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Health Promotion and Psychosocial Services and Women’s Assessments of Interpersonal Prenatal Care in Medicaid Managed Care

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Abstract

Objectives: If prenatal health promotion and psychosocial support services are to remain accessible to Medicaid eligible women, evidence is needed as to whether the services improve care and benefit women in ways that matter to health plans. The aims of this study are to determine whether prenatal health promotion and psychosocial services are associated with better interpersonal care and greater satisfaction with care; and whether the effects on interpersonal care help explain satisfaction with care. Research Design: A telephone survey of 363 African American, Latina (US and nonUS-born) and White women receiving prenatal care in four Medicaid public health plans in California in 2001. Multivariate regression analyses were done with adjustments for potentially confounding variables. Measures: Independent variables included dichotomous variables for health promotion advice (five separate areas) and composite scales for psychosocial assessment (six areas combined). Dependent variables included satisfaction with care, and indices for interpersonal care (communication, decision-making, and interpersonal style). Results: Women who report receiving health promotion or psychosocial services also report receiving better interpersonal care and rate their satisfaction with care higher. Receiving either type of support service is associated with higher quality communication, decision-making and interpersonal style. The effects of the support services on satisfaction are, in turn, explained by the effects on interpersonal care. Conclusions: Prenatal health promotion and psychosocial services have associated benefits to enrollees that should matter to Medicaid health plans and their providers.

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Author information

Author notes

  1. Sabrina T. Wong RN, PhD

    Present address: School of Nursing, University of British Columbia, T-255, 2211 Wesbrook Mall, Vancouver, B.C., V6T-2B5

Authors and Affiliations

  1. Institute for Health Policy Studies, University of California San Francisco, California

    Carol C. Korenbrot PhD & Sabrina T. Wong RN, PhD

  2. Department of Obstetrics, Gynecology and Reproductive Sciences, School of Medicine, University of California San Francisco, Box 0936, 3333 California Street, Suite 265, San Francisco, California, 94118

    Carol C. Korenbrot PhD

  3. Medical Effectiveness Research Center for Diverse Populations, University of California, San Francisco

    Sabrina T. Wong RN, PhD

  4. Medical Effectiveness Research Center for Diverse Populations, University of California San Francisco, California

    Anita L. Stewart PhD

  5. Institute for Health and Aging, School of Nursing, University of California San Francisco, Box 0646, 3333 California Street, Suite 365, San Francisco, California, 94118

    Anita L. Stewart PhD

  6. School of Medicine, University of California, San Francisco, Box 0936, 3333, California Street, Suite 265, San Francisco, California

    Carol C. Korenbrot PhD

Authors
  1. Carol C. Korenbrot PhD
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  2. Sabrina T. Wong RN, PhD
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Correspondence to Carol C. Korenbrot PhD.

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Korenbrot, C.C., Wong, S.T. & Stewart, A.L. Health Promotion and Psychosocial Services and Women’s Assessments of Interpersonal Prenatal Care in Medicaid Managed Care. Matern Child Health J 9, 135–149 (2005). https://doi.org/10.1007/s10995-005-4871-9

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  • DOI: https://doi.org/10.1007/s10995-005-4871-9

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