Family Level Predictors of Healthcare Utilization in Medicaid Eligible Infants in Philadelphia 10.27.09
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This study analyzed predictors of adherence to well-child care visits among 744 Medicaid-eligible infants in Philadelphia. The strongest predictor was having siblings in the home, which significantly decreased adherence. Being an unmarried mother also decreased adherence. Adherence decreased between 6 months and 18 months of age, suggesting efforts are needed to encourage continued adherence as children grow older. Social and educational supports may help improve adherence among at-risk groups like single mothers and those with low prenatal care adherence.
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![Family-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), and PolicyLab, The Children's Hospital of Philadelphia (SP) ,[object Object],[object Object],Policy implications Table 1: Characteristics of the cohort Table 2: Predictors of well-child care adherence Figure 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Background Identify predictors of well child care adherence within a population at higher risk for poor health outcomes Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],Methods ,[object Object],[object Object],Results ,[object Object],[object Object],[object Object],[object Object],Conclusions Mean/ Proportion Characteristic Cohort (n≈580) EMR subset (n≈260) p Maternal age 23.4 23.2 0.3 Maternal social support score (out of 36 pts) 21.0 21.1 0.57 Single mother 0.87 0.87 0.92 African-American 0.92 0.92 0.93 Health-literate (TOFHLA) 0.76 0.78 0.74 Adhere to prenatal care 0.75 0.78 0.33 Full-time employed or attending school 0.75 0.76 0.91 Child in poor health 0.03 0.03 0.62 Adhere to well child care 6 months n/a 0.88 <0.001 12 months 0.47 18 months 0.44 24 months 0.67 Predictor Odds Ratio P Single mother 0.62 0.04 Teen mother 0.73 0.10 Poor child health 0.71 0.38 Siblings at home 0.43 <0.001 Health literate 1.03 0.87](https://image.slidesharecdn.com/vanberckelaeranje-familylevelpredictorsofhealthcareutilizationinmedicaideligibleinfantsinphila-10-27-09-100819084807-phpapp02/85/Family-Level-Predictors-of-Healthcare-Utilization-in-Medicaid-Eligible-Infants-in-Philadelphia-10-27-09-1-320.jpg)
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This document provides an overview and summary of issues related to children with special health care needs (CSHCN) in California. It notes that CSHCN have variable access to care depending on factors like location, insurance, age, and condition. The existing system is fragmented with inconsistent access, quality, coordination of care, and principles/standards. An enhanced system is proposed with consistent guiding principles, quality standards, access rules, and effective medical homes to coordinate care. Data on the prevalence, characteristics, experiences and health outcomes of CSHCN in California is presented, finding areas of strength and opportunity to better support this population.
Statistic in Health Care Management Assignment Week 3Case Study.docx
Statistic in Health Care Management: Assignment Week 3
Case Study: Chapters 5 and 6.
Objective
:
The students will complete a Case study assignments that give the occasion to create and apply the thoughts learned in this and previous project to examine a real-world scenario. This set-up will illustrate through example the practical importance and implications of various roles and functions of a Health Care Administrator in probability and interval Estimates. The investigative trainings will advance students’ understanding and ability to think critically about basic concepts of probability and introduction to estimation.
ASSIGNMENT GUIDELINES (10%):
Students will critically measure the readings from Chapters 5 and 6 in your textbook. This assignment is planned to help you examination, evaluation, and apply the readings and strategies to your Health Care organization.
You need to read the article (in the additional weekly reading resources localize in the Syllabus and also in the Lectures link) assigned for week 4 and develop a 3-4 page paper reproducing your understanding and capability to apply the readings to your Health Care organization. Each paper must be typewritten with 12-point font and double-spaced with standard margins. Follow APA format when referring to the selected articles and include a reference page.
EACH PAPER SHOULD INCLUDE THE FOLLOWING:
1.
Introduction (25%)
Provide a brief synopsis of the meaning (not a description) of each Chapter and articles you read, in your own words that will apply to the case study presented.
