Identifying Key Components and Outcomes of Prenatal Care Coordination in Wisconsin
Principal Investigator(s): View help for Principal Investigator(s) Madelyne Z. Greene, University of Wisconsin-Madison; Lawrence Berger, University of Wisconsin-Madison
Version: View help for Version V1
| Name | File Type | Size | Last Modified |
|---|---|---|---|
| Codebooks | 07/18/2024 05:50:PM | ||
| Transcript-Data | 07/19/2024 05:38:PM |
Project Citation:
Greene, Madelyne Z., and Berger, Lawrence. Identifying Key Components and Outcomes of Prenatal Care Coordination in Wisconsin. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2024-07-19. https://doi.org/10.3886/E208025V1
Project Description
Summary:
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Few interventions successfully address racial disparities in maternal health outcomes. Social conditions—or social and structural determinants of health—are the major causes of persistent racial disparities in the US. Integrated models of care that offer home visiting and care coordination can support maternal health and have the potential to meaningfully reduce disparities.
Prenatal care coordination (PNCC) is a fee-for-service Medicaid benefit, available in several states including Wisconsin. Its goal is to reduce rates of adverse birth outcomes including low birthweight and premature birth among mothers and infants at high risk. PNCC services include health education, care coordination, social support, and facilitating access to medical care and social services during pregnancy and up to 60 days following delivery for Medicaid-covered mothers. This research contributes to efforts to improve the health outcomes of high-risk mothers and reduce disparities between racial and ethnic groups by working towards strengthening the PNCC benefit’s implementation and impact.
Specifically, this study aimed to:
Prenatal care coordination (PNCC) is a fee-for-service Medicaid benefit, available in several states including Wisconsin. Its goal is to reduce rates of adverse birth outcomes including low birthweight and premature birth among mothers and infants at high risk. PNCC services include health education, care coordination, social support, and facilitating access to medical care and social services during pregnancy and up to 60 days following delivery for Medicaid-covered mothers. This research contributes to efforts to improve the health outcomes of high-risk mothers and reduce disparities between racial and ethnic groups by working towards strengthening the PNCC benefit’s implementation and impact.
Specifically, this study aimed to:
1: Describe the association of receiving PNCC services in WI with five distinct maternal health outcomes:
1) adequate prenatal care
2) a 6-week postpartum visit
3) utilization of needed behavioral health services
4) occurrence of severe maternal morbidity, and
5) emergency department visits, accounting for mother’s race and geographic location.
This part of the study used data that are not publicly available. each of five target outcomes
1) adequate prenatal care
2) a 6-week postpartum visit
3) utilization of needed behavioral health services
4) occurrence of severe maternal morbidity, and
5) emergency department visits, accounting for mother’s race and geographic location.
This part of the study used data that are not publicly available. each of five target outcomes
2: Qualitatively describe diverse PNCC providers’ perspectives on the relative advantage of using a structured model to guide PNCC services, implementation processes that impact PNCC, and target outcomes of PNCC. Using a deductive qualitative approach, we conducted semi-structured interviews and focus groups at five PNCC sites across the state that varied by provider type and setting, and who serve clients from racially and ethnically diverse communities including Black and Native American mothers.
Coding and qualitative descriptive analyses were framed by the Consolidated Framework for Implementation Science (CFIR), which describes factors that can influence implementation and is flexible enough to apply in multiple contexts.
Funding Sources:
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United States Department of Health and Human Services. National Institutes of Health. National Institute of Nursing Research (1R21NR020685-01);
NIH National Center for Advancing Translational Sciences (UL1TR002373);
United States Department of Health and Human Services. National Institutes of Health. Eunice Kennedy Shriver National Institute of Child Health and Human Development (K12HD101368)
Methodology
Collection Mode(s):
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computer-assisted telephone interview (CATI);
face-to-face interview
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