Prenatal care : reaching mothers, reaching infants

Prenatal care reaching mothers, reaching infants

Detalles Bibliográficos
Autor Corporativo: Institute of Medicine (U.S.). Committee to Study Outreach for Prenatal Care (-)
Otros Autores: Brown, Sarah S. (-)
Formato: Libro electrónico
Idioma:Inglés
Publicado: Washington, D.C. : National Academy Press 1988.
Edición:1st ed
Materias:
Prenatal care.
Women's health services.
Ver en Biblioteca Universitat Ramon Llull:https://discovery.url.edu/permalink/34CSUC_URL/1im36ta/alma991009622278006719
Tabla de Contenidos:
  • Prenatal Care
  • Copyright
  • Acknowledgments
  • Contents
  • Summary
  • STUDY FOCUS
  • DEMOGRAPHIC RISK FACTORS
  • Minority Status
  • Age
  • Education
  • Birth order
  • Marital status
  • Income
  • Geographic location
  • BARRIERS TO THE USE OF PRENATAL CARE
  • Financial Barriers
  • Inadequate System Capacity
  • Organization, Practices, and Atmosphere of Prenatal Services
  • Cultural and Personal Barriers
  • BARRIERS TO CARE: WOMEN'S AND PROVIDERS' PERSPECTIVES
  • MULTIVARIATE ANALYSIS
  • IMPROVING THE USE OF PRENATAL CARE: PROGRAM EXPERIENCE
  • Program Implementation and Evaluation
  • CONCLUSIONS AND RECOMMENDATIONS
  • SPECIFIC RECOMMENDATIONS
  • Introduction
  • STUDY FOCUS
  • STUDY METHOD
  • ORGANIZATION OF THE REPORT
  • THE VALUE OF PRENATAL CARE: AN UNDERLYING ASSUMPTION
  • REFERENCES AND NOTES
  • Chapter 1 Who Obtains Insufficient Prenatal Care?
  • TERMINOLOGY AND MEASURES
  • CURRENT PATTERNS OF USE
  • Racial and Ethnic Subgroups
  • Age
  • Education
  • Birth Order
  • Marital Status
  • Income
  • RELATIONSHIPS AMONG DEMOGRAPHIC RISK FACTORS
  • GEOGRAPHIC POCKETS OF NEED
  • TRENDS IN THE USE OF PRENATAL CARE
  • SUMMARY
  • REFERENCES AND NOTES
  • Chapter 2 Barriers to the Use of Prenatal Care
  • FINANCIAL BARRIERS
  • Private Insurance
  • Eligibility for Coverage
  • Scope and Depth of Coverage
  • Patient Cost-Sharing
  • Medicaid
  • Uninsured Women
  • INADEQUATE SYSTEM CAPACITY
  • Services in Organized Settings
  • Maternity Care Providers
  • Malpractice
  • ORGANIZATION, PRACTICES, AND ATMOSPHERE OF PRENATAL SERVICES
  • Links Among Services
  • Medicaid Application Procedures
  • Classic Barriers to Access
  • CULTURAL AND PERSONAL BARRIERS
  • SUMMARY
  • REFERENCES AND NOTES
  • Chapter 3 Women's Perceptions of Barriers to Care
  • SELECTION AND SYNTHESIS OF STUDIES
  • Studies of Women with Insufficient Prenatal Care.
  • Studies of Women with No Prenatal Care
  • Studies of Adolescents
  • Limitations
  • PROVIDER PERSPECTIVES
  • MULTIVARIATE ANALYSIS
  • SUMMARY
  • REFERENCES
  • Chapter 4 Improving the Use of Prenatal Care: Program Experience
  • SELECTION AND CLASSIFICATION OF PROGRAMS
  • THE PROGRAMS STUDIED
  • Programs That Reduce Financial Barriers
  • Programs That Increase System Capacity
  • Programs That Improve Institutional Practices
  • Programs That Conduct Casefinding
  • Programs That Provide Social Support
  • OBSERVATIONS ON PROGRAM EFFECTIVENESS
  • PROGRAM DESIGN AND MANAGEMENT
  • COMMON DIFFICULTIES IN PROGRAM IMPLEMENTATION AND MAINTENANCE
  • Finding Financial and Community Support
  • Recruiting and Keeping Personnel
  • Dealing with Bureaucracies
  • Planning and Sustaining Programs
  • Other Problems
  • PROGRAM EVALUATION
  • SUMMARY
  • REFERENCES AND NOTES
  • Chapter 5 Conclusions and Recommendations
  • REVISING THE NATION'S MATERNITY CARE SYSTEM: A LONG-TERM GOAL
  • DEVELOPING A COMPREHENSIVE, MULTIFACTED PROGRAM: A SHORT-TERM GOAL
