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Biomedical subjects

C N Oberg

Publications and source records attributed to C N Oberg.

25 records · Page 2Linked to original sources
PubMed1985

Health care and the corridor poor.

There is no denying that health care costs have increased at an alarming rate, partially fueled by the increased demand created by programs such as Medicaid. In 1983, the total Federal and state outlays for Medicaid were $35.6 billion. As the 1980s progress, we will see a variety of cost-containment strategies. These will include Medicaid prepaid capitation projects, the initiation of copayments and deductibles, and further tightening of eligibility criteria. However, in our zeal to contain costs, let us not lose sight of or exacerbate the plight of the corridor poor. There are alternatives that will allow us to incorporate the disenfranchised and uninsured during the coming decade.

Adult↗
PubMedDate not supplied

Prenatal care comparisons among privately insured, uninsured, and Medicaid-enrolled women.

Women without health insurance and those covered by Medicaid have been shown to obtain prenatal care later in pregnancy and make fewer visits for care than do women with private insurance. Factors that keep women from obtaining care include inadequate maternity care resources, difficulty in securing financial coverage, and the psychosocial issues of pregnancy. This study identified and compared prenatal care use patterns, insurance coverage changes, and psychosocial factors among 149 women in Minneapolis, MN, with private health insurance, Medicaid, and no health insurance. Little information has been available on the insurance status of women at the start of pregnancy and the paths subsequently taken to obtain financial coverage for prenatal care.

Depressive Disorder↗
PubMedDate not supplied

The Minnesota Prenatal Care Coordination Project: successes and obstacles.

The Minnesota Prenatal Care Coordination Project was a statewide effort to present systematically education and technical support to providers as they implemented the Minnesota Prenatal Care Initiative for expanded services to high-risk women. Educational methods included holding 12 regional workshops throughout the State, one-to-one contacts by nurse consultants, and newsletters and a guidebook (manual) were distributed to reach community providers. Analysis of the implementation was conducted using site visits, interviews with providers, and reviews of medical records, claims data, and other project documents. Successes in the first year were a twofold increase in the numbers of Medicaid-enrolled women who received risk assessment and enhanced services, more than one-third increase in provider participation, greater collaboration among multidisciplinary providers at the community level, and improved communication between State and local health care agencies. Obstacles included provider resistance to changes in practice, dissatisfaction with the enhanced services package and level of reimbursement, and problems with implementation protocols. The project demonstrated that prenatal care providers will change; they will improve practices and collaboration as a result of personalized education and support.

Female↗