In Pediatrics, Jo Ann D’Agostino and colleagues, including Scott Lorch, evaluate to what extent premature infants adhere to the American Academy of Pediatric’s (AAP) health supervision visit schedule, what factors affect adherence, and how adherence associates with receiving suggested preventive care. The AAP recommends periodic health supervision visits throughout childhood to monitor growth and development, and to screen for illnesses. Using data from a 30-site primary care network, the authors find less than half of the infants received all expected health supervision visits. Factors that increased the risk for non-adherence to the visit schedule included Medicaid enrollment, a visit without insurance and chronic illness. Factors that seem to improve adherence include provider continuity and lower birth weight. Infants who were not fully adherent were less likely to be up to date with immunizations or receive recommended preventive care. These findings suggest that infants’ adherence to a health supervision visit schedule plays a role in maximizing preventive care, especially for high-risk populations.
See the blog post on this study.