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J. Krieger, F. Connell, J. LoGerfo (1992)
Medicaid prenatal care: a comparison of use and outcomes in fee-for-service and managed care.American journal of public health, 82 2
J. Showstack, P. Budetti, D. Minkler (1984)
Factors associated with birthweight: an exploration of the roles of prenatal care and length of gestation.American journal of public health, 74 9
K. Keppel, R. Heuser, P. Placek, D. Johnson, G. Simpson, S. Botman, C. Weinberg, A. Whitaker (1986)
Methods and response characteristics, 1980 National Natality and Fetal Mortality Surveys.Vital and health statistics. Series 2, Data evaluation and methods research, 100
(1987)
Race differences in utilization of prenatal care services in the U.S. Presented at the 115th
J. Quick, M. Greenlick, K. Roghmann (1981)
Prenatal care and pregnancy outcome in an HMO and general population: a multivariate cohort analysis.American journal of public health, 71 4
Fingerhut La, Kleinman Jc (1985)
Comparability of reporting between the birth certificate and the 1980 National Natality Survey.Vital and health statistics. Series 2, Data evaluation and methods research, 99
J. Forrest, S. Singh (1987)
Timing of prenatal care in the United States: how accurate are our measurements?Health services research, 22 2
R. Heidel (1991)
Healthy People 2000: National Health Promotion and Disease Prevention Objectives.Population and Development Review, 17
Greg Alexander, D. Cornely (1987)
Prenatal care utilization: its measurement and relationship to pregnancy outcome.American journal of preventive medicine, 3 5
J. Harris (1982)
Prenatal Medical Care and Infant Mortality
C. Goodman (1988)
American College of Obstetricians and Gynecologists Committee Opinions
M. Kotelchuck (1994)
The Adequacy of Prenatal Care Utilization Index: its US distribution and association with low birthweight.American journal of public health, 84 9
P. Braveman, T. Bennett, C. Lewis, S. Egerter, J. Showstack (1993)
Access to prenatal care following major Medicaid eligibility expansions.JAMA, 269 10
Alth ug su de inan death
S. Gortmaker (1979)
The effects of prenatal care upon the health of the newborn.American journal of public health, 69 7
D. Kessner, J. Singer, C. Dalk, E. Schlesinger (1973)
Infant death: an analysis by maternal risk and health care
G. Alexander, M. Tompkins, D. Petersen, J. Weiss (1991)
Source of bias in prenatal care utilization indices: implications for evaluating the Medicaid expansion.American journal of public health, 81 8
P. Placek (1984)
The 1980 National Natality Survey and National Fetal Mortality Survey--methods used and PHS agency participation.Public health reports, 99 2
Jann Murray, M. Bernfield (1988)
The differential effect of prenatal care on the incidence of low birth weight among blacks and whites in a prepaid health care plan.The New England journal of medicine, 319 21
C. Hogue, J. Buehler, L. Strauss, J. Smith (1987)
Overview of the National Infant Mortality Surveillance (NIMS) project--design, methods, results.Public health reports, 102 2
M. Kogan, M. Kotelchuck, S. Johnson (1993)
Racial differences in late prenatal care visits.Journal of perinatology : official journal of the California Perinatal Association, 13 1
An evaluation of the Kessner Adequacy of Prenatal Care Index and a proposed Adequacy of Prenatal Care Utilization Index. M Kotelchuck Department of Maternal and Child Health, School of Public Health, University of North Carolina at Chapel Hill 27599-7400. OBJECTIVES. The assessment of the adequacy of prenatal care utilization is heavily shaped by the way in which utilization is measured. Although it is widely used, the current major index of utilization, the Kessner/Institute of Medicine Index, has not been subjected to systematic examination. This paper provides such an examination. METHODS. Data from the 1980 National Natality Survey are used to disaggregate the components of the Kessner Index for detailed analysis. An alternative two-part index, the Adequacy of Prenatal Care Utilization Index, is proposed that combines independent assessments of the timing of prenatal care initiation and the frequency of visits received after initiation. RESULTS. The Kessner Index is seriously flawed. It is heavily weighted toward timing of prenatal care initiation does not distinguish timing of initiation from poor subsequent utilization, inaccurately measures utilization for full- or post-term pregnancies, and lacks sufficient documentation for consistent computer programming. CONCLUSIONS. The Adequacy of Prenatal Care Utilization Index offers a more accurate and comprehensive set of measures of prenatal care utilization than the Kessner Index.
American Journal of Public Health – American Public Health Association
Published: Sep 1, 1994
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