在医疗补助人口中,怀孕期间的护理协调和母亲健康结果
Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
|November 10, 2025
概括
威斯康星州的产前护理协调 (PNCC) 参与与分娩后访问和急诊室入院的增加有关. 然而,它也与减少严重的孕产妇发病率和适当的产前护理有关,这表明该计划需要改进的领域.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 产前护理协调 (PNCC) 是一项旨在改善母亲和婴儿健康结果的计划.
- 了解PNCC参与与孕产妇健康结果之间的关联对于优化医疗补助受益人的护理至关重要.
研究的目的:
- 检查怀孕期间产前护理协调 (PNCC) 计划参与与威斯康星州医疗补助受益人中母亲健康结果之间的关系.
- 评估PNCC对严重孕产妇发病率的影响,产后访问的坚持,急诊室的入院,以及产前护理的充分性.
主要方法:
- 一项回顾性队列研究,利用来自威斯康星州 (2011-2019) 的链接出生记录和医疗补助申请数据.
- 包括192,511个出生在完整的样本和91,329个出生在兄弟姐妹固定效应子样本中.
- 分析采用常规和兄弟固定效应线性概率模型来评估PNCC与孕产妇健康结果的关联,并对共变量进行调整.
主要成果:
- 在传统模型中,PNCC服务接收与30天和90天产后访问和30天急诊室入院的更高率有关.
- 兄弟固定效应模型表明,PNCC服务接收与30天产后访问和急诊室入院的增加有关.
- 相反,PNCC服务收到与兄弟姐妹固定效应模型中的严重孕产妇发病率和适当的产前护理有负面关联.
结论:
- 该研究对产前护理协调的好处提出了不同的结论,强调了潜在的积极影响和需要改进的领域.
- 结果强调需要进一步评估PNCC和其他其他州的类似计划,以完善其有效性.
- 需要进一步的研究,以了解PNCC对不同母亲健康结果的影响的细微差别.
相关概念视频
Methods Of Healthcare Delivery System
3.9K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.9K
Methods of Documentation VI: Case Management Model
844
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
844
Introduction To Health Care Delivery System
3.7K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
3.7K
Standards of Care I
1.0K
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
1.0K
Documentation in Long-Term and Home Healthcare Setting
1.4K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.4K
Issues And Trends In Healthcare Delivery System
6.1K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.1K


