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Strengthening the evidence for maternal and child health programs

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Institute for Child Health Policy at the University of Florida. Florida Pediatric Medical Home Demonstration Project Evaluation. https://www.healthmanagement.com/wp-content/uploads/florida-pediatric-medical-home-demonstration-report-year-4.pdf Updated 2014.

Link: https://www.healthmanagement.com/wp-content/uploads/florida-pediatric-medical-home-demonstration-report-year-4.pdf

NPM: 10: Adolescent Well-Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Parent Engagement, PROVIDER/PRACTICE, Maintenance of Certification Credits, Provider Training/Education, Patient-Centered Medical Home, Quality Improvement/Practice-Wide Intervention

Intervention Results:

Percentage of adolescent well-care visits increased for both Round 1 practices (69.9% in Year 1 to 76.4% in Year 4) and Round 2 practices (64.2% in Year 3 to 72.3% in Year 4)

Harrington M, Kenney GM, et al. CHIPRA Mandated Evaluation of the Children's Health Insurance Program: Final Findings. Report submitted to the Office of the Assistant Secretary for Planning and Evaluation. Ann Arbor, MI: Mathematica Policy Research; August 2014.

Link:

NPM: 10: Adolescent Well-Visit
Intervention Components (click on component to see a list of all articles that use that intervention): Expanded Insurance Coverage, PAYER

Intervention Results:

Significantly higher percentage of adolescent well visits for CHIP enrollees vs children uninsured for 5-12 months in the prior year (p<.05)

Smith K, Dye C. 2012 2012 Congressionally Mandated CHIP and Medicaid Survey: Findings on Access and Use for Primary and Preventative Care Under CHIP and Medicaid. Memo to the Office of the Assistant Secretary of Planning and Evaluation. Mathematica Policy Research. December 20, 2013.

Link:

NPM: 10: Adolescent Well-Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PAYER, Expanded Insurance Coverage

Intervention Results:

Significantly higher percentage of adolescent well visits for CHIP enrollees vs children uninsured for 5-12 months in the prior year (p<.05)

Adams SH, Park MJ, Twietmeyer L, Brindis CD, Irwin CE, Jr. Association between adolescent preventive care and the role of the Affordable Care Act. JAMA Pediatr. 2018;172(1):43-48.

Link: https://www.ncbi.nlm.nih.gov/pubmed/29114725

NPM: 10: Adolescent Well-Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PAYER, Expanded Insurance Coverage

Intervention Results:

Significantly higher rates of well visits (7% difference; 95% CI=1.2%-1.5%; p<.001)

Dick AW, Brach C, Allison RA, et al. SCHIP's impact in three states: how do the most vulnerable children fare? Health Aff. 2004;23(5):63-75.

Link: https://www.ncbi.nlm.nih.gov/pubmed/15371371

NPM: 10: Adolescent Well-Visit
Intervention Components (click on component to see a list of all articles that use that intervention): Expanded Insurance Coverage, PAYER

Intervention Results:

  • Significantly higher rates of preventive care for adolescents in Florida (0.71 vs 0.79; p<.01)
  • No significant increase in preventive care for adolescents in New York (p<.10)

Garcia-Huidobro D, Shippee N, Joseph-DiCaprio J, O'Brien JM, Svetaz MV. Effect of patient-centered medical home on preventive services for adolescents and young adults. Pediatrics. 2016;137(6).

Link: https://www.ncbi.nlm.nih.gov/pubmed/27244851

NPM: 10: Adolescent Well-Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Patient-Centered Medical Home

Intervention Results:

  • No significant difference in odds of receiving a preventive visit for the total sample (ages 10-24), comparing patients enrolled in patient-centered medical homes with patients not enrolled (aOR=1.10; CI=0.93-1.29)
  • Decreased odds of having a visit for adolescents ages 10-18 comparing patients rolled in patient-centered medical homes with patients not enrolled (aOR=0.63; 99% CI=0.51-0.79)

Szilagyi PG, Humiston SG, Gallivan S, Albertin C, Sandler M, Blumkin A. Effectiveness of a citywide patient immunization navigator program on improving adolescent immunizations and preventive care visit rates. Arch Pediatr Adolesc Med. 2011;165(6):547-553.

Link: https://www.ncbi.nlm.nih.gov/pubmed/21646588/

NPM: 10: Adolescent Well-Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Patient Reminder/Invitation, Home Visits, Transportation Assistance

Intervention Results:

Significant increase in preventive care visit rates in the intervention group vs control group (p<.01)

Szilagyi PG, Schaffer S, Barth R, et al. Effect of telephone reminder/recall on adolescent immunization and preventive visits: results from a randomized clinical trial. Arch Pediatr Adolesc Med. 2006;160(2):157-163.

