Daniel J Quay, Karen Harbert, Wayne Schramm, Venkata Garikapaty
{"title":"Maternal Mortality in Missouri: A Comparison of Definitions and Data Sources.","authors":"Daniel J Quay, Karen Harbert, Wayne Schramm, Venkata Garikapaty","doi":"10.1097/PHH.0000000000002091","DOIUrl":null,"url":null,"abstract":"<p><p>There are multiple surveillance systems working to address the issue of maternal mortality in Missouri. These surveillance systems have key methodological differences in their definitions, terminology, inclusion criteria, and purpose. This study aims to provide an understanding of the practical effects of these programmatic differences regarding what cases are included and how this can impact the interpretations of the data and influence policy decisions. To accomplish this, death certificates identified by the Missouri Vital Statistics program, the Pregnancy Mortality Surveillance System, and the Pregnancy-Associated Mortality Review (PAMR) program were compared. Commonalities and differences were noted, demonstrating the real-world effects of the methodological differences between programs. In particular, the PAMR program includes injury deaths in the count of pregnancy-related deaths, which are not included by other surveillance systems. These differences highlight the importance of understanding the methodology and limitations of a dataset.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":""},"PeriodicalIF":2.2000,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Public Health Management and Practice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/PHH.0000000000002091","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
There are multiple surveillance systems working to address the issue of maternal mortality in Missouri. These surveillance systems have key methodological differences in their definitions, terminology, inclusion criteria, and purpose. This study aims to provide an understanding of the practical effects of these programmatic differences regarding what cases are included and how this can impact the interpretations of the data and influence policy decisions. To accomplish this, death certificates identified by the Missouri Vital Statistics program, the Pregnancy Mortality Surveillance System, and the Pregnancy-Associated Mortality Review (PAMR) program were compared. Commonalities and differences were noted, demonstrating the real-world effects of the methodological differences between programs. In particular, the PAMR program includes injury deaths in the count of pregnancy-related deaths, which are not included by other surveillance systems. These differences highlight the importance of understanding the methodology and limitations of a dataset.
期刊介绍:
Journal of Public Health Management and Practice publishes articles which focus on evidence based public health practice and research. The journal is a bi-monthly peer-reviewed publication guided by a multidisciplinary editorial board of administrators, practitioners and scientists. Journal of Public Health Management and Practice publishes in a wide range of population health topics including research to practice; emergency preparedness; bioterrorism; infectious disease surveillance; environmental health; community health assessment, chronic disease prevention and health promotion, and academic-practice linkages.