Community Health Is Maternal Health: Insights from Six North Carolina Counties about Community Strengths and Challenges to Best Maternal and Infant Health in Medicaid
Bibliographic record
Abstract
High rates of preterm birth, low birth weight, and late initiation of prenatal care can be asign of poor health and high levels of social risk factors in a community. On the otherhand, early entry into prenatal care and better-than-expected birth outcomes can signala supportive community environment. We identified six counties in North Carolina withbetter-than- and worse-than-expected birth outcomes among Medicaid members(Bladen, Catawba, Cumberland, Halifax, Orange, and Wayne; Johnston et al.,forthcoming) and interviewed public health officials and health care and social serviceproviders in each county to examine community-level strengths and challenges tooptimal maternal and infant health. As North Carolina looks to improve birth outcomesand reduce health disparities in its new Medicaid managed care program, findings fromthis study can provide useful insights.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.002 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.000 | 0.002 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".