Predictors of referral to the North Carolina child service coordination program among infants with orofacial clefts
Predictors of referral to the North Carolina child service coordination program among infants with orofacial clefts
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DOI：
10.1597/05-198
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发表时间：
2007-01-01
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影响因子：
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通讯作者：
Farel, Anita M.
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文献类型：
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作者：
Cassell, Cynthia H.;Meyer, Robert E.;Farel, Anita M.
目的：北卡罗来纳州有几个方案，确定需要服务的高危妇女和儿童，包括儿童服务协调方案。本研究确定了口面裂（OFC）婴儿的CSCP转介率和CSCP转介的预测因素。我们假设接受医疗补助和产妇护理协调（MCC）服务增加的可能性CSCP referreration.Design和设置：出生在1999年和2002年之间，数据匹配从北卡罗来纳州人口统计，卫生服务信息系统（MCC和CSCP数据），和北卡罗来纳州出生缺陷监测计划。多变量分析被用来确定粗和调整后的比值比为社会人口学变量预测CSCP referreration.Participants：共644名母亲的活产婴儿与OFCs在北卡罗来纳州identified.Results：约45%的婴儿与OFCs被称为CSCP。与母亲没有接受医疗补助的OFC婴儿相比，母亲年龄至少为30岁和母亲接受过高中以上教育的婴儿被转诊到CSCP的可能性明显较低，接受医疗补助的母亲被转诊到CSCP的可能性高1.9倍，接受医疗补助和MCC服务的母亲被转诊到CSCP的可能性高2.3倍。接受医疗补助和MCC服务以及仅接受医疗补助与CSCP转介呈正相关。未来的研究应检查MCC服务的持续时间和与CSCP转诊及时性相关的因素的影响。
Objective: North Carolina has several programs that identify high-risk women and children for needed services, including the Child Service Coordination Program (CSCP). This study determines CSCP referral rates among infants with orofacial clefts (OFCs) and predictors of CSCP referral. We hypothesized receiving Medicaid and maternity care coordination (MCC) services increases the likelihood of CSCP referral.Design and Setting: For births between 1999 and 2002, data were matched from North Carolina Vital Statistics, Health Services Information System (MCC and CSCP data), and North Carolina Birth Defects Monitoring Program. Multivariate analysis was used to determine crude and adjusted odds ratios for sociodemographic variables to predict CSCP referral.Participants: A total of 644 mothers of live-born infants with OFCs in North Carolina were identified.Results: About 45% of infants with OFCs were referred to the CSCP. Infants of mothers who were at least 30 years of age and mothers who had more than a high school education were significantly less likely to be referred to the CSCP Compared with infants with OFCs whose mothers did not receive Medicaid, mothers who received Medicaid were 1.9 times more likely to be referred to the CSCP, and mothers who received Medicaid and MCC services were 2.3 times more likely.Conclusions: Receipt of Medicaid and MCC services and receipt of Medicaid alone were positively associated with CSCP referral. Future studies should examine the effects of the duration of MCC services and factors related to the timeliness of CSCP referral.