  • FINANCIAL BARRIERS
  • INADEQUATE SYSTEM CAPACITY
  • INSTITUTIONAL ORGANIZATION, PRACTICES, AND ATMOSPHERE
  • PUBLIC INFORMATION AND EDUCATION
  • THE ROLE OF OUTREACH: A GENERAL FRAMEWORK
  • CASEFINDING
  • SOCIAL SUPPORT
  • MANAGEMENT AND EVALUATION
  • RESEARCH
  • A NOTE TO FUNDERS
  • SUMMARY
  • REFERENCES AND NOTES
  • Appendix A Summaries of the 31 Programs Studied
  • TYPE 1: PROGRAMS TO REDUCE FINANCIAL BARRIERS
  • Healthy Start Program-Massachusetts
  • Prenatal-Postpartum Care Program-Michigan
  • TYPE 2: PROGRAMS TO INCREASE SYSTEM CAPACITY
  • Obstetrical Access Pilot Project-California
  • Perinatal Program-Lea County, New Mexico
  • Prenatal Care Assistance Program-New York State
  • Prevention of Low Birthweight Program-Onondaga County, New York
  • TYPE 3: PROGRAMS TO IMPROVE INSTITUTIONAL PRACTICES.
  • Maternity and Infant Care Projects-Ohio and North Carolina
  • Improved Pregnancy Outcome Project-Two Counties in North Carolina
  • Improved Child Health Project-Two Areas of Mississippi
  • Child Survival Project, Columbia-Presbyterian Medical Center-New York City
  • Development of a Perinatal System in Shelby County, Tennessee
  • TYPE 4: PROGRAMS THAT CONDUCT CASEFINDING
  • Central Harlem Outreach Program-New York City
  • Community Health Advocacy Program-New York City
  • The Better Babies Project-Washington, D.C.
  • The Maternity and Infant Outreach Project-Hartford, Connecticut
  • Pregnancy Healthline-New York City
  • The 961-BABY Telephone Information and Referral Service-Detroit, Michigan
  • Concern for Health Options: Information, Care and Education (CHOICE)-Philadelphia, Pennsylvania
  • The Free Pregnancy Testing and Prenatal Care Advocate Program-Tulsa, Oklahoma
  • The Special Supplemental Food Program for Women, Infants, and Children (WIC)-Six Studies
  • Baby Showers-Seven Counties in Michigan
  • TYPE 5: PROGRAMS THAT PROVIDE SOCIAL SUPPORT
  • Resource Mothers-Three Counties in South Carolina
  • Comprehensive Service Programs for Pregnant Adolescents-A Summary of Six Programs
  • Improving Institutional Arrangements
  • Casefinding
  • Social Support
  • Evaluation
  • The Prenatal and Infancy Home Visiting Program-Elmira, New York
  • The Grannies Program-Bibb County, Georgia
  • REFERENCES AND NOTES
  • Appendix B Prenatal Care Outreach: An International Perspective
  • STUDY COUNTRIES
  • ADEQUACY OF DATA
  • CHARACTERISTICS OF STUDY COUNTRIES
  • Demographics
  • Teenage Childbearing
  • Household Income
  • National Finances
  • Health Care Financing and Delivery
  • MATERNITY-RELATED SERVICES
  • Public Clinics
  • Number of Prenatal Visits
  • Home Visiting
  • Incentives to Participate in Prenatal Care
  • Home Deliveries
  • Hospital Deliveries.
  • Continuity of Care
  • MATERNITY-RELATED BENEFITS
  • CONCLUSIONS
  • REFERENCES
  • Appendix C The Medical Malpractice Crisis and Poor Women
  • CAUSES OF THE INCREASE IN MALPRACTICE INSURANCE COSTS
  • Medical Advances and the Demise of the Locality Rule
  • Large Awards
  • Substandard Physicians
  • Contingency Fees
  • Insurance Companies
  • Underfinancing of Maternity Care
  • RESPONSE BY PROVIDERS OF OBSTETRICAL CARE
  • Cessation of Obstetrical Practice
  • Impact on Providers of Maternity Care to the Poor
  • Rejection of High-Risk Women
  • Rejection of Underfinanced Women
  • STATE RESPONSES
  • CONCLUSION AND RECOMMENDATIONS
  • REFERENCES AND NOTES
  • Index.

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