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dc.contributor.authorHandler, Arden
dc.contributor.authorRankin, Kristin
dc.contributor.authorRosenberg, Deborah
dc.contributor.authorSinha, Karabi
dc.date.accessioned2011-05-26T04:11:10Z
dc.date.available2011-05-26T04:11:10Z
dc.date.issued2011-03-03
dc.identifier.bibliographicCitationHandler, A., Rankin, K., Rosenberg, D., & Sinha, K. 2011. Extent of Documented Adherence to Recommended Prenatal Care Content: Provider Site Differences and Effect on Outcomes Among Low-Income Women. Maternal and Child Health Journal. DOI: 10.1007/s10995-011-0763-3en
dc.identifier.issn1092-7875
dc.identifier.otherDOI: 10.1007/s10995-011-0763-3
dc.identifier.urihttp://hdl.handle.net/10027/7680
dc.descriptionThe post print version of this article may differ from the published version. The original publication is available at www.springerlink.com; DOI: 10.1007/s10995-011-0763-3.en
dc.description.abstractObjectives: The aims of this study were to examine the relationship between prenatal care (PNC) provider site and the extent of documented adherence to recommended PNC content, and the relationship between adherence to recommended PNC content and adverse pregnancy outcomes among women in Illinois’ Medical Assistance Program (MA). Methods: Utilizing the medical record, MA claims, and birth certificate data of 374 women who gave birth in 2003 and 2004 in four high-risk communities in Chicago, crude and adjusted analyses of the relationship between provider site and the extent of documented adherence to PNC content, and between adherence to PNC content and the incidence of low birthweight (LBW) and preterm birth (PTB) were conducted. The extent of documented adherence to recommended PNC content was measured from medical records as the percentage of 19 components of standard obstetrical practice that were delivered during pregnancy, converted to a three level categorical variable (low - 50%, medium - 50-79% and high - 80% or greater). Results: The majority of women had less than 80% of the recommended PNC content documented in their medical records. Among high-risk women, a greater proportion of women served by hospitals received care in which the extent of documented adherence was high (>=80%) compared to women served by physicians’offices and federally qualified health centers (FQHCs) (p<0.05). Among low-risk women, a greater proportion of women served by FQHCs received care in which the extent of documented adherence was high compared to women served by physician’s offices and hospitals (p<0.10). Lower adherence to PNC content was significantly associated with LBW and PTB among women receiving prenatal care from physicians. Conclusions: Examination of the extent of adherence to recommended PNC content and its relationship to adverse pregnancy outcomes provides valuable data to inform potential interventions. In particular, a relationship between adherence to recommended PNC content and LBW and PTB among women receiving PNC at physicians’ offices suggests the importance of increased quality assurance and provider education efforts.en
dc.description.sponsorshipThe study was funded by the Illinois Department of Healthcare and Family Services [(IDHFS), state MA agency], and the Illinois Department of Human Services [(IDHS), state Title V agency] and the Michael Reese Health Trust.en
dc.language.isoen_USen
dc.publisherSpringeren
dc.subjectprenatal careen
dc.subjectcontent of careen
dc.subjectadherenceen
dc.subjectlow birthweighten
dc.subjectpreterm birthen
dc.titleExtent of Documented Adherence to Recommended Prenatal Care Content: Provider Site Differences and Effect on Outcomes Among Low-Income Womenen
dc.typeArticleen


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