Risk Adjustment for Inter-Hospital Comparison of Caesarean Delivery Rates in Low-Risk Deliveries 英文参考文献.docVIP

下载本文档

1
0
约2.67万字
约 5页
2017-05-13 发布于上海
举报
版权申诉

Risk Adjustment for Inter-Hospital Comparison of Caesarean Delivery Rates in Low-Risk Deliveries 英文参考文献.doc

1、原创力文档（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。。
2、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击这里二次下载。
3、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。
4、该文档为VIP文档，如果想要下载，成为VIP会员后，下载免费。
5、成为VIP后，下载本文档将扣除1次下载权益。下载后，不支持退款、换文档。如有疑问请联系我们。
6、成为VIP后，您将拥有八大权益，权益包括：VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
7、VIP文档为合作方或网友上传，每下载1次，网站将根据用户上传文档的质量评分、类型等，对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档

Risk Adjustment for Inter-Hospital Comparison of Caesarean Delivery Rates in Low-Risk Deliveries 英文参考文献

RiskAdjustmentforInter-HospitalComparisonof CaesareanDeliveryRatesinLow-RiskDeliveries ElisaStivanello1*,PaolaRucci1,ElisaCarretta1,GiuliaPieri1,ChiaraSeghieri2,SabinaNuti2 ,Eugene Declercq3,MartinaTaglioni4,MariaPiaFantini1 1DepartmentofMedicineandPublicHealth–AlmaMaterStudiorumUniversityofBologna,Bologna,Italy,2LaboratorioMeS,ScuolaSuperioreSant’Anna,Pisa,Italy, 3DepartmentofCommunityHealthSciences,BostonUniversitySchoolofPublicHealth,Boston,Massachusetts,UnitedStatesofAmerica,4MedicalDirectorate,Azienda Ospedaliero-UniversitariadiBologna,Bologna,Italy Abstract Background: Caesarean delivery (CD) rates have been frequently used as quality measures for maternity service comparisons.Morerecently,primaryCDrates(CDinwomenwithoutpreviousCD)orCDrateswithinselectedcategories suchasnulliparous,term,cephalicsingletondeliveries(NTCS)havebeenused.Theobjectiveofthisstudyistodetermine theextenttowhichriskadjustmentforclinicalandsocio-demographicvariablesisneededforinter-hospitalcomparisonsof CDratesinwomenwithoutpreviousCDandinNTCSdeliveries. Methods:HospitaldischargerecordsofwomenwhodeliveredinEmilia-RomagnaRegion(Italy)fromJanuary,2007toJune 2009 and in Tuscany Region for year 2009 were linked with birth certificates. Adjusted RRs of CD in women without a previous Caesarean and NTCS were estimated using Poisson regression. Percentage differences in RR before and after adjustmentwerecalculatedandhospitalrankings,basedoncrudeandadjustedRRs,wereexamined. Results:AdjustedRRdifferedsubstantiallyfromcrudeRRinwomenwithoutapreviousCaesareanandonlymarginallyin NTCSgroup.HospitalrankingwasmarkedlyaffectedbyadjustmentinwomenwithoutapreviousCD,butlessinNTCS. Conclusion: Risk adjustment is warranted for inter-hospital comparisons of primary CD rates but not for NTCS CD rates. CrudeNTCSCDratesareareliableestimateofadjustedNTCSCD. Citation:StivanelloE,RucciP,CarrettaE,PieriG,SeghieriC,etal.(2011)RiskAdjustmentforInter-HospitalComparisonofCaesareanDeliveryRatesinLow-Risk Deliveries.PLoSON