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Public Finance Policy Strategies to Increase Access to Preconception Care

Policy and finance barriers reduce access to preconception care and, reportedly, limit professional practice changes that would improve the availability of needed services. Millions of women of childbearing age (15–44) lack adequate health coverage (i.e., uninsured or underinsured), and others live...

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Detalles Bibliográficos
Autor principal: Johnson, Kay A.
Formato: Texto
Lenguaje:English
Publicado: Springer US 2006
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1592251/
https://www.ncbi.nlm.nih.gov/pubmed/16802188
http://dx.doi.org/10.1007/s10995-006-0125-8
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author Johnson, Kay A.
author_facet Johnson, Kay A.
author_sort Johnson, Kay A.
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description Policy and finance barriers reduce access to preconception care and, reportedly, limit professional practice changes that would improve the availability of needed services. Millions of women of childbearing age (15–44) lack adequate health coverage (i.e., uninsured or underinsured), and others live in medically underserved areas. Service delivery fragmentation and lack of professional guidelines are additional barriers. This paper reviews barriers and opportunities for financing preconception care, based on a review and analysis of state and federal policies. We describe states’ experiences with and opportunities to improve health coverage, through public programs such as Medicaid, Medicaid waivers, and the State Children's Health Insurance Program (SCHIP). The potential role of Title V and of community health centers in providing primary and preventive care to women also is discussed. In these and other public health and health coverage programs, opportunities exist to finance preconception care for low-income women. Three major policy directions are discussed. To increase access to preconception care among women of childbearing age, the federal and state governments have opportunities to: (1) improve health care coverage, (2) increase the supply of publicly subsidized health clinics, and (3) direct delivery of preconception screening and interventions in the context of public health programs.
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spelling pubmed-15922512006-10-05 Public Finance Policy Strategies to Increase Access to Preconception Care Johnson, Kay A. Matern Child Health J Original Paper Policy and finance barriers reduce access to preconception care and, reportedly, limit professional practice changes that would improve the availability of needed services. Millions of women of childbearing age (15–44) lack adequate health coverage (i.e., uninsured or underinsured), and others live in medically underserved areas. Service delivery fragmentation and lack of professional guidelines are additional barriers. This paper reviews barriers and opportunities for financing preconception care, based on a review and analysis of state and federal policies. We describe states’ experiences with and opportunities to improve health coverage, through public programs such as Medicaid, Medicaid waivers, and the State Children's Health Insurance Program (SCHIP). The potential role of Title V and of community health centers in providing primary and preventive care to women also is discussed. In these and other public health and health coverage programs, opportunities exist to finance preconception care for low-income women. Three major policy directions are discussed. To increase access to preconception care among women of childbearing age, the federal and state governments have opportunities to: (1) improve health care coverage, (2) increase the supply of publicly subsidized health clinics, and (3) direct delivery of preconception screening and interventions in the context of public health programs. Springer US 2006-06-27 2006-09 /pmc/articles/PMC1592251/ /pubmed/16802188 http://dx.doi.org/10.1007/s10995-006-0125-8 Text en © Springer Science+Business Media, Inc. 2006
spellingShingle Original Paper
Johnson, Kay A.
Public Finance Policy Strategies to Increase Access to Preconception Care
title Public Finance Policy Strategies to Increase Access to Preconception Care
title_full Public Finance Policy Strategies to Increase Access to Preconception Care
title_fullStr Public Finance Policy Strategies to Increase Access to Preconception Care
title_full_unstemmed Public Finance Policy Strategies to Increase Access to Preconception Care
title_short Public Finance Policy Strategies to Increase Access to Preconception Care
title_sort public finance policy strategies to increase access to preconception care
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1592251/
https://www.ncbi.nlm.nih.gov/pubmed/16802188
http://dx.doi.org/10.1007/s10995-006-0125-8
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