schliessen

Filtern

 

Bibliotheken

Effect of patient risk on the volume–outcome relationship in obstetric delivery services

Health care organizations that offer more delivery services are assumed to provide better quality of care, and a higher rate of cesarean section (CS) is generally assumed to be an indicator of poor quality of care. This study analyzed whether the volume–outcome relationship in delivery services, mea... Full description

Journal Title: Health policy December 2014, Vol.118(3), pp.407-412
Main Author: Lee, Kwang-Soo
Other Authors: Kwak, Jin-Mi
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: ISSN: 0168-8510 ; E-ISSN: 1872-6054 ; DOI: 10.1016/j.healthpol.2014.05.007
Link: http://dx.doi.org/10.1016/j.healthpol.2014.05.007
Zum Text:
SendSend as email Add to Book BagAdd to Book Bag
Staff View
recordid: elsevier_sdoi_10_1016_j_healthpol_2014_05_007
title: Effect of patient risk on the volume–outcome relationship in obstetric delivery services
format: Article
creator:
  • Lee, Kwang-Soo
  • Kwak, Jin-Mi
subjects:
  • Delivery Volume
  • Cesarean Section Rate
  • Risk Adjustment
  • Patient Risk
  • Delivery Volume
  • Cesarean Section Rate
  • Risk Adjustment
  • Patient Risk
  • Public Health
ispartof: Health policy, December 2014, Vol.118(3), pp.407-412
description: Health care organizations that offer more delivery services are assumed to provide better quality of care, and a higher rate of cesarean section (CS) is generally assumed to be an indicator of poor quality of care. This study analyzed whether the volume–outcome relationship in delivery services, measured by the rate of CS, differed depending on the risk status of delivery patients. Delivery claims were identified in the National Patient Sample (NPS) for 2009. The study hospitals were categorized into low and high delivery-volume groups, and patients were categorized into three risk groups (below average, medium, and high) based on their risk status. Risk factors were included in the adjustment model to identify differences among patients and produce risk-adjusted CS rates. Risk-adjusted CS rates did not differ significantly between patients in low- and high-volume hospitals when the sample was not divided according to risk status. However,...
language: eng
source:
identifier: ISSN: 0168-8510 ; E-ISSN: 1872-6054 ; DOI: 10.1016/j.healthpol.2014.05.007
fulltext: fulltext
issn:
  • 0168-8510
  • 01688510
  • 1872-6054
  • 18726054
url: Link


@attributes
ID1288653776
RANK0.07
NO1
SEARCH_ENGINEprimo_central_multiple_fe
SEARCH_ENGINE_TYPEPrimo Central Search Engine
LOCALfalse
PrimoNMBib
record
control
sourcerecordiddoi_10_1016_j_healthpol_2014_05_007
sourceidelsevier_s
recordidTN_elsevier_sdoi_10_1016_j_healthpol_2014_05_007
sourcesystemPC
dbid
0--K
1--M
2.FO
3.~1
41B1
51P~
61RT
71~.
8457
94G.
107-5
118P~
129JM
13AABNK
14AAEDT
15AAKOC
16AAOAW
17AAQFI
18ABBQC
19ABMZM
20ABYKQ
21ACDAQ
22ACIUM
23ACRLP
24ADALY
25AEKER
26AEVXI
27AFKWA
28AFTJW
29AFXIZ
30AGHFR
31AGUBO
32AGYEJ
33AHHHB
34AIKHN
35AITUG
36AJBFU
37AJOXV
38AJRQY
39AJUYK
40AMFUW
41ANZVX
42BLXMC
43BNPGV
44EO8
45EO9
46EP2
47EP3
48FDB
49FGOYB
50FIRID
51FNPLU
52G-Q
53GBLVA
54HEH
55HMK
56HMO
57J1W
58KOM
59LCYCR
60OAUVE
61P-8
62P-9
63PC.
64Q38
65R2-
66RPZ
67SAE
68SCC
69SDF
70SDG
71SDP
72SEL
73SES
74SEW
75SSH
76SSZ
77T5K
78Z5R
79~G-
pqid1748861545
galeid394583206
display
typearticle
titleEffect of patient risk on the volume–outcome relationship in obstetric delivery services
creatorLee, Kwang-Soo ; Kwak, Jin-Mi
ispartofHealth policy, December 2014, Vol.118(3), pp.407-412
identifier
subjectDelivery Volume ; Cesarean Section Rate ; Risk Adjustment ; Patient Risk ; Delivery Volume ; Cesarean Section Rate ; Risk Adjustment ; Patient Risk ; Public Health
descriptionHealth care organizations that offer more delivery services are assumed to provide better quality of care, and a higher rate of cesarean section (CS) is generally assumed to be an indicator of poor quality of care. This study analyzed whether the volume–outcome relationship in delivery services, measured by the rate of CS, differed depending on the risk status of delivery patients. Delivery claims were identified in the National Patient Sample (NPS) for 2009. The study hospitals were categorized into low and high delivery-volume groups, and patients were categorized into three risk groups (below average, medium, and high) based on their risk status. Risk factors were included in the adjustment model to identify differences among patients and produce risk-adjusted CS rates. Risk-adjusted CS rates did not differ significantly between patients in low- and high-volume hospitals when the sample was not divided according to risk status. However,...
languageeng
source
version8
lds50peer_reviewed
links
openurl$$Topenurl_article
openurlfulltext$$Topenurlfull_article
backlink$$Uhttp://dx.doi.org/10.1016/j.healthpol.2014.05.007$$EView_record_in_ScienceDirect_(Access_to_full_text_may_be_restricted)
search
creatorcontrib
0Lee, Kwang-Soo
1Kwak, Jin-Mi
titleEffect of patient risk on the volume–outcome relationship in obstetric delivery services
description

Health care organizations that offer more delivery services are assumed to provide better quality of care, and a higher rate of cesarean section (CS) is generally assumed to be an indicator of poor quality of care. This study analyzed whether the volume–outcome relationship in delivery services, measured by the rate of CS, differed depending on the risk status of delivery patients.

