JoAnna K. Leyenaar

Variation in Neonatal Intensive Care and Post-Discharge Outcomes in Military-Insured Newborns

David C. Goodman, Celeste J. Romano, C H H Hall, JoAnna K. Leyenaar et autres

OBJECTIVE: Neonatal care, including intensive care, varies across health care regions. This study measured regional risk-adjusted use of military-insured newborn care and associations with 7-day post-discharge hospital care. PATIENTS AND METHODS: A total of 420 175 live births to military-insured TRICARE beneficiaries, …

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Normalized barriers and unaddressed concerns: A qualitative study of the lived experiences of adults living in rural areas with advanced chronic kidney disease

Gabriela S Sanders, Ishaan Kumar, Anne Dade, Steven L. Bernstein et autres

Rationale & Objective: People who live in rural areas with advanced chronic kidney disease (CKD) face well-documented structural barriers to receiving care, yet little is known about how they experience their illness or perceive interactions with their healthcare teams. We aimed to …

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Predominant Clinicians and Care Settings for Young Military-Connected Children with Medical Complexity

Dana N. Joseph, Jackielyn Lanning, Mary Arakelyan, Celeste J. Romano et autres

OBJECTIVE: Military-connected children with medical complexity (CMC) have multifaceted healthcare needs. This study describes the share of ambulatory care delivered to young military-connected CMC within civilian and military health facilities, identifies the predominant clinician providing care, and identifies factors associated with having …

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Timing of Medicaid Enrollment during Pregnancy and Associated Infant Outcomes

Patience Toyin-Thomas, Christopher Leggett, David C. Goodman, JoAnna K. Leyenaar

OBJECTIVE: To describe the timing of Medicaid enrollment during pregnancy among Medicaid-insured women in Texas, examine patterns of healthcare utilization following enrollment, and evaluate associations between enrollment timing and infant outcomes. METHODS: Retrospective cohort study of 913,229 deliveries to women aged 15-44 …

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Response to ‘Mitigating race, ethnicity, and nativity differences in pregnancy outcomes: a cultural-psychosocial approach for women with disabilities’

Alka Dev, Willi Horner‐Johnson, Andrew Schaefer, Thérèse A. Stukel et autres

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Early Intervention Enrollment Among Substance-exposed Infants in Massachusetts: A Population-level Analysis

Elizabeth Peacock‐Chambers, Katie Q. Gu, Emma Miller, Meng Shiou Shieh et autres

ABSTRACT Neonatal abstinence syndrome (NAS) is an automatically qualifying diagnosis for enrollment in early intervention (EI) in Massachusetts (MA) given the increased risk of developmental challenges among infants and toddlers exposed to illicit substances in utero. Rates of referral and enrollment among …

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Variation in Suicide Risk Screening by Pediatricians Across Subspecialties

Alexandra Huttle, Gwenyth Gasper, C. Green, Laurel K. Leslie et autres

OBJECTIVE: This study describes general and subspecialty pediatricians' standardized suicide risk screening practices, variation in screening across subspecialties, and whether knowledge of the American Academy of Pediatrics (AAP) recommendations is associated with standardized suicide risk screening. METHODS: We analyzed survey data from …

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Disease Chronicity and Mortality in Young Military-Connected Children With Medical Complexity

JoAnna K. Leyenaar, Jackielyn Lanning, Mary Arakelyan, Celeste J. Romano et autres

OBJECTIVE Although health conditions experienced by children with medical complexity (CMC) are often conceptualized as chronic or lifelong, rapid development during early childhood can result in changing health status. This is particularly relevant for military-connected children, who may experience challenges with health …

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Behavioral and Mental Health Screening Practices, Barriers, and Facilitators: A National Survey of Pediatricians

Gwenyth Gasper, Alexandra Huttle, Cori M. Green, Laurel K. Leslie et autres

OBJECTIVE: Although early identification of behavioral and mental health (B/MH) conditions is important, integration of B/MH screening in pediatric practices may be challenging. This study reports factors associated with B/MH standardized screening and characterizes barriers and facilitators to screening identified by primary …

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Characteristics of United States Rural Hospitals by General Pediatric Care Availability, 2023

Corrie E. McDaniel, Edouard Seryozhenkov, Reilly Dever, Mark Ralston Daniel et autres

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Race, ethnicity, and nativity differences in pregnancy and birth outcomes among Medicaid-enrolled women with disabilities

Alka Dev, Willi Horner-Johnson, Andrew Schaefer, Thérèse A. Stukel et autres

BACKGROUND: Women with disabilities have worse maternal health outcomes than women without disabilities, but we have a limited understanding of other disparities they face. OBJECTIVE: Investigate whether differences in pregnancy and birth outcomes vary by race, ethnicity, and nativity among low-income women …

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Rural–urban disparities in primary care and geographic continuity of care for children with medical complexity

Mary Arakelyan, Andrew P. Schaefer, Seneca D. Freyleue, Erika L. Moen et autres

PURPOSE: Rural-residing children with medical complexity (CMC) may receive fragmented care given clinician shortages in rural communities. This study characterized differences in continuity of care between rural- and urban-residing CMC, applying novel measures of geographic care continuity and assessing associations between continuity, …

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