دورية أكاديمية
Extended Medicaid coverage will improve access but insufficient to enhance postpartum care utilization: a secondary analysis of the 2016–2019 Arizona Medicaid claims
| العنوان: | Extended Medicaid coverage will improve access but insufficient to enhance postpartum care utilization: a secondary analysis of the 2016–2019 Arizona Medicaid claims |
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| المؤلفون: | Abidemi Okechukwu, Ivo Abraham, Chinedu Okechukwu, Priscilla Magrath, David G. Marrero, Leslie V. Farland, Halimatou Alaofe |
| المصدر: | Frontiers in Public Health, Vol 11 (2024) |
| بيانات النشر: | Frontiers Media S.A. |
| سنة النشر: | 2024 |
| المجموعة: | Directory of Open Access Journals: DOAJ Articles |
| مصطلحات موضوعية: | postpartum, low-income insurance, healthcare utilization, Medicaid extension, maternal health, Public aspects of medicine, RA1-1270 |
| الوصف: | IntroductionPostpartum Medicaid eligibility extensions may increase access to healthcare for low-income women. However, its implications for healthcare utilization are unknown.MethodsWe analyzed the linked-infant birth certificate and claims data of women whose childbirths were paid for by Medicaid between 2016 and 2019 in Arizona, United States. We evaluated associations between postpartum care visits and Medicaid insurance type and assessed effect modification by the delivery route and type of residence.ResultsWomen with pregnancy-related Medicaid insurance were less likely to attend postpartum visits, with an adjusted odds ratio (aOR) of 0.70 and a 95% confidence interval (CI) of 0.66 to 0.74 than those with continuous Medicaid insurance. Younger age, rural residence [aOR 0.83, CI 0.78, 0.88], vaginal delivery route [aOR 0.11, CI 0.10, 0.12], and the absence of complications during/after childbirth [aOR 0.58, CI 0.49, 0.70] were associated with the absence of postpartum care visit. Low-income women who lost their pregnancy-related Medicaid coverage after 60 days in Arizona experienced lower rates of postpartum care utilization.DiscussionInterventions to improve postpartum utilization should be considered beyond extending postpartum Medicaid coverage for low-income women. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 2296-2565 |
| العلاقة: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1281574/fullTest; https://doaj.org/toc/2296-2565Test; https://doaj.org/article/4b9352e278ae46b5ad3151e34095a1f6Test |
| DOI: | 10.3389/fpubh.2023.1281574 |
| الإتاحة: | https://doi.org/10.3389/fpubh.2023.1281574Test https://doaj.org/article/4b9352e278ae46b5ad3151e34095a1f6Test |
| رقم الانضمام: | edsbas.C288D541 |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 22962565 |
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| DOI: | 10.3389/fpubh.2023.1281574 |