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首页> 外文期刊>Journal of public health management and practice: JPHMP >Physician awareness of enhanced prenatal services for medicaid-insured pregnant women
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Physician awareness of enhanced prenatal services for medicaid-insured pregnant women

机译：医生对医疗保险孕妇的产前服务的意识增强

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Context: Medicaid enhanced prenatal service (EPS) programs, including care coordination, were developed to improve birth outcomes for low-income pregnant women. In Michigan, less than a third of eligible pregnant women are enrolled in services. Physician or medical clinics provide referrals to community-based EPS. Objective: The objective of this study was to examine physician knowledge and perceptions of EPS. Design: A cross-sectional survey of obstetric providers was conducted in 2009. A questionnaire was created to assess understanding of the EPS program. Setting: The study was conducted in an urban Michigan community. Participants: Participants included a convenience sample (N = 56) of community Obstetrics and Gynecology attending physicians and resident physicians within a single, large health system. Main outcome measures: Outcome measures included knowledge of the program and patient participation, referral practices, perceptions of the program, value for patients and providers, appropriateness of physicians to provide program referrals, and barriers to referring. Results: Findings indicated that most physicians (84%) had little familiarity with EPS, 60% did not personally refer to EPS, 54% did not know whether other office staff referred to EPS, and 65% were unaware whether their patients received EPS. Yet, more than 90% of physicians reported that EPS would benefit their patients and believed that it was appropriate for them to refer all their eligible patients. Conclusion: Further efforts should be made to better understand how physicians and EPS providers could function together on behalf of patients. Statewide Medicaid-sponsored EPS programs could serve as a valuable patient and physician resource for psychosocial risk screening, care management, education, and referral support if better utilized.
机译：背景：开发了医疗补助增强的产前服务（EPS）计划，包括护理协调，以改善低收入孕妇的出生结局。在密歇根州，只有不到三分之一的合格孕妇注册了服务。内科医生或医疗诊所可转介基于社区的EPS。目的：本研究的目的是检查医师对EPS的了解和认识。设计：2009年对产科医师进行了横断面调查。创建了调查表以评估对EPS计划的理解。地点：这项研究是在密歇根州的一个城市社区进行的。参与者：参与者包括一个单一的大型卫生系统中社区妇产科主治医师和住院医师的便利样本（N = 56）。主要结局指标：成果指标包括对计划和患者参与的了解，转诊实践，对计划的看法，对患者和提供者的价值，医生提供计划转介的适当性以及转介的障碍。结果：调查结果表明，大多数医生（84％）对EPS不太熟悉，60％的人没有亲自提到EPS，54％的人不知道其他办公室工作人员是否提到EPS，65％的人不知道他们的患者是否接受EPS。然而，超过90％的医生报告说EPS将使他们的患者受益，并认为他们适合转诊所有符合条件的患者。结论：应该做进一步的努力，以更好地理解医生和EPS提供者如何代表患者一起工作。如果更好地利用，全州医疗补助计划资助的EPS计划可以作为宝贵的患者和医师资源，用于社会心理风险筛查，护理管理，教育和转诊支持。

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