{"doi":"10.1093/jpids/piad061","title":"Impact of the COVID-19 Pandemic on Pediatric Preventive Health Care Among North Carolina Children Enrolled in Medicaid","abstract":"BACKGROUND: Children enrolled in private insurance had reduced preventive health care during the coronavirus disease 2019 (COVID-19) pandemic. However, the impact of the pandemic on children enrolled in Medicaid has been minimally described. METHODS: We used an administrative claims database from North Carolina Medicaid to evaluate the rates of well-child visits and immunization administration for children ≤14 months of age, and used a quasi-Poisson regression model to estimate the rate ratio (RR) of each outcome during the pandemic period (3/15/2020 through 3/15/2021) compared with the pre-pandemic period (3/15/2019 through 3/14/2020). RESULTS: We included 83 442 children during the pre-pandemic period and 96 634 children during the pandemic period. During the pre-pandemic period, 405 295 well-child visits and 715 100 immunization administrations were billed; during the pandemic period, 287 285 well-child visits and 457 144 immunization administrations were billed. The rates of well-child visits (RR 0.64; 95% CI, 0.64-0.64) and vaccine administration (RR 0.55; 95% CI, 0.55-0.55) were lower during the pandemic compared with the pre-pandemic period. CONCLUSIONS: The rates of well-child visits and immunization administrations among North Carolina children enrolled in public insurance substantially decreased during the first year of the COVID-19 pandemic.","journal":"Journal of the Pediatric Infectious Diseases Society","year":2023,"id":365038,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":7,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.8816,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":907860,"name":"Zeni Scott","orcid":null,"position":1,"is_corresponding":false},{"id":781294,"name":"Molly N. Hoffman","orcid":"0000-0002-2656-4870","position":2,"is_corresponding":false},{"id":503279,"name":"Jesse DeLaRosa","orcid":"0000-0001-7800-2119","position":3,"is_corresponding":false},{"id":1072433,"name":"Jesse Hickerson","orcid":null,"position":4,"is_corresponding":false},{"id":621139,"name":"Angelique E Boutzoukas","orcid":"0000-0002-9477-1492","position":5,"is_corresponding":false},{"id":326442,"name":"Daniel K. Benjamin","orcid":"0000-0002-0764-8585","position":6,"is_corresponding":false},{"id":540857,"name":"M. Alan Brookhart","orcid":"0000-0003-1572-0564","position":7,"is_corresponding":false},{"id":319873,"name":"Kanecia O. Zimmerman","orcid":"0000-0003-3748-6932","position":8,"is_corresponding":false},{"id":709065,"name":"Ganga S. Moorthy","orcid":"0000-0003-3191-1117","position":9,"is_corresponding":false},{"id":1077673,"name":"Pavan V. Thakkar","orcid":"0009-0005-4521-6934","position":0,"is_corresponding":true}],"reference_count":33,"raw_metadata":null,"created_at":"2026-07-19T01:14:46.760245Z","pmid":"38146859","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}