Prenatal care in Oregon and Washington: policy and utilization for vulnerable women.
نویسندگان
چکیده
BACKGROUND In the prenatal period, women can have sustained contact with nurses and other clinicians, forming relationships that are likely to be health enhancing for both the woman and her unborn child. Yet, first trimester care use in Oregon dropped noticeably over the past decade. In comparison with Washington state, Oregon has not shown substantial recovery. OBJECTIVE The aim of this study was to explore potential reasons for the declining prenatal trend in Oregon. METHODS We collated county-level birth data from all Oregon and Washington counties from 2000 to 2010. A descriptive, observational, time-series regression analysis for both states assessed the influence of maternal determinants known to impact first trimester care utilization. RESULTS In Oregon, two factors were significantly associated with declining first trimester care: Medicaid funding (p<.01) and maternal Hispanic ethnicity (p=.02). In Washington, there was no significant association between any assessed determinant and first trimester care. DISCUSSION In Oregon, over the period of our study, women dependent on Medicaid and women of Hispanic origin were less likely to utilize first trimester care. A similar trend for these variables was not observed in Washington. At the time of our study, both states had different policy approaches, which may explain some of the observable patterns. Amid current healthcare reforms and rising immigration, our findings suggest the need for strong advocacy for those less able to access or utilize care.
منابع مشابه
دریافت مراقبت های دوران بارداری و عوامل مؤثر بر آن از دیدگاه دریافت کنندگان مراقبت
Prenatal care utilization is a very important factor in improving pregnancy outcomes and maternal health infant. In fact, barriers to prenatal care utilization have been linked to inadequate prenatal care and poorer health outcomes. The purposes of this study were to assess prenatal care utilization and factors affecting to receive prenatal care. The aim was to examine the relationships betwe...
متن کاملRelationship between adequacy of prenatal care utilization
Introduction: Inadequate and improper prenatal care may result in adverse neonatal outcomes. Various are implemented to evaluate the adequacy of prenatal care one of the new indices for accurate and comprehensive measurement is adequacy of prenatal care utilization index. Objective: The aim of this study is to determine the adequacy of prenatal care and its relationship with neonatal outcomes. ...
متن کاملمیزان دریافت و رضایت از مراقبتهای دوران بارداری
Background & Objective: Studies show, clients;apos satisfaction is an important indicator for service quality assessment. Finding causes of dissatisfaction helps to promote health care services quality. High quality prenatal care services and clients;apos satisfaction decreases maternal and neonatal mortality and morbidity. The perceived quality of the prenatal care by the mothers can not be e...
متن کاملSurvey Influencing Factors on Prenatal Care in mothers referring to health care centers in Rasht city in 2008
Introduction: Prenatal care is an important tool to determine and decrease the risks of delivery ‎outcome such as low birth weight, death or mortality during first year of life. The main objective of ‎these care are healthy delivery without jeopardizing mothers’ health. Some factors prohibit receiving ‎proper and promote prenatal care and cause mother and child health complica...
متن کاملInterrelation of Preventive Care Benefits and Shared Costs under the Affordable Care Act (ACA)
With the implementation of the Affordable Care Act (ACA), access to insurance and coverage of preventive care services has been expanded. By removing the barrier of shared costs for preventive care, it is expected that an increase in utilization of preventive care services will reduce the cost of chronic diseases. Early detection and treatment is anticipated to be less costly than treatment at ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Nursing research
دوره 64 2 شماره
صفحات -
تاریخ انتشار 2015