Link: https://www.ncbi.nlm.nih.gov/pubmed/16461871/

NPM: 10: Adolescent Well-Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Patient Reminder/Invitation

Intervention Results:

No significant increase in adolescent well visit rates

Greene J. Using consumer incentives to increase well-child visits among low-income children. Med Care Res Review. 2011;68(5):579-593.

Link: https://www.ncbi.nlm.nih.gov/pubmed/21536605

NPM: 10: Adolescent Well-Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Incentives

Intervention Results:

  • Significant increase in adolescent well-care visits in Year 1 for children with both CHIP $10 premium and CHIP $15 premium vs Medicaid comparison group (p<.001)
  • Significant increase in adolescent well-care visits in Year 2 for children with both CHIP $10 premium and CHIP $15 premium vs Medicaid comparison group (p<.001)

Kenney GM, Marton J, Klein AE, Pelletier JE, Talbert J. The effects of Medicaid and CHIP policy changes on receipt of preventive care among children. Health Serv Res. 2011;46(1 Pt 2):298-318.

Link: https://www.ncbi.nlm.nih.gov/pubmed/21054374

NPM: 10: Adolescent Well-Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Increased Reimbursement

Intervention Results:

  • No significant increase in receipt of well-child care visits in Kentucky (0% difference; p<.01)
  • Significant increase in receipt of well-child care visits in Idaho (2.9% difference; p<.01)

Knishkowy B, Palti H, Schein M, Yaphe J, Edman R, Baras M. Adolescent preventive health visits: a comparison of two invitation protocols. J Am Board Fam Pract. 2000;13(1):11-16.

Link: http://www.jabfm.org/content/13/1/11.full.pdf+html

NPM: 10: Adolescent Well-Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Patient Reminder/Invitation

Intervention Results:

  • No significant increase in well-child attendance rate for seventh graders
  • No significant increase in well-child attendance rate for tenth graders

Kenney G. The impacts of the State Children's Health Insurance Program on children who enroll: findings from ten states. Health Serv Res. 2007;42(4):1520-1543.

Link: https://www.ncbi.nlm.nih.gov/pubmed/17610436

NPM: 10: Adolescent Well-Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PAYER, Expanded Insurance Coverage

Intervention Results:

Significantly higher percentage of adolescent well visits for CHIP enrollees vs children uninsured for at least 2 months in the prior year (p<.01)

Riley M, Laurie AR, Plegue MA, Richarson CR. The adolescent "expanded medical home": school-based health centers partner with a primary care clinic to improve population health and mitigate social determinants of health. J Am Board Fam Med. 2016;29(3):339-347.

Link: https://www.ncbi.nlm.nih.gov/pubmed/27170791

NPM: 10: Adolescent Well-Visit
Intervention Components (click on component to see a list of all articles that use that intervention): SCHOOL, School-Based Health Centers

Intervention Results:

Significantly higher rates of well-child visits for the SBHC/primary care partnership vs. primary care practice only group during intervention period (77.1% vs 69.9%; p=0.03)

Szilagyi PG, Albertin C, Humiston SG, et al. A randomized trial of the effect of centralized reminder/recall on immunizations and preventive care visits for adolescents. Acad Pediatr. 2013;13(3):204-213.

Link: https://www.ncbi.nlm.nih.gov/pubmed/23510607/

NPM: 10: Adolescent Well-Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Patient Reminder/Invitation

Intervention Results:

  • Significantly higher rates of annual preventive care visits in the mailed reminder group vs control group (Hazard ratio=1.2; CI=1.1- 1.3; p<.01)
  • Significantly higher rates of annual preventive care visits in the telephone reminder group vs control group (Hazard ratio=1.1; CI=1.0-1.2; p<.05)

Allison MA, Crane LA, Beaty BL, Davidson AJ, Melinkovich P, Kempe A. School-based health centers: improving access and quality of care for low-income adolescents. Pediatrics. 2007;120(4):e887- 894.

Link: https://www.ncbi.nlm.nih.gov/pubmed/17846146

NPM: 10: Adolescent Well-Visit
Intervention Components (click on component to see a list of all articles that use that intervention): SCHOOL, School-Based Health Centers

Intervention Results:

  • Significantly higher odds of health maintenance visit in the intervention group (aOR=1.9; 95% CI=1.5-2.3)
  • Significantly higher odds of health maintenance visit in the intervention group in repeat analysis (aOR=1.43; 95% CI=1.16-1.78)

Klein JD, Shone LP, Szilagyi PG, Bajorska A, Wilson K, Dick AW. Impact of the State Children's Health Insurance Program on adolescents in New York. Pediatrics. 2007;119(4):e885-892.

Link: https://www.ncbi.nlm.nih.gov/pubmed/17403831/

NPM: 10: Adolescent Well-Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PAYER, Expanded Insurance Coverage

Intervention Results:

Significantly higher number of preventive-care visits in the insured group (8.3% difference; p=.003)
   

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.