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Improving Medicaid pediatric care.

M E Stuart1, D Steinwachs, B Starfield

  • 1Maryland Department of Health and Mental Hygiene, Baltimore, USA.

Journal of Public Health Management and Practice : JPHMP
|January 3, 1996
PubMed
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Medicaid claims data revealed significant variation in well-child care among providers for children in Maryland. Many children lacked regular primary care, highlighting a need for improved access and continuity in healthcare services.

Area of Science:

  • Public Health
  • Health Services Research
  • Pediatric Care

Background:

  • Adequate well-child care is crucial for pediatric health and development.
  • Variations in healthcare access and provider practices can impact child health outcomes.
  • Medicaid beneficiaries often face challenges in accessing consistent healthcare services.

Purpose of the Study:

  • To assess the adequacy of well-child care for children enrolled in Maryland Medicaid.
  • To identify variations in well-child visit provision among different ambulatory care providers.
  • To inform the development of strategies for improving pediatric care access and continuity.

Main Methods:

  • Analysis of Medicaid claims data for a cohort of children in Maryland.
  • Examination of well-child visit frequency and provider type.

Related Experiment Videos

  • Identification of children with no well-child visits and assessment of primary care source.

    • Main Results:

    • Significant variation in the provision of well-child care by different providers was observed.
    • Approximately one-quarter of the children had no well-child visits during the study year.
    • A majority of children without well-child visits appeared to lack a regular primary care source.

    Conclusions:

    • Findings underscore disparities in well-child care access and continuity within Maryland Medicaid.
    • Results informed the creation of a managed care program to enhance care accessibility and provider practices.
    • Claims data analysis provides valuable insights into public health issues in pediatric care.