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Use of community resources by prenatal case managers
1School of Nursing, The University of Texas at Austin 78701-1499 USA.
Public Health Nursing (Boston, Mass.)
|February 1, 1996
Summary
Case managers for high-risk, pregnant women primarily use federal programs like Medicaid and WIC, alongside local health and social services. This study highlights resource utilization in community-based prenatal care coordination.
Area of Science:
- Public Health
- Health Services Research
- Social Work
Background:
- Community-based case management effectiveness is understudied, particularly regarding resource utilization.
- Coordinating health and social services is crucial for high-risk populations.
Purpose of the Study:
- To identify federal, state, and local resources used by case managers for prenatal care.
- To understand service coordination for high-risk, Medicaid-eligible pregnant women.
Main Methods:
- Content analysis of data provided by 33 case managers.
- Data collected from local health departments and a managed care organization.
- Categorization of referred community resources.
Main Results:
- Case managers referred clients to 10 distinct types of services.
- Medicaid and the Women, Infant, and Children (WIC) program were most frequently utilized.
- Hospitals, private physicians, family planning, transportation, and housing services were also commonly used.
Conclusions:
- Identified key community resources utilized in prenatal case management.
- Provides insights into service gaps and referral patterns for vulnerable populations.
- Informs practice and future research on comprehensive case management.