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Group Prenatal Care and Emergency Room Utilization.
James Marton1, Jessica C Smith1, Emily C Heberlein1
1Georgia State University, Atlanta, GA, USA.
Medical Care Research and Review : MCRR
|December 9, 2021
Summary
Group prenatal care significantly reduced emergency room (ER) visits for pregnant women. This care model improves understanding of pregnancy discomforts and promotes appropriate healthcare utilization, lowering ER use.
Area of Science:
- Maternal Health
- Healthcare Utilization
- Public Health
Background:
- Pregnancy-related complaints frequently lead to emergency room (ER) visits.
- Group prenatal care offers enhanced patient education and provider relationships.
- This model has the potential to reduce ER utilization by improving care choices and health behaviors.
Purpose of the Study:
- To compare ER utilization between pregnant women in group prenatal care versus individual prenatal care.
- To evaluate the impact of group prenatal care on reducing ER visits.
Main Methods:
- Retrospective cohort study using Medicaid claims and birth certificate data.
- Analysis of a statewide expansion of group prenatal care.
- Propensity score matching to compare ER utilization.
Main Results:
- Group prenatal care was associated with a significant reduction in ER utilization.
- Women receiving any group care showed a -5.9% reduction in ER visits.
- Attending at least five group sessions reduced ER visits by -6.0%.
Conclusions:
- Group prenatal care may effectively decrease ER utilization among pregnant women.
- This care model encourages appropriate healthcare seeking during pregnancy.
- Group prenatal care is a promising strategy for optimizing maternal healthcare access.
Keywords:
access/demand/utilization of servicesadministrative data usesmaternal and perinatal care and outcomesobstetrics/gynecologyprogram evaluationMore Related Videos
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