Using a Patient Navigator to Improve Postpartum Care in an Urban Women's Health Clinic
| Autor: | Lynn M. Yee, Noelle G. Martinez, Nadia Hajjar, Melissa J. Chen, Antoinette T Nguyen, Melissa A. Simon |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Postnatal Care
Adult medicine.medical_specialty Maternal-Child Health Services MEDLINE Reproductive health and childbirth Ambulatory Care Facilities Article Paediatrics and Reproductive Medicine 03 medical and health sciences 0302 clinical medicine Nursing Pregnancy Clinical Research medicine Urban Health Services Humans Patient Navigation 030212 general & internal medicine Prospective Studies Prospective cohort study Obstetrics & Reproductive Medicine reproductive and urinary physiology 030219 obstetrics & reproductive medicine Patient Navigator business.industry Prevention Attendance Obstetrics and Gynecology Postpartum care Health Services medicine.disease Quality Improvement Good Health and Well Being Family medicine Observational study Female Illinois business |
| Zdroj: | Obstetrics and gynecology, vol 129, iss 5 |
| Popis: | ObjectiveTo estimate whether postpartum visit attendance was improved in women exposed to a postpartum patient navigation program compared with those who received care immediately before the program's initiation and to assess whether other postpartum health behaviors improved during the intervention period.MethodsThis is a prospective observational study of women enrolled in a patient navigation program compared with women receiving care before the program. Navigating New Motherhood was a postpartum patient navigation program for adult, English-speaking women receiving prenatal care at a Medicaid-based university clinic. In 2015, Navigating New Motherhood introduced a clinic-level change in which a navigator was hired and assumed supportive and logistic responsibilities for enrolled patients between delivery and postpartum visit completion. We compared medical record data from women who enrolled in Navigating New Motherhood with those of women receiving care in the same clinic for 1 year immediately before Navigating New Motherhood. The primary outcome was postpartum visit attendance. Secondary outcomes included World Health Organization (WHO) Tier 1 or 2 contraception uptake and other health services measures. We conducted bivariable and multivariable analyses.ResultsOf the 225 women approached for Navigating New Motherhood participation after program initiation, 96.9% (n=218) enrolled; these women were compared with 256 women in the historical cohort. Most women in both groups were racial or ethnic minorities and all had Medicaid insurance. There were no important differences in demographic, clinical, or health service characteristics between groups, although women in Navigating New Motherhood were more likely to transfer into the clinic for prenatal care and to deliver neonates admitted to the neonatal intensive care unit. The primary outcome, return for postpartum care, was more common among women in Navigating New Motherhood (88.1% compared with 70.3%, P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|