2.
Your Critique (50%)
Case Studies
The Effect of Maternal Healthcare on the Probability of Child Survival in Azerbaijan
Nazim Habibov and Lida Fan
1School of Social Work, University of Windsor, Windsor, ON, Canada N9B 3P4
2School of Social Work, Lakehead University, Thunder Bay, ON, Canada P7B 5E1
Received 15 February 2015; Revised 23 June 2015; Accepted 23 June 2015; Published 10 July 2015
Academic Editor: Gudlavalleti Venkata Murthy
Copyright © 2017 Nazim Habibov and Lida Fan. This is an open access article distributed under the
Creative Commons Attribution License
, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
This study assesses the effects of maternal healthcare on child survival by using nonrandomized data from a cross-sectional survey in Azerbaijan. Using 2SLS and simultaneous equation bivariate probit models, we estimate the effects of delivering in healthcare facility on probability of child survival taking into account self-selection into the treatment. For women who delivered at healthcare facilities, the probability of child survival increases by approximately 18%. Furthermore, if every woman had the opportunity to deliver in healthcare facility, then the probability of child survival in Azerbaijan as a whole would have increased by approximately 16%.
1. Introduction
Poor chil.
CSHCN Webinar Slides CA
This document provides an overview of issues facing children with special health care needs (CSHCN) in California. It discusses key focus areas like care coordination and family engagement. It notes that California ranks poorly nationally in areas like preventative care, care coordination, and family-centered care for CSHCN. The document also discusses the medical and social complexity of CSHCN, the importance of care coordination systems, and the need to better support families providing care.
Clinician Support And Psychosocial Risk Factors Associated With Breastfeeding
This study examined factors associated with breastfeeding discontinuation at 2 and 12 weeks postpartum in a cohort of 1007 low-risk mothers who initiated breastfeeding. The study found that breastfeeding rates declined over time, with 13% discontinuing by 2 weeks and 45% discontinuing by 12 weeks. Factors associated with earlier discontinuation included lack of breastfeeding confidence, early breastfeeding problems, Asian race, lower education, and depressive symptoms. Receiving encouragement from clinicians was associated with lower risk of discontinuing by 12 weeks, as was not returning to work or school by 12 weeks. The results suggest clinician support and addressing maternal mental health could help promote longer breastfeeding duration.
Jurnal e1
This study examined early exclusive breastfeeding rates and maternal attitudes towards infant feeding in new mothers in San Francisco. The researchers found that 79.8% of mothers were exclusively breastfeeding between 1-4 days postpartum, with no significant differences by WIC participation status. Independent risk factors for mixed or formula feeding included Asian/Pacific Islander ethnicity and lower education levels. Thinking that breastfeeding was physically painful or uncomfortable was also associated with not breastfeeding. The study suggests future research should address negative attitudes towards breastfeeding in Asian populations and promote breastfeeding as a comfortable practice.
Care Coordination in a Medical Home in Post-KatrinaNew Orlea
Care Coordination in a Medical Home in Post-Katrina
New Orleans: Lessons Learned
Susan Berry • Eleanor Soltau • Nicole E. Richmond •
R. Lyn Kieltyka • Tri Tran • Arleen Williams
Published online: 14 July 2010
� Springer Science+Business Media, LLC 2010
Abstract This is a prospective study to evaluate ability of a
nurse care coordinator to: (1) improve ability of a pediatric
clinic to meet medical home (MH) objectives and (2)
improve receipt of services for families of children with
special health care needs (CSHCN). A nurse was hired to
provide care coordination for CSHCN in an urban, largely
Medicaid pediatric academic practice. CSHCN were iden-
tified using a CSHCN Screener. Ability to meet MH criteria
was determined using the MH Index (MHI). Receipt of MH
services was measured using the MH Family Index (MHFI).
