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Outcomes in the populations of the Outpatient Clinic (OPC) and the Pregnancy Recovery Center (PRC) at Magee-Womens Hospital of UPMC

Yacovoni, Nina (2018) Outcomes in the populations of the Outpatient Clinic (OPC) and the Pregnancy Recovery Center (PRC) at Magee-Womens Hospital of UPMC. Master Essay, University of Pittsburgh.

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Abstract

This study examines no-show rates for one unit within the outpatient clinic (OPC) and the Pregnancy Recovery Center (PRC) at Magee-Womens Hospital of University of Pittsburgh Medical Center (UPMC). By unit, this study looked at no-show rates, number of patients in each unit, and types of appointments attended. It also looked at whether patients at the PRC received a long-acting reversible contraceptive (LARC) after giving birth and if they attended their post-partum appointments. The public health relevance of this study is that for treatment of pregnant women with substance use disorder (SUD), there are many barriers to receiving care including fear of having their children taken away should they try to receive care and inadequate rehabilitation services offered.
Maps were created using QGIS and GeoDa software to analyze where the patients come from in relation to where the PRC and OPC are. The zip codes where patients come from were looked at and compared to the number of visits to both the selected unit within the OPC and the PRC to examine if home location had effects on no-show rates. Several more maps were also made showing percent poverty of females living in Allegheny County, households without a vehicle in Allegheny County, and all six of Magee’s current PRCs in the Western Pennsylvania region.
This study found that socioeconomic status (SES) does not seem to have an effect on no-show rates for the PRC patients. It also found that pregnant women who have SUD may be less likely to miss their doctor’s appointments than pregnant women who do not have SUD. Limitations to this study were recognized and recommendations on further research and changes to care of pregnant women who have SUD were made to Magee-Womens Hospital of UPMC, healthcare organizations and administrators and policymakers.


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Details

Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Yacovoni, Ninanay15@pitt.edunay150000-0001-7714-1934
Contributors:
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairVan Nostrand, Elizabethevannostrand@pitt.eduUNSPECIFIEDUNSPECIFIED
Committee MemberTerry, Marthamaterry@pitt.eduUNSPECIFIEDUNSPECIFIED
Committee MemberYoung, Melissamyoung@mail.magee.eduUNSPECIFIEDUNSPECIFIED
Centers: Other Centers, Institutes, or Units > Center for Public Health Practice
Date: 23 April 2018
Date Type: Submission
Number of Pages: 46
Institution: University of Pittsburgh
Schools and Programs: Graduate School of Public Health > Health Policy & Management
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Date Deposited: 19 Aug 2019 21:04
Last Modified: 19 Aug 2019 21:04
URI: http://d-scholarship.pitt.edu/id/eprint/34327

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