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Strengthening the evidence for maternal and child health programs

Find Established Evidence


Displaying records 1 through 3 (3 total).

Wharam JF, Galbraith AA, Kleinman KP, Soumerai SB, Ross-Degnan D, Landon BE. Cancer screening before and after switching to a high-deductible health plan. Ann Intern Med. 2008;148(9):647-55.

Link: https://www.ncbi.nlm.nih.gov/pubmed/18458277

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PAYER, Cost-Sharing Requirements

Intervention Results:

No significant changes in Pap smear rates between baseline and follow-up

Lipton BJ, Decker SL. ACA provisions associated with increase in percentage of young adult women initiating and completing the HPV vaccine. Health Affairs. 2015;34(5):757-764.

Link: https://www.healthaffairs.org/doi/abs/10.1377/hlthaff.2014.1302

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PAYER, Expanded Insurance Coverage, Cost-Sharing Requirements

Intervention Results:

  • Significantly higher percentage of HPV vaccine initiation among women aged 19-25 post intervention compared to pre-intervention (6.83% difference; P<.05).
  • No significant change in percentage of HPV vaccine initiation among the control group of women aged 18 or 26 post intervention compared to pre-intervention.
  • Significantly higher percentage of HPV vaccine initiation among women ages 19-25 compared to a control group of women age 18 or 26 post intervention (7.7 % difference; P<.01).

Roblin D, Ritzwoller D, Rees D, Carroll N, Chang A, Daley M. The influence of deductible health plans on receipt of the human papillomavirus vaccine series. J Adolesc Health. 2014;54(3):275-281.

Link: https://www.ncbi.nlm.nih.gov/pubmed/24560035

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PAYER, Cost-Sharing Requirements

Intervention Results:

  • Significantly higher percentage of HPV vaccine series initiation among women with a Health Maintenance Plan (HMP) compared to those with a Deductible Health Plan (DHP) at the Kaiser Permanente Colorado site within 2 years post enrollment (46.2% vs. 31.1%, P<.01).
  • No significant differences between HMP and DHP policyholders at the Kaiser Permanente Georgia site within 2 years post enrollment (24.4% vs. 22.2%, P=.29).
   

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.