After baseline surveys were completed, Hurricane Katrina
destroyed the clinic. Care coordination was implemented for
the post-disaster population. Surveys were repeated in the
rebuilt clinic after at least 3 months of care coordination. The
distribution of demographics, diagnoses and percent
CSHCN did not significantly change pre and post Katrina.
Psychosocial needs such as food, housing, mental health and
education were markedly increased. Essential strategies
included developing a new tool for determining complexity
of needs and involvement of the entire practice in care
coordination activities. MHFI showed improvement in
receipt of services post care coordination and post-Katrina
with P \ 0.05 for 13 of 16 questions. MHI demonstrated
improvement in care coordination and community outreach
domains. Average cost was $36.88 per CSHCN per year.
There was significant improvement in the ability of the clinic
to meet care coordination and community outreach MH cri-
teria and in family receipt of services after care coordination,
despite great increase in psychosocial needs. This study pro-
vides practical strategies for implementing care coordination
for families of high risk CSHCN in underserved populations.
Keywords Care coordination � Medical home �
Children with special healthcare needs (CSHCN) �
Title V CSHCN � Hurricane Katrina
Eleanor Soltau has relocated to Atlanta, Georgia, after her
involvement with this research.
S. Berry (&) � N. E. Richmond � A. Williams
Department of Pediatrics, Louisiana State University
Health Sciences Center, 1010 Common Street Suite #610,
New Orleans, LA 70112, USA
e-mail: [email protected]
N. E. Richmond
e-mail: [email protected]
A. Williams
e-mail: [email protected]
E. Soltau
Children’s Hospital Medical Practice Corporation,
New Orleans, LA, USA
e-mail: [email protected]
S. Berry � N. E. Richmond � A. Williams
Louisiana Office of Public Health, Children’s Special Health
Services, New Orleans, LA, USA
R. L. Kieltyka � T. Tran
Department of Pediatrics, Louisiana State University Health
Sciences Center, 1010 Common Street Suite #2710,
New Orleans, LA 7011 ...
Child Survival & Health Grants_Diana DuBois_10.14.11
1) The document discusses lessons learned from a child survival project in Tanzania that promoted the training of traditional birth attendants (TBAs).
2) It was found that contrary to common perceptions, TBAs were often eager to learn new skills, competent, respected in their communities, and capable of working with health facilities when given support and training.
3) Key recommendations include more widely utilizing trained TBAs to provide health education, referrals, and fill gaps in maternal and neonatal healthcare services by working as "maternal advocates".
The Relationship Between Children in Foster Care and the U.S. Health Care Sys...
This paper discusses the relationship between children in foster care and their relationship with the U.S. healthcare system, specifically the gaps between the two systems and solutions that could help bridge those gaps. This paper falls under the the families and individuals in societal contexts and the family law and public policy CFLE content areas.
Obesity is quickly becoming one of the most common chronic.docx
Obesity is quickly becoming one of the most common chronic diseases among children. These rates have increased at an alarming rate and is a major public health problem because of related physical and psychological comorbidities, including type II diabetes, insulin resistance, metabolic syndrome, cardiovascular disease and mental health disorders. Dramatic increase in the number of overweight and obese children in recent years.
Studies indicate that children's lives may be shortened as a result of this alarming health problem. Estimates state that for any degree of overweight/obesity, younger adults (20-30 years of age) may have greater years of life lost due to obesity than older adults. Childhood obesity has been determined to be an independent risk factor for adult overweight/obesity.
To combat childhood obesity, there is a great need for public health interventions as well as education parents regarding childhood obesity and its consequences. Parents differ on causation of obesity, and differ in focus on nutrition and physical exercise. Many parents in the research do not see obesity as a barrier to physical activity. The parents need to recognize their child as overweight. Prevention is the most effective method for dealing with this growing health concern. The evidence reviewed, confirmed that family-centered interventions were associated with short-term reduction in obesity and improved medical parameters. The goal should be to involve community resources and provider referrals. Nurse Practitioners have a unique role in being the best facilitators to deliver health messages and are able to educate parents and increase awareness about the causes and consequences of childhood obesity.
