:00
abstract::Research on the effect of family structure on childhood obesity is scarce. This study examines the effect of number of parents and number of siblings on US children's body mass index (BMI) and risk of obesity. We conducted a secondary data analysis of the Early Childhood Longitudinal Study-Kindergarten Cohort (ECLS-K)...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-013-1422-7
更新日期:2014-09-01 00:00:00
abstract:INTRODUCTION:According to many studies, anxiety in the perinatal period is widespread and has many detrimental effects. Thus, screening measures should not be limited to assessing depression symptoms. The widely used Edinburgh Postnatal Depression Scale (EPDS) might assess depression but also anxiety symptoms. This stu...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-020-02885-8
更新日期:2020-03-01 00:00:00
abstract::If used properly, the lactational amenorrhea method (LAM) can be a valuable family planning tool, particularly in low-income countries; however, the degree to which LAM is used correctly and characteristics associated with its use have not been well documented. We therefore sought to use nationally representative data...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-1054-3
更新日期:2013-05-01 00:00:00
abstract:OBJECTIVES:Assess risk of preterm birth associated with diabetes mellitus (DM) among American Indian and Alaska Natives (AI/AN), a population with increased risk of DM and preterm birth, and examine whether this association differed by state of residence. METHODS:We used surveillance data from the Pregnancy Risk Asses...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-015-1761-7
更新日期:2015-11-01 00:00:00
abstract:PURPOSE:We report on a successful quality improvement project designed to increase access to perinatal mental health services through universal screening for postpartum depression (PPD) and facilitating referrals for evaluation and treatment, at a multi-site, integrated system of pediatric and obstetric practices in Ho...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-019-02780-x
更新日期:2019-10-01 00:00:00
abstract::Objectives To investigate the impact of the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) on a variety of infant health outcomes using recent South Carolina Vital Statistics data (2004-2012). Methods To account for non-random WIC participation, the study relies on a maternal fixed effect...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-1951-y
更新日期:2016-07-01 00:00:00
abstract::Objectives A number of interventions to reduce disparities in maternal health have been introduced and implemented without concrete evidence to support them. In Korea, a universal voucher scheme for antenatal care and birth services was initiated in December 2008 to improve Korea's fertility rate. This study explores ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-2112-z
更新日期:2017-01-01 00:00:00
abstract::Symptoms of depression and anxiety are prevalent during pregnancy and may influence women's health behaviors. The impact of women's mental health on alcohol use may be particularly important to consider as prenatal alcohol use is common and may have serious negative consequences for the developing fetus. The objective...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-011-0892-8
更新日期:2012-08-01 00:00:00
abstract::Beginning childbearing during adolescence is consistently linked with negative outcomes for both children and parents. Many have attributed this association to maternal background characteristics which are often difficult to change through policy. Though maternal educational attainment is often a side effect of adoles...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-010-0585-8
更新日期:2011-04-01 00:00:00
abstract:INTRODUCTION:Food security is a prerequisite for achieving optimal health, and mothers and children living in food insecure households face barriers to physical and mental health and healthy development. Mothers in food insecure households often also experience poor mental health and domestic violence. Although associa...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-019-02872-8
更新日期:2020-04-01 00:00:00
abstract::Background and objectives Despite the risks of bed-sharing, little is known about what pediatricians tell parents about bed-sharing with infants and whether pediatricians provide specific recommendations outlined by the American Academy of Pediatrics (AAP). This study aimed to understand pediatricians' opinions about ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-017-2353-5
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Many priority countries in the countdown to the millennium development goals deadline are lagging in progress towards maternal and child health (MCH) targets. Papua New Guinea (PNG) is one such country beset by challenges of geographical inaccessibility, inequity and health system weakness. Several countries...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-015-1762-6
更新日期:2015-11-01 00:00:00
abstract::The purpose of this study was to review the evidence on the effect of initiation of breastfeeding early after birth and of exclusive breastfeeding during the first month in reducing neonatal mortality and morbidity. We searched Cochrane and PubMed databases for all available papers addressing our review questions and ...
