{"ok":true,"nota":{"id":"f845db0ba846451a","slug":"en-texas-las-embarazadas-con-discapacidad-reciben-menos-controles-pren-f845db","titulo":"En Texas, las embarazadas con discapacidad reciben menos controles prenatales recomendados que el resto","resumen":"Analizaron casi 750 mil nacimientos de mujeres inscriptas en Medicaid de Texas entre 2010 y 2015. Compararon si recibieron los controles prenatales recomendados según si tenían discapacidad, si cobraban beneficios por discapacidad o si la tenían registrada en diagnósticos médicos.","fuente":"medrxiv","fuenteNombre":"medRxiv · preprints","color":"#1f7a4d","autor":"Dev, A., Schaefer, A., Douches, A., Horner-Johnson, W., Stukel, T., Goodman, D. C., Leyenaar, J. K.","url":"https://www.medrxiv.org/content/10.64898/2026.10.25.26366331v1?rss=1","imagen":"/hoy/portada/f845db0ba846451a","tema":"salud","subtemas":["discapacidad","salud materna","controles prenatales","seguro de salud","desigualdad en salud"],"entidades":["Texas","Medicaid","medRxiv"],"formato":"dato","entretenimiento":false,"pubTs":"2026-10-26T00:00:00.000Z","indexTs":"2026-10-26T16:35:59.047Z","hash":"57ebd7eefa92d5364ed55c2cc082e3ca203953bc3ba4243c2902c31335d4b24b","tsa":{"time":"Oct 26 16:36:52 2026 GMT","provider":"freetsa.org","sobre":"sello"},"stats":{"views":0,"likes":0,"clicks":0,"dwell":0},"tipo":"normal","registro":"hallazgo","porQueImporta":"En Texas, una embarazada con discapacidad tiene menos chances de recibir la atención prenatal que las guías médicas recomiendan. El estudio muestra una brecha concreta en el acceso a controles que cuidan a la madre y al bebé. Para cualquier persona que piense en el sistema de salud de su propia ciudad, la pregunta se vuelve práctica: quién queda afuera cuando el turno, el traslado o el lenguaje de la consulta no están pensados para todos. El trabajo es retrospectivo y basado en registros administrativos, así que no explica del todo las causas de la diferencia.","quienFirma":"Universidad de Texas (Estados Unidos)","confianza":"preprint","consulta":null},"sello":{"hash":"57ebd7eefa92d5364ed55c2cc082e3ca203953bc3ba4243c2902c31335d4b24b","sello":"d92465d0f584ba1bce9fa96921ed75a5a3cf53f67c73379387aaa29ea620f2c2","beacon":{"drand":{"cadena":"8990e7a9aaed2ffed73dbd7092123d6f289930540d7651336225dc172e51b2ce","ronda":6586719,"aleatorio":"69c104ecd3cb13434712414db5b2ad3c4f3e8c23a6e958cf0c536314410db9d8","tiempo":"2026-10-26T16:36:30.000Z"},"nist":{"cadena":2,"pulso":2000553,"salida":"C52F940F6CB3ED0E0B156BE5FA3EFA2B75E456473C90354367E414D5115CEDF0D632503093B1A864228DF7BF37C390F188E14CB6127FE2E67FC4E9BF01B2FA0B","tiempo":"2026-10-26T16:36:00.000Z"},"noAntes":"2026-10-26T16:36:30.000Z"},"verificacion":{"drand":true,"nist":true},"tsa":{"time":"Oct 26 16:36:52 2026 GMT","provider":"freetsa.org","sobre":"sello"},"original":{"titulo":"Receipt of guideline-concordant prenatal care among Medicaid-insured women with disabilities in Texas","descripcion":"Objective: To assess receipt of guideline-concordant prenatal care among pregnant women with disabilities enrolled in Medicaid. Methods: We conducted a retrospective cohort study of 748,304 births to women enrolled in Texas Medicaid from 2010-2015. Births were classified into three groups by maternal disability status: no disability, receipt of federal disability benefits (STAR+), or disability identified through ICD-9 codes. Guideline-concordant care was defined as receipt of recommended prenatal services at recommended times. Multivariable logistic regression estimated adjusted odds ratios (aORs) for guideline-concordant care, adjusting for covariates. Results: There were 20,700 births (2.","pubDate":"2026-10-26","url":"https://www.medrxiv.org/content/10.64898/2026.10.25.26366331v1?rss=1"},"indexado":"2026-10-26T16:35:59.047Z"}}