Delivery claims were identified in the National Patient Sample (NPS) for 2009. The study hospitals were categorized into low and high delivery-volume groups, and patients were categorized into three risk groups (below average, medium, and high) based on their risk status. Risk factors were included in the adjustment model to identify differences among patients and produce risk-adjusted CS rates.

Risk-adjusted CS rates did not differ significantly between patients in low- and high-volume hospitals when the sample was not divided according to risk status. However,...

subject
0Delivery Volume
1Cesarean Section Rate
2Risk Adjustment
3Patient Risk
4Public Health
general
0English
1Elsevier Ireland Ltd
210.1016/j.healthpol.2014.05.007
3ScienceDirect (Elsevier)
4ScienceDirect Journals (Elsevier)
sourceidelsevier_s
recordidelsevier_sdoi_10_1016_j_healthpol_2014_05_007
issn
00168-8510
101688510
21872-6054
318726054
rsrctypearticle
creationdate2014
addtitleHealth policy
searchscope
0elsevier_full
1elsevier2
scope
0elsevier_full
1elsevier2
lsr44$$EView_record_in_ScienceDirect_(Access_to_full_text_may_be_restricted)
tmp01ScienceDirect Journals (Elsevier)
tmp02
0--K
1--M
2.FO
3.~1
41B1
51P~
61RT
71~.
8457
94G.
107-5
118P~
129JM
13AABNK
14AAEDT
15AAKOC
16AAOAW
17AAQFI
18ABBQC
19ABMZM
20ABYKQ
21ACDAQ
22ACIUM
23ACRLP
24ADALY
25AEKER
26AEVXI
27AFKWA
28AFTJW
29AFXIZ
30AGHFR
31AGUBO
32AGYEJ
33AHHHB
34AIKHN
35AITUG
36AJBFU
37AJOXV
38AJRQY
39AJUYK
40AMFUW
41ANZVX
42BLXMC
43BNPGV
44EO8
45EO9
46EP2
47EP3
48FDB
49FGOYB
50FIRID
51FNPLU
52G-Q
53GBLVA
54HEH
55HMK
56HMO
57J1W
58KOM
59LCYCR
60OAUVE
61P-8
62P-9
63PC.
64Q38
65R2-
66RPZ
67SAE
68SCC
69SDF
70SDG
71SDP
72SEL
73SES
74SEW
75SSH
76SSZ
77T5K
78Z5R
79~G-
startdate20141201
enddate20141231
lsr40Health policy, December 2014, Vol.118 (3), pp.407-412
doi10.1016/j.healthpol.2014.05.007
citationpf 407 pt 412 vol 118 issue 3
lsr30VSR-Enriched:[galeid, pqid]
sort
titleEffect of patient risk on the volume–outcome relationship in obstetric delivery services
authorLee, Kwang-Soo ; Kwak, Jin-Mi
creationdate20141200
lso0120141200
facets
frbrgroupid2524535452668822721
frbrtype5
newrecords20190904
languageeng
topic
0Delivery Volume
1Cesarean Section Rate
2Risk Adjustment
3Patient Risk
4Public Health
collectionScienceDirect (Elsevier)
prefilterarticles
rsrctypearticles
creatorcontrib
0Lee, Kwang-Soo
1Kwak, Jin-Mi
jtitleHealth policy
creationdate2014
toplevelpeer_reviewed
delivery
delcategoryRemote Search Resource
fulltextfulltext
addata
aulast
0Lee
1Kwak
aufirst
0Kwang-Soo
1Jin-Mi
auinitK
auinit1K
au
0Lee, Kwang-Soo
1Kwak, Jin-Mi
atitleEffect of patient risk on the volume–outcome relationship in obstetric delivery services
jtitleHealth policy
risdate201412
volume118
issue3
spage407
epage412
pages407-412
issn0168-8510
eissn1872-6054
formatjournal
genrearticle
ristypeJOUR
abstract

Health care organizations that offer more delivery services are assumed to provide better quality of care, and a higher rate of cesarean section (CS) is generally assumed to be an indicator of poor quality of care. This study analyzed whether the volume–outcome relationship in delivery services, measured by the rate of CS, differed depending on the risk status of delivery patients.

Delivery claims were identified in the National Patient Sample (NPS) for 2009. The study hospitals were categorized into low and high delivery-volume groups, and patients were categorized into three risk groups (below average, medium, and high) based on their risk status. Risk factors were included in the adjustment model to identify differences among patients and produce risk-adjusted CS rates.

Risk-adjusted CS rates did not differ significantly between patients in low- and high-volume hospitals when the sample was not divided according to risk status. However,...

pubElsevier Ireland Ltd
doi10.1016/j.healthpol.2014.05.007
lad01Health policy
date2014-12