TY - JOUR
AU - K. H. Gillespie
AU - Y. B. Nkhoma
AU - F. Resnik
AU - N. Halderson
AU - C. Borbely
AU - J. Zapata
AU - M. Z. Greene
A1 - 
AB - OBJECTIVES: Integrated care models show promise in addressing the factors that lead to inequities in perinatal health outcomes. This report describes how Prenatal Care Coordination (PNCC) functions as an Equity Promoting Integrated Care (EPIC) model. STUDY DESIGN: A multi-method study aimed to evaluate the implementation and impact of PNCC, a Medicaid-funded perinatal program in Wisconsin. METHODS: In 2023, we conducted individual semi-structured interviews (N = 15) and focus groups (N = 4) with coordinators at five sites. Sites varied by geographic region, populations served, team size, and organizational differences. The parent study assessed PNCC implementation overall using the Consolidated Framework for Implementation Research (CFIR). The updated CFIR was used for initial deductive coding. We then applied concepts from the Equity-Promoting Integrated Care (EPIC) framework to develop themes and subthemes. RESULTS: A meta-theme was "integrated model of care," reflecting how participants discussed the complexity of the care they provide and the intersecting systems they navigate to meet clients' needs. Four themes illustrate how PNCC coordinators are leveraging components of EPIC models: "Enhancing clients' skills," "Bridging gaps in care," "Providing person-centered care to build trust," and "Having a broader community presence." CONCLUSIONS: Given persistent inequities in perinatal outcomes in the US, our findings represent critical insight into the potential impact of integrated care models. Clinicians should consider strengthening relationships to support patient participation in integrated care community services. Future research is needed to optimize the implementation and reach of integrated care models such as PNCC and leverage their potential to improve perinatal outcomes.
AD - School of Nursing, University of Wisconsin-Madison, United States. Electronic address: khgillespie@wisc.edu.; School of Nursing, University of Wisconsin-Madison, United States.; Institute for Clinical and Translational Research, University of Wisconsin-Madison, United States.; Wisconsin Department of Health Services, Division of Public Health, United States.; School of Nursing, University of Wisconsin-Madison, United States. Electronic address: mgreene8@wisc.edu.
AN - 40412168
BT - Public Health
C5 - Healthcare Disparities
DA - Aug
DO - 10.1016/j.puhe.2025.105743
DP - NLM
ET - 20250523
JF - Public Health
LA - eng
N2 - OBJECTIVES: Integrated care models show promise in addressing the factors that lead to inequities in perinatal health outcomes. This report describes how Prenatal Care Coordination (PNCC) functions as an Equity Promoting Integrated Care (EPIC) model. STUDY DESIGN: A multi-method study aimed to evaluate the implementation and impact of PNCC, a Medicaid-funded perinatal program in Wisconsin. METHODS: In 2023, we conducted individual semi-structured interviews (N = 15) and focus groups (N = 4) with coordinators at five sites. Sites varied by geographic region, populations served, team size, and organizational differences. The parent study assessed PNCC implementation overall using the Consolidated Framework for Implementation Research (CFIR). The updated CFIR was used for initial deductive coding. We then applied concepts from the Equity-Promoting Integrated Care (EPIC) framework to develop themes and subthemes. RESULTS: A meta-theme was "integrated model of care," reflecting how participants discussed the complexity of the care they provide and the intersecting systems they navigate to meet clients' needs. Four themes illustrate how PNCC coordinators are leveraging components of EPIC models: "Enhancing clients' skills," "Bridging gaps in care," "Providing person-centered care to build trust," and "Having a broader community presence." CONCLUSIONS: Given persistent inequities in perinatal outcomes in the US, our findings represent critical insight into the potential impact of integrated care models. Clinicians should consider strengthening relationships to support patient participation in integrated care community services. Future research is needed to optimize the implementation and reach of integrated care models such as PNCC and leverage their potential to improve perinatal outcomes.
PY - 2025
SN - 0033-3506
SP - 105743
ST - "The issues that our clients deal with aren't just specific to prenatal": Prenatal care coordination as an integrated care model
T1 - "The issues that our clients deal with aren't just specific to prenatal": Prenatal care coordination as an integrated care model
T2 - Public Health
TI - "The issues that our clients deal with aren't just specific to prenatal": Prenatal care coordination as an integrated care model
U1 - Healthcare Disparities
U3 - 10.1016/j.puhe.2025.105743
VL - 245
VO - 0033-3506
Y1 - 2025
ER -