Academic Journal
Demographic Variation in Prenatal Care Coordination Receipt and Resulting Birth Outcomes: Evidence From the Wisconsin Medicaid Population.
| Τίτλος: | Demographic Variation in Prenatal Care Coordination Receipt and Resulting Birth Outcomes: Evidence From the Wisconsin Medicaid Population. |
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| Συγγραφείς: | Mallinson DC; Author Affiliations:Department of Family and Preventive Medicine, Rush Medical College, Rush University, Chicago, Illinois (Dr Mallinson), Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin (Dr Green), Department of Obstetrics and Gynecology, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin (Dr Green), and School of Nursing, University of Wisconsin-Madison, Madison, Wisconsin (Dr Gillespie)., Green TL, Gillespie KH |
| Πηγή: | Journal of public health management and practice : JPHMP [J Public Health Manag Pract] 2026 Jul-Aug 01; Vol. 32 (4), pp. 512-524. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 9505213 Publication Model: Print Cited Medium: Internet ISSN: 1550-5022 (Electronic) Linking ISSN: 10784659 NLM ISO Abbreviation: J Public Health Manag Pract Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2003- : Hagerstown, MD : Lippincott Williams & Wilkins Original Publication: Frederick, MD : Aspen Publishers, c1995- |
| Ιατρικοί όροι (MeSH): | Prenatal Care*/statistics & numerical data , Prenatal Care*/standards , Prenatal Care*/methods , Pregnancy Outcome*/epidemiology , Demography*/statistics & numerical data , Demography*/methods, Medicaid/statistics & numerical data ; Medicaid/organization & administration ; Wisconsin/epidemiology ; Humans ; Female ; Pregnancy ; United States ; Adult ; Cohort Studies |
| Περίληψη: | Context: Medicaid-funded obstetric care coordination services improve birth outcomes. Whether these benefits vary by race/ethnicity or urbanicity is uncertain. Objective: We examined whether the associations between Wisconsin Medicaid's Prenatal Care Coordination (PNCC) program and birth outcomes varied by race/ethnicity and urbanicity. Design: Data came from a statewide cohort of birth records and linked Medicaid claims. The treatment was PNCC receipt during pregnancy for the birthing parent (none; assessment/care plan; service receipt). Covariate-adjusted conventional and sibling fixed effects linear probability models computed associations between PNCC treatment and birth outcome risks. We stratified models on birthing parent race/ethnicity (American Indian/Alaska Native non-Hispanic [NH]; Asian/Pacific Islander NH; Black NH; Hispanic; White NH; multiple NH; other NH) or on residence county urbanicity (large central metro; large fringe metro; medium metro; small metro; micropolitan; noncore). Setting: Wisconsin, US. Participants: A total of 249 502 Medicaid-paid births (2010-2019). Main Outcome Measures: Preterm birth (PTB; gestational age <37 weeks). Low birth weight (LBW; <2500 g). Results: Bias-limiting sibling fixed effects estimates indicated that PNCC's benefit is greatest among Black NH births and large central metro births. For Black NH births, PNCC service receipt was associated with a 3.3 percentage point (pp) reduction (95% CI: -4.5, -2.1pp) and a -2.9pp reduction (95% CI: -4.0, -1.7pp) in the risks of PTB and LBW, respectively. For large central metro births, PNCC service receipt was associated with a 2.7pp reduction (95% CI: -3.7, -1.7pp) and a -2.4pp reduction (95% CI: -3.4, -1.5pp) in the risks of PTB and LBW, respectively. Conclusions: Estimates suggest that PNCC services were most effective in Black NH and urban populations. This motivates policy to improve PNCC outreach and impact in populations that stand to benefit from care coordination during pregnancy. (Copyright © 2026 The Authors. Published by Wolters Kluwer Health, Inc.) |
| Competing Interests: | The authors have no conflicts of interest to disclose. |
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| Contributed Indexing: | Keywords: low birth weight; maternal and child health; practice variation; prenatal care; preterm birth |
| Entry Date(s): | Date Created: 20260206 Date Completed: 20260707 Latest Revision: 20260707 |
| Update Code: | 20260707 |
| PubMed Central ID: | PMC13193169 |
| DOI: | 10.1097/PHH.0000000000002327 |
| PMID: | 41650304 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1550-5022 |
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| DOI: | 10.1097/PHH.0000000000002327 |