지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.3
- 수록면
- 14 - 24 (11page)
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Objectives: Pregnant women in rural areas do not have access to sufficient obstetric services in their own communities due to the shortage of obstetricians. Therefore, most of these women must seek obstetrician outside of their communities. The purpose of this study was to investigate the relationship between obstetric complications and accessibility to local obstetric care in Korea.
Methods: This study was an ecological study in which the unit of analysis was an administrative district. Using Korea National Health Insurance Corporation data, the total number of deliveries and the delivery proportion within and outside of the community from 2001 to 2008 were calculated for 232 administrative districts nationwide. Three outflow levels were categorized based on each district’s out-of-community delivery proportion: high outflow (upper one third), moderate outflow (middle one third), and low outflow (lower one third). In addition, three obstetric complication rates (the rate of complications following abortion, ectopic and molar pregnancy, the abortion rate, and the eclampsia rate) were calculated for the 232 districts. One-way ANOVA and multivariate linear regression were used to evaluate obstetric complications among the three outflow levels.
Results: The high outflow districts had higher rates of eclampsia and complications following abortion, ectopic, and molar pregnancy compared to the other districts (ANOVA, p<0.05). However, there was no significant difference in the abortion rate among the three groups. Multiple linear regression analysis showed that high outflow districts were statistically significant in the rate of complications following abortion, ectopic and molar pregnancy and eclampsia rate after adjusting for local tax per capita (p<0.01).
Conclusion: These results indicate that poor access to local obstetric care correlate with poor obstetric outcomes (delayed or excessive bleeding, embolism, genital tract or pelvic infection, shock or other complications following abortion and ectopic or molar pregnancy, or eclampsia).
Methods: This study was an ecological study in which the unit of analysis was an administrative district. Using Korea National Health Insurance Corporation data, the total number of deliveries and the delivery proportion within and outside of the community from 2001 to 2008 were calculated for 232 administrative districts nationwide. Three outflow levels were categorized based on each district’s out-of-community delivery proportion: high outflow (upper one third), moderate outflow (middle one third), and low outflow (lower one third). In addition, three obstetric complication rates (the rate of complications following abortion, ectopic and molar pregnancy, the abortion rate, and the eclampsia rate) were calculated for the 232 districts. One-way ANOVA and multivariate linear regression were used to evaluate obstetric complications among the three outflow levels.
Results: The high outflow districts had higher rates of eclampsia and complications following abortion, ectopic, and molar pregnancy compared to the other districts (ANOVA, p<0.05). However, there was no significant difference in the abortion rate among the three groups. Multiple linear regression analysis showed that high outflow districts were statistically significant in the rate of complications following abortion, ectopic and molar pregnancy and eclampsia rate after adjusting for local tax per capita (p<0.01).
Conclusion: These results indicate that poor access to local obstetric care correlate with poor obstetric outcomes (delayed or excessive bleeding, embolism, genital tract or pelvic infection, shock or other complications following abortion and ectopic or molar pregnancy, or eclampsia).
목차
Abstract
서론
대상 및 방법
결과
고찰
요약
참고문헌
참고문헌 (21)
참고문헌 신청
1. [학술지(정기간행물)] - Yu SH / 1993 / Geographical distribution of physician manpower by specialty and care level / J Prev Med Public Health 26 (3) : 661 ~ 671
2. [인터넷자원] - Song SY / / 아이 낳고 싶어도 분만할 산부인과없어 / 청년의사
3. [학술지(정기간행물)] - Park KH / 1992 / The influence of antenatal care on the health of mothers and babies / Collection of Dissertations of Il-sin Christian Hospital 7 : 45 ~ 54
4. [학술지(정기간행물)] - Fisher ES / 1985 / Prenatal care and pregnancy outcomes: the washington state experience / Am J Public Health 75 (8) : 866 ~ 869
5. [학술지(정기간행물)] - Nesbitt TS / 1990 / Access to obstetric care in rural areas: effect on birth outcomes / Am J Public Health 80 : 814 ~ 818
2. [인터넷자원] - Song SY / / 아이 낳고 싶어도 분만할 산부인과없어 / 청년의사
3. [학술지(정기간행물)] - Park KH / 1992 / The influence of antenatal care on the health of mothers and babies / Collection of Dissertations of Il-sin Christian Hospital 7 : 45 ~ 54
4. [학술지(정기간행물)] - Fisher ES / 1985 / Prenatal care and pregnancy outcomes: the washington state experience / Am J Public Health 75 (8) : 866 ~ 869
5. [학술지(정기간행물)] - Nesbitt TS / 1990 / Access to obstetric care in rural areas: effect on birth outcomes / Am J Public Health 80 : 814 ~ 818
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UCI(KEPA) : I410-ECN-0101-2014-500-003155588