Publications by authors named "Yolande M Pengetnze"
Under longstanding federal law, pregnancy-related Medicaid coverage is only guaranteed through 60-days postpartum, at which point many women become uninsured. Barriers to care, including lack of insurance, contribute to maternal mortality and morbidity. Leveraging the Families First Coronavirus Response Act, a federal law requiring that states provide continuous coverage to Medicaid enrollees during the COVID-19 pandemic as a condition of receiving enhanced federal financial support, we examine whether postpartum women seek additional care, and what types of care they use, with extended coverage.
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- The study aims to create and validate a model that predicts preterm birth in pregnant women on Medicaid who have no previous preterm birth history, using health claims and community-level socioeconomic data.
- The research involved a longitudinal study in Texas, with a two-year phase for model development and a one-year phase for prospective validation, focusing on various health and demographic factors to categorize pregnancy risk.
- The final model was based on nearly 7,000 pregnancies, demonstrated a higher predictive value for high-risk cases, identified significant risk factors, and proved effective in predicting over 80% of preterm births before 24 weeks gestation.
The article introduces the novel concept of "Cultural Immersion", going beyond cultural competency to immerse oneself into the local culture for sustainable community impact.
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