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Length of Hospital Stays After an Uncomplicated Vaginal Delivery: Medicaid Status and Other Determinants, Georgia 2000- PowerPoint Presentation
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Length of Hospital Stays After an Uncomplicated Vaginal Delivery: Medicaid Status and Other Determinants, Georgia 2000- - PowerPoint PPT Presentation


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Length of Hospital Stays After an Uncomplicated Vaginal Delivery: Medicaid Status and Other Determinants, Georgia 2000-2002. Hui Zhang MD, MPH Mohamed Qayad, MD, MPH Emily Kahn, PHD, MPH Georgia Division of Public Health MCH Epidemiology Section. Background .

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Length of Hospital Stays After an Uncomplicated Vaginal Delivery: Medicaid Status and Other Determinants, Georgia 2000-2002

Hui Zhang MD, MPH

Mohamed Qayad, MD, MPH

Emily Kahn, PHD, MPH

Georgia Division of Public Health

MCH Epidemiology Section

background
Background
  • The length of maternal hospital stay after a vaginal delivery has decreased
  • This decrease is attributed to cost reduction mandates
  • Some study concluded the motivation for early discharge is same as inadequate use of health services
background continued
Background (Continued)
  • Newborns’ and Mothers’ Health Protection Act (NMHPA) mandated coverage for 48 hours hospital stay after uncomplicated vaginal delivery
  • Legislation does not apply to the Medicaid population
study question
Study Question:

Did mean length of hospital stay (LOS) after uncomplicated deliveries differ between Medicaid and non-Medicaid population in Georgia?

methods
Methods
  • Using probabilistic method Georgia Births, Medicaid delivery claims and Hospital Discharge data were linked for year of 2000-2002
  • Analysis included all Georgia residents with diagnosis related groups field in hospital discharge data as uncomplicated vaginal delivery
  • SAS was used for descriptive and general linear regression analysis
limitations
Limitations
  • Accuracy of probabilistic linkage is depended on quality of data that were been linked
  • No hospital stay information among unlinked birth mothers.
  • Not appropriate generalize results to all Georgia birth mothers
conclusions
Conclusions
  • Average LOS in Georgia is 2.14 days
  • There was no statistical difference in mean LOS between Georgia Medicaid and Non-Medicaid Populations in 2000-2002
public health implications
Public Health Implications
  • LOS policies are uniformly applied among low-risk population
  • Research is needed in explore whether LOS differs for women with more complicated deliveries