Titre :
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Obstetric care and payment source : Do low-risk medicaid women get less care ? (1998)
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Auteurs :
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S. DOBIE ;
C.H.A. ANDRILLA ;
M. FORDYCE ;
L.G. HART ;
R.A. ROSENBLATT ;
Wami Rural Health Research Center. University of Washington. School of Medicine. Seattle. USA
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 88, n° 1, 1998)
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Pagination :
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51-56
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Langues:
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Anglais
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Mots-clés :
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Soins
;
Obstétrique
;
Accès soins
;
Pauvreté
;
Epidémiologie
;
Facteur risque
;
Femme
;
Homme
;
Etats Unis
;
Amérique du Nord
;
Amérique
;
Revenu
;
Medicaid
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Résumé :
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[BDSP. Notice produite par INIST 5q8LR0xk. Diffusion soumise à autorisation]. Objectives. This study examined whether Medicaid-insured women at low risk receive less adequate obstetrical care than privately insured women. Methods. Low-risk women who were cared for by a random sample of obstetrical providers in Washington State were randomly selected. Information on all prenatal and intrapartum services was ed from medical records. Service information was aggregated into standardized resource-use units. Results compared Medicaid-insured women with those who were privately insured. Results. Medicaid-insured women were significantly younger (22.5 years vs 26.9 years) and averaged 6% fewer visits than privately insured women. Nonetheless, Medicaid status had no meaningful association with prenatal, intrapartum, or overall resource use. Some variation occurred in individual resources received. Medicaid-insured women had 38.8% more resources expended on testing for sexually transmitted diseases. Privately insured women had more resources expended on alpha-fetoprotein testing and on amniocentesis. There were no-meaningful differences in birthweight or gestational age at delivery. Conclusions. In this study of women who entered obstetrical care at low risk, similar care and resources were expended on Medicaid-insured and on privately insured women.
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