Are prenatal care resources distributed efficiently across high-risk and low-risk mothers?

Autor: Mukhopadhyay, Sankar, Wendel, Jeanne
Zdroj: International Journal of Health Care Finance and Economics; 20240101, Issue: Preprints p1-17, 17p
Abstrakt: Abstract: The Institute for Clinical Systems Improvement recommends reducing the number of prenatal care visits recommended for low-risk women, citing evidence from a randomized clinical trial indicating that the reduction would not adversely impact infant health. We investigate the implicit hypothesis that prenatal care resources are not distributed efficiently across high-risk and low-risk women. Using clinic-reported prenatal care and an inclusive measure of infant health, we report evidence indicating inefficient resource utilization: prenatal care only boosts infant health when mothers have specific pre-existing diagnoses, but women with high potential to benefit from care do not obtain more care than other women.
Databáze: Supplemental Index