Clin Pediatr (Phila). 2008 Mar;47(2):137-42. Epub 2007 Sep 14.

EPSDT preventive services in a low-income pediatric population: impact of a nursing protocol.

Hull PC, Husaini BA, Tropez-Sims S, Reece M, Emerson J, Levine R.

Source

Center for Health Research, Tennessee State University, Nashville, TN 37209, USA. pamhull@tnstate.edu

Abstract

Medicaid mandates coverage of clinical preventive services for children under the Early and Periodic Screening, Diagnosis, and Treatment program (EPSDT). This article assesses the usefulness of a nursing protocol for delivering comprehensive EPSDT services to pediatric patients during any primary care visit. Secondary data from a recent controlled trial were analyzed. An intervention group received the clinical protocol (n = 514 children in a low-income pediatric clinic), whereas data from a "usual care" comparison group were obtained from medical records (n = 115 children). The nursing protocol included 52 items corresponding to EPSDT services and was administered by a prevention nurse. In the intervention group, 11 605 out of 11 607 (approximately 100.0%) EPSDT service needs were initiated, as compared to 21.2% (572 out of 2695) in the comparison group (P < .001). The study demonstrates the feasibility of using a nursing protocol to integrate EPSDT clinical preventive services into pediatric visits.

PMID:: 17873239; [PubMed - indexed for MEDLINE]

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