The effect of the Family Case Management Program on 1996 birth outcomes in Illinois.
OBJECTIVE
The purpose of this study was to determine if birth outcomes for Medicaid recipients were improved with participation in the Illinois Family Case Management Program.


METHODS
Health program data files were linked with the 1996 Illinois Vital Records linked birth-death certificate file. Logistic regression was used to characterize the variation in birth outcomes as a function of Family Case Management participation while statistically controlling for measurable factors found to be confounders.


RESULTS
Results of the logistic regression analysis show that women who participated in the Family Care Management Program were significantly less likely to give birth to very low birth weight infants (odds ratio [OR] = 0.86, 95% confidence interval [CI] = 0.75, 0.99) and low birth weight infants (OR = 0.83, CI = 0.79, 0.89). For infant mortality, however, the adjusted OR (OR = 0.98, CI = 0.82, 1.17), although under 1, was not statistically significant.


CONCLUSIONS
These results suggest that the Family Case Management Program may be effective in reducing very low birth weight and low birth weight rates among infants born to low-income women.
Keeton
Kristie
K
Department of Obstetrics and Gynecology, University of Michigan Medical Center, Ann Arbor, Michigan 48109-0604, USA. kristie@umich.edu
Saunders
Stephen E
SE
Koltun
David
D
D000328:Adult; D019090:Case Management; D016009:Chi-Square Distribution; D016001:Confidence Intervals; D005192:Family Health; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007087:Illinois / Q000453:epidemiology; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D008484:Medicaid / Q000592:standards; D009035:Mothers / Q000193:education; D016017:Odds Ratio; D011203:Poverty / Q000706:statistics & numerical data; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology; D011295:Prenatal Care / Q000458:organization & administration*; D015397:Program Evaluation; D012307:Risk Factors; D013997:Time Factors