TY - JOUR
T1 - EPSDT preventive services in a low-income pediatric population
T2 - Impact of a nursing protocol
AU - Hull, Pamela C.
AU - Husaini, Baqar A.
AU - Tropez-Sims, Susanne
AU - Reece, Michelle
AU - Emerson, Janice
AU - Levine, Robert
PY - 2008/3
Y1 - 2008/3
N2 - Medicaid mandates coverage of clinical preventive services for children under the Early and Periodic Screening, Diagnosis, and Treatment program (EPSDT). This article assesses the usefulness of a nursing protocol for delivering comprehensive EPSDT services to pediatric patients during any primary care visit. Secondary data from a recent controlled trial were analyzed. An intervention group received the clinical protocol (n = 514 children in a low-income pediatric clinic), whereas data from a "usual care" comparison group were obtained from medical records (n = 115 children). The nursing protocol included 52 items corresponding to EPSDT services and was administered by a prevention nurse. In the intervention group, 11 605 out of 11 607 (approximately 100.0%) EPSDT service needs were initiated, as compared to 21.2% (572 out of 2695) in the comparison group (P <.001). The study demonstrates the feasibility of using a nursing protocol to integrate EPSDT clinical preventive services into pediatric visits.
AB - Medicaid mandates coverage of clinical preventive services for children under the Early and Periodic Screening, Diagnosis, and Treatment program (EPSDT). This article assesses the usefulness of a nursing protocol for delivering comprehensive EPSDT services to pediatric patients during any primary care visit. Secondary data from a recent controlled trial were analyzed. An intervention group received the clinical protocol (n = 514 children in a low-income pediatric clinic), whereas data from a "usual care" comparison group were obtained from medical records (n = 115 children). The nursing protocol included 52 items corresponding to EPSDT services and was administered by a prevention nurse. In the intervention group, 11 605 out of 11 607 (approximately 100.0%) EPSDT service needs were initiated, as compared to 21.2% (572 out of 2695) in the comparison group (P <.001). The study demonstrates the feasibility of using a nursing protocol to integrate EPSDT clinical preventive services into pediatric visits.
KW - EPSDT program
KW - Medicaid
KW - Nursing protocol
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U2 - 10.1177/0009922807306167
DO - 10.1177/0009922807306167
M3 - Article
C2 - 17873239
AN - SCOPUS:38849187263
SN - 0009-9228
VL - 47
SP - 137
EP - 142
JO - Clinical Pediatrics
JF - Clinical Pediatrics
IS - 2
ER -