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Family and Provider Level Predictors of Healthcare Utilization in Medicaid 4.21.09
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Family and Provider Level Predictors of Healthcare Utilization in Medicaid 4.21.09
1.
![Family- and provider-level predictors of healthcare utilization in Medicaid-eligible infants in Philadelphia. Anje Van Berckelaer, MD, and Susmita Pati, MD, MPH. Robert Wood Johnson Clinical Scholars Program, University of Pennsylvania (AVB), Leonard Davis Institute of Health Economics (AVB, SP), Pediatric Generalist Research Group, The Children's Hospital of Philadelphia and the University of Pennsylvania (SP), and PolicyLab, The Children's Hospital of Philadelphia (SP) Table 1: Characteristics of the cohort ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Background ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Objectives Characteristic Mean (sd) Number (%) Maternal age 23.4 (5.2) Maternal social support score at 1 year (of 36pts) 21.0 (5.9) Single mother 503 (86.8) African-American 534 (92.2) Pass health literacy test 429 (76.4) Adhere to prenatal care 75.3 (43.1) Full-time employed or attending school 361 (75.1) Child with chronic disease diagnosis (“chronic”) 152 (26.3) #ED visits per 6-month period 0.79 (1.06) Adhere to EPSDT recommended # of visits at 6 months (“well visit adherence”) 494 (88.2) % adhering to EPSDT of those followed for at least 3 visits (n=475) 190 (44.6) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Methods Results ,[object Object],[object Object],Conclusions Next steps Table 2: predictors of health care use Model Predictors OR(CI) p Well visit adherence , total Single mother 0.72(0.39-1.34) 0.30 Prenatal care adherence 1.71(1.04-2.80) 0.03 Baseline income 1.10(0.96-1.27) 0.18 Chronic disease diagnosis 1.59(1.03-2.47) 0.04 ED visits , total Single mother 1.52(1.05-2.19) 0.03 Health-literate 0.85(0.68-1.07) 0.17 Chronic disease diagnosis 2.27(1.86-2.78) <0.001 Full-time work or school 1.23(0.96-1.58) 0.10](https://image.slidesharecdn.com/vanbercjekaeranje-familyandproviderlevelpredictorsofhealthcareutilizationinmedicaid-4-21-09-100819092313-phpapp02/85/Family-and-Provider-Level-Predictors-of-Healthcare-Utilization-in-Medicaid-4-21-09-1-320.jpg)
