Authors: Cristian I Meghea William Corser Zhiying You
Publish Date: 2015/12/16
Volume: 20, Issue: 4, Pages: 819-826
Abstract
Objectives To evaluate effects of EHR adoption and use during pregnancy on maternal and child health care utilization and health among pregnant mothers and their infants Methods The study population was comprised of all Medicaidinsured pregnant women who delivered a singleton birth in Michigan between 1/1/2009 and 12/31/2012 and their infants N = 226558 Linked data included birth records maternal and infant medical claims and EHR adoption implementation upgrading and meaningful use data Prepost comparisons with a control group differenceindifference took advantage of a natural experiment of EHR adoption and use among providers in Michigan Women and infants who received care from providers who adopted and used EHR were compared with those who received care from other providers in a quasiexperimental framework Results Over 34 of all women in the analytic sample received perinatal care from providers who adopted and used EHR Multivariate regressions indicate that women who received prenatal care mainly from a provider who adopted and used EHR were more likely to have any wellchild visits 005 p = 004 and the appropriate number of wellchild visits during the first year of life 003 p 001 Conclusions The findings of this study are consistent with EHR adoption and use supporting improved child health care utilization The findings have the potential to provide Medicaid and other healthcare program officials with evidence of the potential gains to be derived from EHRs for vulnerable lowincome women and infantsFunding was received from the Department of Health and Human Services and Michigan Department of Community Health contract RC103164 Corser W PI We thank Mr Jason Werner at the Michigan Department of Community Health for providing statewide Medicaid EHR Incentive Program attestation data
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