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
Clin Pediatr (Phila). 2008 47 (2): 137-42

PMID: 17873239 · DOI:10.1177/0009922807306167

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.

MeSH Terms (16)

Adolescent Child Child, Preschool Feasibility Studies Female Humans Infant Mass Screening Medicaid Nursing Assessment Office Visits Pediatrics Poverty Preventive Health Services Primary Health Care United States

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