Primary Care Utilization Within 1 Year After a Facilitated Postpartum-to-Primary Care Transition.

IF 4.7 2区医学 Q1 OBSTETRICS & GYNECOLOGY Obstetrics and gynecology Pub Date : 2025-02-13 DOI:10.1097/AOG.0000000000005848

Arlin Delgado, Pichliya Liang, Tierra Bender, Alaka Ray, Kaitlyn E James, Ishani Ganguli, Jessica L Cohen, Mark A Clapp

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Abstract

Objective: To evaluate the effect of a behavioral science-informed intervention designed to facilitate postpartum-to-primary care transitions on primary care visits and screenings within 1 year postpartum for individuals with chronic conditions or pregnancy conditions with long-term health risks.

Methods: This was a planned secondary analysis of a randomized controlled trial of a behavioral science-informed intervention designed to increase primary care practitioner (PCP) visits within 4 months postpartum compared with routine care. The intervention included default PCP visit scheduling with nudge reminders and use of tailored language. The primary outcome for this secondary analysis was attending an annual examination or health care maintenance visit with a PCP within 1 year postpartum. Visits with a PCP for any reason and receipt of screenings or services by a PCP (eg, weight, blood pressure, mood screening) were also compared. Outcomes were compared between groups with χ2 testing.

Results: All 353 participants were followed through 1 year after their due dates: 173 in the control group and 180 in the intervention group. More patients in the intervention group attended an annual examination with a PCP within 1 year compared with the control group (59.0% vs 39.3%, P<.001) and had a PCP visit for any reason (72.8% vs 61.3%, P=.02). A significantly higher rate of mental health disorder screening was observed in the intervention group (63.9% vs 55.5%, P=.046); significant differences in other screenings were not observed.

Conclusion: This relatively simple and low-cost intervention designed to facilitate transition from postpartum to primary care within the first 4 months demonstrated benefits for PCP engagement within the first year postpartum.

Clinical trial registration: ClinicalTrials.gov, NCT05543265.

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产后向初级保健过渡后1年内的初级保健利用情况。

目的：评估一项行为科学干预的效果，该干预旨在促进产后向初级保健过渡，对产后1年内有慢性疾病或有长期健康风险的妊娠状况的个体进行初级保健就诊和筛查。方法：这是一项随机对照试验的计划二级分析，该试验采用行为科学干预，与常规护理相比，旨在增加产后4个月内初级保健医生（PCP）的就诊次数。干预措施包括默认的PCP访问日程安排与轻推提醒和使用量身定制的语言。该次要分析的主要结局是在产后1年内参加年度检查或与PCP一起进行保健维护访问。还比较了因任何原因接受PCP检查和接受PCP检查或服务（如体重、血压、情绪检查）的情况。组间结果比较采用χ2检验。结果：所有353名受试者在预产期后随访1年，其中对照组173名，干预组180名。与对照组相比，干预组有更多的患者在一年内参加了PCP年度检查（59.0% vs 39.3%）。结论：这种相对简单和低成本的干预措施旨在促进产后4个月内从产后过渡到初级保健，证明了产后一年内参与PCP的益处。临床试验注册：ClinicalTrials.gov, NCT05543265。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Obstetrics and gynecology 医学-妇产科学

CiteScore

11.10

自引率

4.20%

发文量

867

审稿时长

1 months

期刊介绍： "Obstetrics & Gynecology," affectionately known as "The Green Journal," is the official publication of the American College of Obstetricians and Gynecologists (ACOG). Since its inception in 1953, the journal has been dedicated to advancing the clinical practice of obstetrics and gynecology, as well as related fields. The journal's mission is to promote excellence in these areas by publishing a diverse range of articles that cover translational and clinical topics. "Obstetrics & Gynecology" provides a platform for the dissemination of evidence-based research, clinical guidelines, and expert opinions that are essential for the continuous improvement of women's health care. The journal's content is designed to inform and educate obstetricians, gynecologists, and other healthcare professionals, ensuring that they stay abreast of the latest developments and best practices in their field.

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