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:6/25/2016)... ... ... Conventional wisdom preaches the benefits of moderation, whether it’s a matter of indulgence ... high can result in disappointment, perhaps even self-loathing. However, those who set the bar ... from PsychTests.com reveals that behind the tendency to set low expectations is ...
(Date:6/24/2016)... ... , ... June 19, 2016 is World Sickle Cell Observance Day. In an ... of holistic treatments, Serenity Recovery Center of Marne, Michigan, has issued a ... Cell Disease (SCD) is a disorder of the red blood cells, which can cause ...
(Date:6/24/2016)... MIAMI, Fla. (PRWEB) , ... June 24, 2016 , ... ... Florida Trend magazine’s 2016 Legal Elite. The attorneys chosen by their peers for this ... of Florida. , Seven Greenberg Traurig Shareholders received special honors as members of this ...
(Date:6/24/2016)... ... ... Topical BioMedics, Inc, makers of Topricin and MyPainAway Pain Relief Products, join The ‘Business for ... $12 an hour by 2020 and then adjusting it yearly to increase at the same ... wage, assure the wage floor does not erode again, and make future increases more predictable. ...
(Date:6/24/2016)... ... June 24, 2016 , ... The Haute Beauty ... Barry M. Weintraub as a prominent plastic surgeon and the network’s newest partner. ... and the most handsome men, look naturally attractive. Plastic surgery should be invisible.” ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... -- The vast majority of dialysis patients currently receive ... usually 3 times a week, with treatment times averaging ... equipment preparation and wait time.  This regimen can be ... who are elderly and frail.  Many elderly dialysis patients ... for some duration of time. Residents in ...
(Date:6/23/2016)... 23, 2016  Experian Health, the healthcare ... the patient payment and care experience, today ... products and services that will enhance the ... offerings. These award-winning solutions will enable healthcare ... compliant in an ever-changing environment and redefine ...
(Date:6/23/2016)... -- The National Pharmaceutical Council (NPC) today announced that ... organization as its newest member.  ... and chief scientific officer, Mallinckrodt Pharmaceuticals, will serve ... of Directors. ... in support of our efforts to conduct research ...
Breaking Medicine Technology: