Abstract：
BACKGROUND:The Michigan Maternal and Infant Health Program (MIHP) is a population-based home-visitation program providing care coordination, referrals, and visits based on a plan of care. MIHP is available to all Medicaid-eligible pregnant women and infants aged ≤1 year in Michigan. PURPOSE:To assess the effects of MIHP participation on maternal and infant healthcare utilization. METHODS:Propensity-score matching methods were used to assess differences in healthcare utilization between MIHP participants and nonparticipants using 2009-2010 Medicaid claims and administrative data obtained from the Michigan Department of Community Health. Data were analyzed between October 2011 and March 2013. RESULTS:MIHP participants had higher odds of receiving any prenatal care compared to matched women not participating in MIHP (OR=2.94, 95% CI=2.43, 3.60) and higher odds of receiving adequate prenatal care (OR=1.06, 95% CI=1.01, 1.11). MIHP participants had higher odds of receiving an appropriately timed postnatal visit (OR=1.50, 95% CI=1.43, 1.57). Infants participating in MIHP had higher odds of receiving any well-child visits over the first year of life (OR=1.70, 95% CI=1.51, 1.93) and higher odds of receiving the appropriate number of well-child visits over their first year of life (OR=1.47, 95% CI=1.35, 1.60) compared to matched nonparticipant infants. CONCLUSIONS:The results from Michigan provide strong evidence for the effectiveness of a Medicaid-sponsored population-based home-visitation program in improving maternal prenatal and postnatal care and infant care. This evidence is important to consider as the federal healthcare reform is implemented and states are making decisions on the expansion of the Medicaid program.
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
Meghea CI,Raffo JE,Zhu Q,Roman Ldoi
10.1016/j.amepre.2013.05.005subject
Has Abstractpub_date
2013-10-01 00:00:00pages
441-7issue
4eissn
0749-3797issn
1873-2607pii
S0749-3797(13)00317-6journal_volume
45pub_type
杂志文章abstract：BACKGROUND:Health care provider encouragement for particular preventive behaviors is associated with patient adherence, but it is unclear whether a provider's overall prevention approach influences whether patients engage in recommended preventive measures. We examined whether older women who perceived that their healt...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
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abstract：INTRODUCTION:Addressing veteran homelessness is a major federal priority, but there has been little research on the period between military discharge and homelessness. There are public concerns about new waves of homelessness among recent veterans and questions about a possible sleeper effect, that is, a delayed risk t...
journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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abstract：INTRODUCTION:Injury surveillance is the first and most critical step of the injury prevention process. Without it, successful injury prevention could not be sustained. The purpose of this paper is to describe advances in military medical surveillance, compare the incidence of injuries with other illnesses, define the s...
journal_title：American journal of preventive medicine
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abstract：BACKGROUND:The purposes of this study are to examine the extent to which (1) more-healthy and less-healthy food choices are available to American secondary students in their schools, and (2) there are differences in the availability of such foods as a function of grade, racial/ethnic background, and socioeconomic statu...
journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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pub_type： 杂志文章,多中心研究
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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更新日期：1990-03-01 00:00:00
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journal_title：American journal of preventive medicine
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更新日期：2014-08-01 00:00:00
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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更新日期：2004-07-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章
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更新日期：1997-11-01 00:00:00
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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更新日期：1991-03-01 00:00:00
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更新日期：2009-12-01 00:00:00
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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更新日期：1992-03-01 00:00:00
