Navigation Links
Home visits lessen emergency care for infants
Date:11/1/2013

DURHAM, N.C. -- Home visits from a nurse are a proven, but expensive, way to help newborns get a good start in life.

New research from Duke University suggests that less costly home visiting programs can reach more families and still produce significant health care improvements. Infants in the study had 50 percent fewer emergency care episodes than other babies in the first year of life.

"For a relatively small investment, the reward is significant," said lead author Kenneth A. Dodge, the William McDougall Professor of Public Policy and director of Duke's Center for Child and Family Policy.

The study, which appears Nov. 1 in a special issue of Pediatrics devoted to home visiting, looks at Durham Connects, a program that provides home visits for newborns and their parents in Durham, N.C. Authors Dodge and Benjamin Goodman, a Duke research scientist, found that participating families visited the emergency room less often than control group families and had fewer overnight hospital stays. The results held true a year after birth, well after the nurse's contact with the family had ended.

The findings have significant cost implications because the price of hospital emergency room visits and overnight stays often ranges into the thousands of dollars. By contrast, the Durham Connects program costs an average of $700 per family.

The Affordable Care Act includes funding for home visiting programs. In September, the federal Department of Health and Human Services announced $69.7 million in grants to expand home visiting services in 13 states.

But home visiting encompasses a wide array of approaches. Many programs are intensive, multiyear efforts targeted to poor families that can cost $4,000 per family or more. By contrast, Durham Connects costs less because it is relatively brief and makes extensive use of referrals.

The program was developed by Duke University in partnership with the Durham County Health Department and the Center for Child and Family Health. A nurse visits new parents soon after their newborn comes home from the hospital, checks the mother's and baby's health, and offers the parents tips on topics such as breastfeeding and child care. Nurses also screen for potential problems such as maternal depression.

But the nurses are not primarily caseworkers. Instead, they serve to link families who need help with appropriate community services over a series of one to three home visits.

To gauge the program's effects, the Duke research team designed a study that divided into two groups all of the 4,777 babies born in Durham County between July 1, 2009, and Dec. 31, 2010. Those born on even dates were offered the program, while those born on odd dates were not. The authors then analyzed medical records for a random subsample of those families.

In addition to an overall reduction in emergency care episodes, the authors found that all the subgroups studied saw a decrease in use of emergency care. While some groups benefited more than others, the pattern held true for both single- and two-parent families, for families receiving Medicaid and for privately insured families.

"High-risk families were not the only ones who benefited," Goodman said. "All families benefitted. It was great to have this kind of finding almost a full year after the program was implemented."


'/>"/>

Contact: Alison Jones
Alison.jones@duke.edu
919-681-8504
Duke University
Source:Eurekalert

Related medicine news :

1. Foot Levelers Visits With British, Spanish, and Swedish Chiropractic Groups
2. Paramedics visits with seniors result in less EMS calls and saves on emergency room trips
3. In California, adults with Medicaid coverage have highest increase in emergency department visits
4. Loma Linda University Children’s Hospital Patient Visits KFROG Radiothon, First Public Outing in 10 Months
5. Alcohol Related Emergency Room Visits Up 38% for Men and Women
6. Women's Excellence in Midwifery Now Offering Preconception Health Visits in Lake Orion and Clarkston, Michigan
7. Women at increasing risk of kidney stones, related ER visits
8. Alcohol Abuse A Chief Cause In Emergency Room Visits
9. New Kid-Friendly “Happy Visits” and Calming Nitrous are Being Implemented by Stonehaven Family Dentist of Salt Lake City
10. CWRU nursing school to study home visits for people with HIV and chronic illnesses
11. Diabetes Patients That Bring Glucose Meters to Doctor Visits Have Better Control Over Their Disease
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... ... October 13, 2017 , ... PurhealthRX , a leading Health ... technology. Applying the Purzorb™process to full spectrum CBD oil will revolutionize the rapidly growing ... form that can be easily incorporated into liquid products, while reducing costs to end ...
(Date:10/13/2017)... ... October 13, 2017 , ... Lori R. Somekh, founder of the Law ... organization of elder law and special needs planning attorneys. “Membership in ElderCounsel helps our ... a forum to network with elder law attorneys nationwide,” said Somekh. , ...
(Date:10/13/2017)... ... 2017 , ... Many families have long-term insurance that covers care for a ... waiver for care if the client has a cognitive impairment diagnosis. , “What ... is often waived, so the benefits from their insurance start immediately,” said Mechell Vieira, ...
(Date:10/13/2017)... ... October 13, 2017 , ... Ellevate Network, the leading network for ... for action towards gender equality at their inaugural Summit in New York City in ... reached a social audience of over 3 million. To watch the Mobilize Women video, ...
(Date:10/13/2017)... ... October 13, 2017 , ... Yisrayl Hawkins, Pastor and Overseer at The House ... most popular and least understood books in the Holy Scriptures, Revelation. The Book of ... baffled scholars for centuries. Many have tossed it off as mere rubbish, but Yisrayl ...
Breaking Medicine News(10 mins):
(Date:10/10/2017)... 2017   West Pharmaceutical Services, Inc. (NYSE: ... drug administration, today shared the results of a study ... the intradermal administration of polio vaccines. The study results ... May 2017 by Dr. Ondrej Mach , Clinical ... Organization (WHO), and recently published in the journal ...
(Date:10/5/2017)... 5, 2017  In response to the nationwide ... Maxillofacial Surgeons (AAOMS) released prescribing recommendations that urge ... used as a first-line therapy to manage a ... Recognizing the value and importance ... "Opioid Prescribing: Acute and Postoperative Pain Management" stresses ...
(Date:10/4/2017)...  According to the Centers for Disease Control and Prevention (CDC), ... Urgent Care is helping communities across Massachusetts , ... offering no-cost* flu shots through the end of the month. ... regulations. ... a flu shot is by the end of October, according to the ...
Breaking Medicine Technology: