Document Detail

Early and periodic screening, diagnosis, and treatment and infant health outcomes in Medicaid-insured infants in South Carolina.
MedLine Citation:
PMID:  17889080     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To test the hypothesis that infants experiencing the recommended number of early and periodic screening, diagnosis, and treatment (EPSDT) visits have better health outcomes than infants with fewer visits. STUDY DESIGN: Data represent all health encounters for Medicaid-insured infants of mothers aged at least 18 years in South Carolina, from 2000 to 2002, who were continuously enrolled in fee-for-service insurance (n = 36,662). We examined associations between having at least the recommended number of visits in the first year and health care use in the second year: sick infant doctor visits, emergency department (ED) visits, hospital admissions, and hospitalizations and ED visits for ambulatory care sensitive conditions. RESULTS: Infants with at least the recommended number of EPSDT visits had a higher adjusted rate of sick infant doctor visits (rate ratio, 1.49; 95% CI, 1.41-1.58), but a lower adjusted rate of ED visits for ambulatory care sensitive conditions (rate ratio, 0.94; 95% CI, 0.89-0.99). Having at least the recommended preventive visits did not affect rates of general ED visits or of hospitalizations. CONCLUSIONS: Having at least the recommended number of EPSDT visits may shift some health provision from the ED to physicians' offices.
William B Pittard; James N Laditka; Sarah B Laditka
Publication Detail:
Type:  Journal Article     Date:  2007-08-23
Journal Detail:
Title:  The Journal of pediatrics     Volume:  151     ISSN:  1097-6833     ISO Abbreviation:  J. Pediatr.     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-09-24     Completed Date:  2007-10-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375410     Medline TA:  J Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  414-8     Citation Subset:  AIM; IM    
Department of Pediatrics, Division of Pediatric Epidemiology and Health Systems Research, Medical University of South Carolina, Charleston, SC 29425, USA.
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MeSH Terms
Child Health Services* / utilization
Early Diagnosis
Health Status*
Infant, Newborn
Mass Screening* / utilization
Medicaid* / statistics & numerical data
Multivariate Analysis
Outcome Assessment (Health Care)*
Regression Analysis
South Carolina

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