Group Prenatal Care and Emergency Room Utilization

Author:

Marton James1,Smith Jessica C.1ORCID,Heberlein Emily C.1,Laboy Ana1,Britt Jessie2,Crockett Amy H.2

Affiliation:

1. Georgia State University, Atlanta, GA, USA

2. Prisma Health–Upstate, Greenville, SC, USA

Abstract

Pregnancy-related complaints are a significant driver of emergency room (ER) utilization among women. Because of additional time for patient education and provider relationships, group prenatal care may reduce ER visits among pregnant women by helping them identify appropriate care settings, improving understanding of common pregnancy discomforts, and reducing risky health behaviors. We conducted a retrospective cohort study, utilizing Medicaid claims and birth certificate data from a statewide expansion of group care, to compare ER utilization between pregnant women participating in group prenatal care and individual prenatal care. Using propensity score matching methods, we found that group care was associated with a significant reduction in the likelihood of having any ER utilization (–5.9% among women receiving any group care and –6.0% among women attending at least five group care sessions). These findings suggest that group care may reduce ER utilization among pregnant women and encourage appropriate health care utilization during pregnancy.

Funder

South Carolina Department of Health and Human Services, subaward through Prisma Health

Publisher

SAGE Publications

Subject

Health Policy

Reference49 articles.

1. Longitudinal Patterns of Emergency Department Visits: A Multistate Analysis of Medicaid Beneficiaries

2. Propensity score matching with clustered data. An application to the estimation of the impact of caesarean section on the Apgar score

3. Billings J., Parikh N., Mijanovich T. (2000). Emergency department use in New York City: A substitute for primary care? Issue Brief (Commonwealth Fund). https://pubmed.ncbi.nlm.nih.gov/11665698/

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