Title of article :
Managed care does not lower costs but may result in poorer outcomes for patients with gestational diabetes, ,
Author/Authors :
Jessica L. Bienstock، نويسنده , , Karin J. Blakemore، نويسنده , , Eric Wang، نويسنده , , Dale Presser، نويسنده , , Dawn Misra، نويسنده , , Eva K. Pressman، نويسنده ,
Issue Information :
روزنامه با شماره پیاپی سال 1997
Abstract :
Objective: Our purpose was to compare the costs of prenatal care and subsequent maternal and neonatal outcomes in patients with gestational diabetes cared for in an inner-city university hospital house staff clinic versus an inner-city managed care organization. Study Design: A retrospective cohort study was conducted. The groups consisted of 115 patients with gestational diabetes who were cared for in a house staff clinic and a demographically similar group of 85 patients cared for in a neighborhood managed care organization. The groups were examined regarding baseline demographics, intensity of prenatal care, maternal and neonatal outcomes, and total cost of the provision of care. Results: There was no difference between groups in the total cost of maternal-infant care. A larger percentage of patients in the house staff group saw the physician frequently. In contrast, patients cared for in the managed care organization underwent more tests of fetal well-being. There was a greater rate of neonatal macrosomia in the managed care organization group compared with the house staff group. Conclusions: Managed care does not decrease the cost of caring for patients with gestational diabetes but does lead to a greater rate of neonatal macrosomia, which may reflect poorer glucose control.
Keywords :
Managed care , cost , gestational diabetes
Journal title :
American Journal of Obstetrics and Gynecology
Journal title :
American Journal of Obstetrics and Gynecology