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Идёт набор NCT05678699

The Effects of Medicaid Policy Interventions on Racial Equity in Severe Maternal Morbidity

Без фазы С лечением Severe Maternal Morbidity Maternal Death

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: Medicaid healthcare quality interventions (equity payment and obstetric bundled payment), Doula, Standard Care.
Кому может быть актуально
Состояния в реестре: Severe Maternal Morbidity, Maternal Death. Базовые параметры: Без ограничений · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
США
Следующий шаг
Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Обзор

The goal of this study is to learn about the effects of structural inventions, such as equity-focused Medicaid polices, on severe maternal morbidity (SMM) and mortality and maternal health. The main questions it aims to answer are: 1. What is the effect of Medicaid healthcare quality interventions on SMM? 2. What is the effect of Medicaid healthcare quality interventions + doula care? 3. What are Medicaid beneficiaries' experiences in receiving services and the potential impact of integration of doula services and equity practices? Participants will be asked to describe experiences as a result of structural interventions and focused Medicaid policies.

Вмешательства

  • Поведенческое Medicaid healthcare quality interventions (equity payment and obstetric bundled payment)
    This study has two components, with the first component being examined in Aim 1 and the first and second components being examine in aim 2. 1\) health equity incentive payment program makes available $26 million annually in Medicaid managed care organization (MCO) payments to plans that improve access to timely prenatal care and well-child visits among Black beneficiaries. The equity-focused obstetric care bundled payment model provides incentives for clinicians to improve on a wide range of pr
  • Поведенческое Doula
    This study has two components, with the first component being examined in Aim 1 and the first and second components being examine in aim 2. 1. health equity incentive payment program makes available $26 million annually in Medicaid managed care organization (MCO) payments to plans that improve access to timely prenatal care and well-child visits among Black beneficiaries. The equity-focused obstetric care bundled payment model provides incentives for clinicians to improve on a wide range of pre
  • Поведенческое Standard Care
    Participants receive standard care without quality interventions or doula care

Первичные конечные точки

  • Severe maternal morbidity (SMM) [Срок оценки: 20 weeks gestation through 42 days postpartum]
Вторичные конечные точки (4)
  • All cause mortality [Срок оценки: Delivery date through one year after delivery]
  • Follow up for chronic conditions [Срок оценки: 43 days through 1 year after delivery]
  • Provision of evidence care in pregnancy and postpartum [Срок оценки: During pregnancy and postpartum up to 1 year]
  • Medicaid managed care administrator perspectives on policy interventions [Срок оценки: Year 3]

Критерии участия

Критерии включения

  • Pregnant and postpartum Medicaid beneficiaries across the US

Qualitative:

  • Medicaid beneficiaries who self-identify as Black and/or live in PA Health Equity Zones
  • Doulas who provide care to Medicaid beneficiaries in Pennsylvania
  • Medicaid Managed Care Organization (MCO) administrators in Pennsylvania. Severe maternal morbidity and mortality outcomes will be assessed in healthcare records and for these quantitative outcomes, patients will not be recruited individually

Критерии исключения

\-

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение
Нерандомизированное
Модель
Факторный дизайн
Маскирование
Открытое
Основная цель
Организация здравоохранения

Центры проведения

США · 1 центр
  • University of Pittsburgh School of Public Health — Pittsburgh

Идентификаторы

NCT: NCT05678699 · STUDY22080184 · 1R01NR020670-01

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