通过医疗补助管理的产前护理协调预防婴儿死亡率:来自威斯康星州的证据
David C Mallinson1, Yamikani B Nkhoma-Mussa2, Kate H Gillespie2
1Department of Family Medicine and Community Health, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Health services research
|January 14, 2025
概括
威斯康星州的产前护理协调 (PNCC) 与降低婴儿死亡率有关,特别是在黑人家庭中. 程序 程序 程序 的程序.
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:
- 婴儿死亡率仍然是一个重大的公共卫生问题,在种族和种族群体中观察到的差异.
- 医疗补助计划经常实施旨在改善受益人的孕产妇和婴儿结果的倡议.
研究的目的:
- 评估威斯康星州产前护理协调 (PNCC) 计划与婴儿死亡率之间的关联.
- 为了确定PNCC计划参与是否影响不同母亲种族/种族群体的婴儿死亡率.
主要方法:
- 对威斯康星州出生记录,医疗补助申请和婴儿死亡记录的分析,从2010年至2018年,用于医疗补助支付的活产.
- 测量PNCC暴露是没有,只有评估/护理计划,或服务收到.
- 使用调整的二进制逻辑和倾向得分加权回归来评估母体种族/种族的关联和相互作用效应.
主要成果:
- 与没有PNCC (6.8/1000) 相比,患有PNCC的婴儿死亡率较低 (仅评估/护理计划:5.0/1000;服务收到:6.1/1000).
- 这种保护性关联在黑人非西班牙裔 (NH) 和西班牙裔子组中观察到,但不是白人NH出生.
- 总体而言,任何PNCC与婴儿死亡率降低的概率有关 (-0.17个百分点),对黑人NH出生的影响更强烈.
结论:
- 怀孕期间产前护理协调 (PNCC) 与婴儿死亡率的可能性较低有关.
- 在非西班牙裔黑人家庭中,PNCC对婴儿死亡率的好处似乎特别明显.
- PNCC对婴儿死亡率的积极影响可能不需要接受超出初始护理计划的服务.
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