title: A Public Health Nursing Model Assists Women Receiving Temporary Assistance for Needy Families Benefits to Identify a Usual Source of Primary Care.
abstract: Women enrolled in Florida's Temporary Assistance for Needy Families (TANF) program experience high rates of chronic health problems and often lack a usual source of care. Thus, in this study, we aimed to identify variables related to being in a usual source of care at time of study enrollment and determine whether a public health nursing case management intervention affected the obtainment of a usual source of care. To achieve these aims, we conducted a secondary analysis of a randomized controlled trial of a public health nursing case management intervention, which included women with chronic health conditions enrolled in TANF (n = 432). Results indicated 35% of the women did not identify a usual source of care at time of study enrollment, and the public health nursing intervention was effective in helping women obtain a usual source of care (OR = 2.5, 95% CI 1.004-6.491). Thus, a public health nursing case management intervention is an effective way to connect TANF participants to a usual source of care, which may lead to improved health outcomes in this vulnerable population of women.
authors.affiliation: University of Florida, USA.
authors.forename: Christa L
authors.initials: CL
authors.lastname: Cook
authors.forename: Allyson G
authors.initials: AG
authors.lastname: Hall
authors.forename: Cynthia S
authors.initials: CS
authors.lastname: Garvan
authors.forename: Shawn M
authors.initials: SM
authors.lastname: Kneipp
mesh_terms: D019090:Case Management; D002908:Chronic Disease; D005260:Female; D005431:Florida; D006801:Humans; D011320:Primary Health Care; D016032:Randomized Controlled Trials as Topic; D012946:Social Welfare; D016387:Women's Health