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

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-

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  1. 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

  2. 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

  3. Background (Continued) Length of Hospital Stays in US

  4. 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

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

  6. 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

  7. Results

  8. Number of Women in Linked File by Medicaid Statue (N=85,170)

  9. Characters of Study Population

  10. Means LOS by Medicaid Status

  11. Means LOS by Medicaid Statusand Age Groups

  12. Means LOS by Medicaid Statusand Race

  13. Means LOS by Medicaid Statusand Education

  14. Means LOS by Medicaid Statusand Marital Statues

  15. Means LOS by Medicaid Statusand Primiparity

  16. Means LOS by Medicaid Statusand Prenatal Care Initiation

  17. Means LOS by Medicaid Statusand Residency Areas

  18. 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

  19. 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

  20. 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

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