Nutrition Services in Perinatal Care Second Edition (1992) / Chapter Skim
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6 Providing for the Continuity of Nutritional Care
6 Providing for the Continuity of Nutritional Care
Pages 93-100
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From page 93... ...
Moreover, continuity of care may be especially difficult to achieve for the large numbers of women and families who do not have regular care providers, who experience shifts in their financial eligibility for services, who move between geographic areas (e.g., migrant workers) , or who find it difficult to make the travel and child care arrangements necessary for acting on referrals or continuing with regular care.
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From page 94... ...
Although these three approaches are intended to improve many aspects of overall health care, they may be especially useful in facilitating the improved delivery of nutrition services in support of maternal and infant health. COORDINATED SERVICES The coordination of health care services, food assistance, and social services can promote continuity of care and improve the integration of nutrition services into the care of pregnant and postpartum women.
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From page 95... ...
With appropriate case coordination, there is considerable potential for promoting continuity of nutritional care in the public sector, especially since Medicaid funds can be used for perinatal nutrition services in many states. In North Carolina, improved maternity care coordination for women on Medicaid has been associated with reductions in low birth weight, infant mortality, and medical care costs for newborns.~3 PATIENT-CARRIED HEALTH DIARIES The Omnibus Budget Reconciliation Act of 1989 required the Secretary of Health and Human Services to develop a model national maternal and child health handbook.
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From page 96... ...
The importance ascribed to patient-carried records by many in the public health field was highlighted in 1991: among the key actions in the Public Health Service's 1991 Plan to Strengthen Public Health in the United States22 is the development of Maternal and child health handbooks to provide a home-based health record and basic information on health and development for pregnant women and new families (p al) 22 If health diaries with a strong nutritional component become widely used in maternal and infant care, improvements can be expected in both communication with patients and the continuity of nutritional care.
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From page 97... ...
135~.2 The committee's final report, The Computer-Based Patient Record: An Essential Technology for Health Care,2 contains a strategic implementation plan, advocates prompt development and implementation of the system (within the decade) , and addresses measures to protect the patient's confidentiality.
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From page 98... ...
Report of the First Ross Roundtable on Current Issues in Public Health. Ross Laboratories, Columbus, Ohio.
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From page 99... ...
22. Assistant Secretary for Health's Public Health Service Tasl; Force to Strengthen Public Health in the United States.
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