Group Prenatal Care and Emergency Room Utilization

Autor:	James Marton, Jessica C. Smith, Emily C. Heberlein, Ana Laboy, Jessie Britt, Amy H. Crockett
Rok vydání:	2021
Předmět:	Medicaid Pregnancy Health Policy Humans Female Prenatal Care Patient Acceptance of Health Care Emergency Service Hospital United States Retrospective Studies
Zdroj:	Medical Care Research and Review. 79:687-700
ISSN:	1552-6801 1077-5587
DOI:	10.1177/10775587211059938
Popis:	Pregnancy-related complaints are a significant driver of emergency room (ER) utilization among women. Because of additional time for patient education and provider relationships, group prenatal care may reduce ER visits among pregnant women by helping them identify appropriate care settings, improving understanding of common pregnancy discomforts, and reducing risky health behaviors. We conducted a retrospective cohort study, utilizing Medicaid claims and birth certificate data from a statewide expansion of group care, to compare ER utilization between pregnant women participating in group prenatal care and individual prenatal care. Using propensity score matching methods, we found that group care was associated with a significant reduction in the likelihood of having any ER utilization (–5.9% among women receiving any group care and –6.0% among women attending at least five group care sessions). These findings suggest that group care may reduce ER utilization among pregnant women and encourage appropriate health care utilization during pregnancy.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::3f6debf878ea5bc6f31ed6f281391d8b https://doi.org/10.1177/10775587211059938 Zobrazit plný text záznamu