Examining how Medicaid policies affect severe maternal health outcomes and equity
The Effects of Medicaid Policy Interventions on Racial Equity in Severe Maternal Morbidity
This study is trying to see how changes in Medicaid policies can improve the health and experiences of pregnant and postpartum women, especially Black women, by looking at the effects of adding doula care.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 10000000 (estimated) |
| Sex | All |
| Sponsor | University of Pittsburgh Academic / other |
| Locations | 1 site (Pittsburgh, Pennsylvania) |
| Trial ID | NCT05678699 on ClinicalTrials.gov |
What this trial studies
This study investigates the impact of Medicaid policy interventions aimed at improving healthcare quality on severe maternal morbidity and mortality. It focuses on the experiences of pregnant and postpartum Medicaid beneficiaries, particularly those who identify as Black or reside in designated health equity zones. The study will assess the effects of integrating doula care with Medicaid interventions and gather qualitative data on beneficiaries' experiences. By analyzing healthcare records and participant feedback, the study aims to provide insights into the effectiveness of these structural interventions.
Who should consider this trial
Good fit: Ideal candidates include pregnant and postpartum Medicaid beneficiaries, particularly those who self-identify as Black or live in Pennsylvania Health Equity Zones.
Not a fit: Patients who are not enrolled in Medicaid or do not fall within the specified demographic criteria may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could lead to improved maternal health outcomes and greater equity in healthcare for marginalized populations.
How similar studies have performed: Other studies have shown promising results with similar Medicaid policy interventions aimed at improving maternal health outcomes, suggesting a potential for success in this approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Pregnant and postpartum Medicaid beneficiaries across the US Qualitative: * Medicaid beneficiaries who self-identify as Black and/or live in PA Health Equity Zones * Doulas who provide care to Medicaid beneficiaries in Pennsylvania * Medicaid Managed Care Organization (MCO) administrators in Pennsylvania. Severe maternal morbidity and mortality outcomes will be assessed in healthcare records and for these quantitative outcomes, patients will not be recruited individually Exclusion Criteria: \-
Where this trial is running
Pittsburgh, Pennsylvania
- University of Pittsburgh School of Public Health — Pittsburgh, Pennsylvania, United States (Recruiting)
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.