The purpose of this study is to examine the intervention effectiveness and dissemination of digital health care delivery models for improving selected health outcomes in the Medicaid population.
The investigators will conduct a mixed method study that includes a controlled interrupted times series (CITS) design to study hypertension (HTN) and diabetes, a cohort to study pregnancy, and longitudinal patient and provider interviews to study experiences. This approach is appropriate when randomization is not desirable or feasible and is frequently utilized for evaluation of public health interventions (Lopez Bernal et al., 2018; Hategeka et al., 2020).
Study Type
OBSERVATIONAL
Enrollment
19,331
The MIC program will have set minimum levels of connectivity for each of the three defined conditions under study.
OSF HealthCare System
Peoria, Illinois, United States
RECRUITINGChange in participant's blood pressure control at three points in time
Decrease in the average systolic and/or diastolic blood pressure
Time frame: 3 months, 6 months, 12 months
Change in participant's glycemic control at three points in time
Defined as a reduction \>1% in glycosylated hemoglobin (hemoglobin A1C)
Time frame: 3 months, 6 months, 12 months
Change in Patient Assessment of Chronic Illness Care scale (PACIC) from baseline to exit from program
Measure of patient's perception of care management for chronic disease - 20 items on a 5-point scale 1=no or never to 5=Always, with higher score indicating better care
Time frame: baseline, end of program, on average of 1 year
Change in Patient Perception of Health Care Management (adapted form of PACIC to reflect pre/postnatal care) from baseline to exit from program
Measure of patient-centered care and self-management - 20 items on a 5-point scale 1=no or never to 5=Always, with higher score indicating better care
Time frame: baseline, end of program, on average 6 months
Patient satisfaction, 1-item researcher generated question
Measure of patient's satisfaction, Participant's recommendation of program to others (Yes/No)
Time frame: at exit from program, on average 1 year
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