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Evaluation & the Health Professions
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The Status of Prenatal Care among Medicaid Managed Care Patients in Connecticut

Thomas J. van Hoof

Qualidigm, Middletown, CT, and the University of Connecticut School of Medicine

Barbara A. Casey

Janet P. Tate

Qualidigm, Middletown, CT

James J. Linnane

The Department of Social Services, State of Connecticut

Marcia K. Petrillo

Qualidigm, Middletown, CT

Thomas P. Meehan

Qualidigm, Middletown, CT, and the Department of Medicine, Yale University School of Medicine

Providing quality prenatal care to high-risk, pregnant adolescents represents an important challenge to health care providers and health plans. Using national prenatal care guidelines, this study sought to evaluate the quality of important processes and outcomes of prenatal care delivered to women age 21 years and younger enrolled in three health plans serving the Connecticut Medicaid population. Some important findings include 93% compliance with recommended processes of prenatal care, an 11% C-section rate, an average length of hospital stay of 4.0 days for women having a C-section, and a 10% premature delivery rate. Opportunities for improvement include 40% failing to begin prenatal care in the first trimester, 31% not receiving the recommended number of prenatal care visits, and 8% delivering a low-birth-weight infant. This study provides important descriptive information on processes and outcomes of care for pregnant adolescents within Medicaid Managed Care and also identifies opportunities for improvement.

Evaluation & the Health Professions, Vol. 23, No. 4, 409-421 (2000)
DOI: 10.1177/01632780022034697
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