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Maternal and Child Health Journal

, Volume 9, Issue 2, pp 135–149 | Cite as

Health Promotion and Psychosocial Services and Women’s Assessments of Interpersonal Prenatal Care in Medicaid Managed Care

  • Carol C. Korenbrot
  • Sabrina T. Wong
  • Anita L. Stewart
Article

Abstract

Objectives: If prenatal health promotion and psychosocial support services are to remain accessible to Medicaid eligible women, evidence is needed as to whether the services improve care and benefit women in ways that matter to health plans. The aims of this study are to determine whether prenatal health promotion and psychosocial services are associated with better interpersonal care and greater satisfaction with care; and whether the effects on interpersonal care help explain satisfaction with care. Research Design: A telephone survey of 363 African American, Latina (US and nonUS-born) and White women receiving prenatal care in four Medicaid public health plans in California in 2001. Multivariate regression analyses were done with adjustments for potentially confounding variables. Measures: Independent variables included dichotomous variables for health promotion advice (five separate areas) and composite scales for psychosocial assessment (six areas combined). Dependent variables included satisfaction with care, and indices for interpersonal care (communication, decision-making, and interpersonal style). Results: Women who report receiving health promotion or psychosocial services also report receiving better interpersonal care and rate their satisfaction with care higher. Receiving either type of support service is associated with higher quality communication, decision-making and interpersonal style. The effects of the support services on satisfaction are, in turn, explained by the effects on interpersonal care. Conclusions: Prenatal health promotion and psychosocial services have associated benefits to enrollees that should matter to Medicaid health plans and their providers.

KEY WORDS

health promotion psychosocial prenatal care interpersonal care satisfaction with care medicaid managed care race/ethnicity communication decision-making quality care enhanced prenatal care 

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Copyright information

© Springer Science + Business Media, Inc. 2005

Authors and Affiliations

  • Carol C. Korenbrot
    • 1
    • 2
    • 7
  • Sabrina T. Wong
    • 1
    • 3
    • 4
  • Anita L. Stewart
    • 5
    • 6
  1. 1.Institute for Health Policy StudiesUniversity of California San Francisco
  2. 2.Department of Obstetrics, Gynecology and Reproductive Sciences, School of MedicineUniversity of California San FranciscoSan Francisco
  3. 3.Medical Effectiveness Research Center for Diverse PopulationsUniversity of CaliforniaSan Francisco
  4. 4.School of NursingUniversity of British ColumbiaVancouver
  5. 5.Medical Effectiveness Research Center for Diverse PopulationsUniversity of California San Francisco
  6. 6.Institute for Health and Aging, School of NursingUniversity of California San FranciscoSan Francisco
  7. 7.School of MedicineUniversity of California, San FranciscoSan Francisco

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