Parents of young children need to interact with their child's primary healthcare provider for health advice and preventive health information during regularly scheduled physical examinations. It is up to the parents of these young children to combat intervention strategies such as:
a combination of nutritional and activity information, a cognitive-behavioral aspect to the intervention parent-directed activities
limiting sedentary child behaviors, provide positive approaches with children by parents and practitioners (e.g., emphasize positive rewards for healthy behaviors, encourage self-efficacy)
Future research is required to identify moderators and mediators to produce enduring changes in weight status of children.
The Objective was to determine in children who are at risk for becoming overweight or obese, does education with parental involvement on exercise and nutrition compared to individual education with the child alone decrease the risk of developing obesity and the health problems associated with obesity?
(P) In overweight, obese, or at risk young children (2-18years of age) Is family centered education/treatment interventions
(C) versus control or comparison interventions
(O) more effective in decreasing childhood obesity and compli.
Designing Community Health Services Based on the Community's Concept of Healt...
This study aimed to provide guidance on programmatic efforts to strengthen counseling for infant and young child feeding (IYCF) practices, prevention of malnutrition, and referral and treatment of malnourished children in the context of integrated Community Case Management (iCMM) in the Democratic Republic of Congo (DRC).
It was found that understanding the health needs from the point of view of the community, both in terms of conceptualizing health problems and designing community-level services, is critical to addressing families' needs and ensuring utilization of services when integrating preventative and curative components of nutrition and child health services. These findings contributed to developing understandings of the interface between communities and health systems, and how the latter can learn from the former.
This poster was presented by Michel Paque at the Fifth Global Symposium on Health Systems Research in Liverpool in October.
PBH 805: Week 4 Slides
This document summarizes key topics in maternal and child health, including preconception health, prenatal care, delivery methods, postpartum care for women and infants, and emerging issues. It discusses strategies to improve outcomes like increasing access to reproductive healthcare and promoting breastfeeding. It also covers regionalized perinatal care, well-child visits, immunizations, safe sleep practices and social determinants of health. Emerging issues discussed include substance use in pregnancy, protecting women and infants' health in disasters, and the health needs of justice-involved women.
Similar to Family Level Predictors of Healthcare Utilization in Medicaid Eligible Infants in Philadelphia 10.27.09 (20)
Family and Provider Level Predictors of Healthcare Utilization in Medicaid 4....
Family and Provider Level Predictors of Healthcare Utilization in Medicaid 4....
Exploring the Association between Maternal Health Literacy and Pediatric Heal...
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Legislative Briefing: Children with Special Health Care Needs in California
Legislative Briefing: Children with Special Health Care Needs in California
Statistic in Health Care Management Assignment Week 3Case Study.docx
Statistic in Health Care Management Assignment Week 3Case Study.docx
Clinician Support And Psychosocial Risk Factors Associated With Breastfeeding
Clinician Support And Psychosocial Risk Factors Associated With Breastfeeding
Care Coordination in a Medical Home in Post-KatrinaNew Orlea
Care Coordination in a Medical Home in Post-KatrinaNew Orlea
Child Survival & Health Grants_Diana DuBois_10.14.11
Child Survival & Health Grants_Diana DuBois_10.14.11
The Relationship Between Children in Foster Care and the U.S. Health Care Sys...
The Relationship Between Children in Foster Care and the U.S. Health Care Sys...
Obesity is quickly becoming one of the most common chronic.docx
Obesity is quickly becoming one of the most common chronic.docx
Designing Community Health Services Based on the Community's Concept of Healt...
Designing Community Health Services Based on the Community's Concept of Healt...
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This study analyzed insurance claims data from before and after the implementation of the Federal Mental Health Parity and Addiction Equity Act to examine the effects of parity on substance use disorder treatment. The results showed:
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2) There was also no change in out-of-pocket spending for substance use disorder treatment users or several HEDIS quality measures related to identification and initiation of treatment.
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