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首页> 美国卫生研究院文献>American Journal of Public Health >Increasing Medicaid child health screenings: the effectiveness of mailed pamphlets phone calls and home visits.
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Increasing Medicaid child health screenings: the effectiveness of mailed pamphlets phone calls and home visits.

机译：越来越多的Medicaid儿童健康检查：邮寄的小册子电话和上门拜访的有效性。

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OBJECTIVES. A randomized controlled trial was conducted to test the effectiveness and cost effectiveness of three outreach interventions to promote well-child screening for children on Medicaid. METHODS. In rural North Carolina, a random sample of 2053 families with children due or overdue for screening was stratified according to the presence of a home phone. Families were randomly assigned to receive a mailed pamphlet and letter, a phone call, or a home visit outreach intervention, or the usual (control) method of informing at Medicaid intake. RESULTS. All interventions produced more screenings than the control method, but increases were significant only for families with phones. Among families with phones, a home visit was the most effective intervention but a phone call was the most cost-effective. However, absolute rates of effectiveness were low, and incremental costs per effect were high. CONCLUSIONS. Pamphlets, phone calls, and home visits by nurses were minimally effective for increasing well-child screenings. Alternate outreach methods are needed, especially for families without phones.
机译：目标进行了一项随机对照试验，以测试三种推广干预措施的有效性和成本效益，以促进对接受Medicaid进行儿童筛查的儿童。方法。在北卡罗来纳州的农村地区，根据家庭电话的存在，对2053个有子女到期或逾期筛查的家庭进行了随机抽样分层。家庭被随机分配以接收邮寄的小册子和信件，电话，家庭访问推广干预，或通常的（控制）告知医疗补助摄入情况的方法。结果。所有干预措施产生的筛查量均比对照方法多，但增加的幅度仅对有电话的家庭有效。在有电话的家庭中，家访是最有效的干预措施，但打电话最划算。但是，绝对效率很低，每次效果的增量成本很高。结论。小册子，电话和护士的家访对增加对儿童的筛查效果不佳。需要替代的外展方法，尤其是对于没有电话的家庭。

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