journal_title:Maternal and child health journal
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s10995-014-1526-8
更新日期:2015-03-01 00:00:00
abstract::In the US, the prevalence of three-generation households, where a grandparent, parent and child coreside, has increased in the last decade. Three-generation coresidence during infancy is particularly common and as many as 15 % of infants live in a three-generation household shortly after birth. Although prior research...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-014-1441-z
更新日期:2014-10-01 00:00:00
abstract::Unintended pregnancies can have negative consequences for both mother and child. The focus of this study was to utilize perceived behavioral control measures (PBC; part of the theory of planned behavior) to identify relevant behavioral determinants of birth control use. This study also tested associations between dire...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-014-1658-x
更新日期:2015-07-01 00:00:00
abstract:OBJECTIVES:To determine whether a widely used measure of neighborhood-level socioeconomic deprivation was associated with unintended pregnancy, delayed/no prenatal care, low birth weight (LBW), and not breastfeeding, after adjusting for a more comprehensive set of individual-level socioeconomic factors than previously ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-007-0225-0
更新日期:2008-01-01 00:00:00
abstract::Background Prevention of mother to child transmission of HIV (PMTCT) services are critical to achieve national and global targets of 90% antiretroviral therapy (ART) coverage in PMTCT, and mother to child transmission rates less than 5%. In 2012, Kenya adopted WHO's recommended ART regimen for PMTCT "Option B+". Aims ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-018-2612-0
更新日期:2018-12-01 00:00:00
abstract::Evidence suggests that educational differences in perinatal outcomes have increased in some countries (Eastern Europe) while remained stable in others (Scandinavian countries). However, less is known about the experience of Southern Europe. This study aims to evaluate the association between maternal education and per...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-013-1425-4
更新日期:2014-10-01 00:00:00
abstract::The article discusses Arizona's strategic implementation and evaluation of the first time motherhood initiative grant (FTMI) to understand preconception health among African American men and women in Arizona. Longitudinal focus groups assessed whether African American men and women in the targeted areas comprehended a...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-1206-5
更新日期:2013-12-01 00:00:00
abstract::Objective Appropriate and timely complementary feeding practices are fundamental to a child's growth, health, and development during the first 2 years of life. This study aimed to understand (1) Ghanaian mother's complementary feeding practices, and (2) their perceived and observed impacts of complementary feeding on ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-1994-0
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND:Hospital policies and practices related to breastfeeding may have long-term health effects. The Ten Steps to Successful Breastfeeding (WHO/UNICEF) provide an evidence-based standard, which may be used to assess individual hospitals. We assessed implementation, and factors related to implementation, of the Te...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-005-0065-8
更新日期:2006-05-01 00:00:00
abstract:OBJECTIVE:To examine if physician knowledge and practices related to fetal alcohol spectrum disorders (FASD) and its prevention vary based on the proportion of Native/Aboriginal patients served. METHODS:A questionnaire was mailed to a national random sample of Canadian physicians between October 2001 and May 2002. The...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-006-0176-x
更新日期:2007-07-01 00:00:00
abstract::The current COVID-19 pandemic in Kashmir along with lockdown measures-ordered to prevent the spread of the disease-has added further trauma to the fragile mental health system in Kashmir. There may be unquantifiable repercussions of the current epidemic on the emotional status of women during the perinatal period. The...
journal_title:Maternal and child health journal
pub_type: 信件
doi:10.1007/s10995-020-03004-3
更新日期:2020-11-01 00:00:00
abstract:OBJECTIVES:The study seeks to improve understanding of maternity health seeking behaviors in resource-deprived urban settings. The objective of this paper is to identify the factors which influence the choice of place of delivery among the urban poor, with a distinction between sub-standard and "appropriate" health fac...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-008-0326-4
更新日期:2009-01-01 00:00:00
abstract::Background Learning to identify and address social determinants of health (SDH) is a crucial component of pediatric residency training. A virtual tour of an impoverished neighborhood previously demonstrated efficacy in increasing residents' self-assessed knowledge and competence, but its impact on performance has not ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-019-02790-9
更新日期:2019-09-01 00:00:00