制定用于围产期研究的妇产医院分类。

Michael O Falster, Christine L Roberts, Jane Ford, Jonathan Morris, Ann Kinnear, Michael Nicholl
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引用次数: 14

摘要

我们的目标是使用稳定和容易获得的标准制定一种妇产医院分类,这将广泛应用于妇产服务研究,并允许在州、国家和国际司法管辖区之间进行比较。根据新生儿护理能力、城市和农村地点、年平均出生人数和公立/私立医院状况,对13个产科组(12个医院组和在家分娩)进行分类。在一个早期选择性分娩的案例研究中,我们证明了新生儿发病率根据妇产医院的分类而有所不同,而且从临床和政策决策的角度来看,这13组可以以实用的方式进行分解,并且易于分析。
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Development of a maternity hospital classification for use in perinatal research.

We aimed to develop a maternity hospital classification, using stable and easily available criteria, that would have wide application in maternity services research and allow comparison across state, national and international jurisdictions. A classification with 13 obstetric groupings (12 hospital groups and home births) was based on neonatal care capability, urban and rural location, annual average number of births and public/private hospital status. In a case study of early elective birth we demonstrate that neonatal morbidity differs according to the maternity hospital classification, and also that the 13 groups can be collapsed in ways that are pragmatic from a clinical and policy decision-making perspective, and are manageable for analysis.

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