| Early and periodic screening, diagnosis, and treatment and infant health outcomes in Medicaid-insured infants in South Carolina. | |
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MedLine Citation:
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PMID: 17889080 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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William B Pittard; James N Laditka; Sarah B Laditka |
Publication Detail:
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Type: Journal Article Date: 2007-08-23 |
Journal Detail:
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Title: The Journal of pediatrics Volume: 151 ISSN: 1097-6833 ISO Abbreviation: J. Pediatr. Publication Date: 2007 Oct |
Date Detail:
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Created Date: 2007-09-24 Completed Date: 2007-10-09 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0375410 Medline TA: J Pediatr Country: United States |
Other Details:
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Languages: eng Pagination: 414-8 Citation Subset: AIM; IM |
Affiliation:
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Department of Pediatrics, Division of Pediatric Epidemiology and Health Systems Research, Medical University of South Carolina, Charleston, SC 29425, USA. pittardw@musc.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Child Health Services* / utilization Early Diagnosis Female Health Status* Humans Infant Infant, Newborn Mass Screening* / utilization Medicaid* / statistics & numerical data Mothers Multivariate Analysis Outcome Assessment (Health Care)* Poverty Regression Analysis South Carolina |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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