加利福尼亚州的综合产周服务计划和出生结果
Snehal S Lopes1, Ahan Shi2, Liwei Chen3
1Department of Public Health Sciences, Clemson University, Clemson, SC, United States.
Frontiers in public health
|January 5, 2024
概括
加利福尼亚州加利福尼亚州加利福尼亚州.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 加利福尼亚州的综合产周服务计划 (CPSP) 提供了增强的产前护理.
- 之前关于CPSP对出生结果的影响的研究存在局限性和混合结果.
研究的目的:
- 检查Medi-Cal与CPSP招生和出生结果之间的关联.
- 为了比较CPSP入学者和其他群体之间的早产,自发早产和低出生体重的几率.
主要方法:
- 利用2012-2016年全州加利福尼亚州数据来计算单胎活产.
- 采用多层次的物流模型来分析结果 (早产,自发早产,低出生体重).
- 将Medi-Cal与CPSP注册人与私人保险人以及没有CPSP的Medi-Cal受益人进行了比较.
主要成果:
- 与私人保险相比,Medi-Cal与CPSP招生与早产,自发早产和低出生体重的几率较低有关.
- 在Medi-Cal人口中,与非CPSPMedi-Cal受益者相比,CPSP招生显示早产,自发早产和低出生体重的几率降低.
结论:
- 全州数据显示,CPSP招生与改善出生结果之间存在强烈的关联.
- 扩大获得综合产周服务的机会是提高出生结果的潜在策略.
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