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.
초록· 키워드
오류제보하기
Objectives: Public release of and feedback (here after public release) on institutional (clinics and hospitals) cesarean section rates has had the effect of reducing cesarean section rates. However, compared to the isolated intervention, there was scant evidence of the effect of repeated public releases (RPR) on cesarean section rates. The objectives of this study were to evaluate the effect of RPR for reducing cesarean section rates.
Methods: From January 2003 to July 2007, the nationwide monthly institutional cesarean section rates data (1 951 303deliveries at 1194 institutions) were analyzed. We used autoregressive integrated moving average (ARIMA) time-series intervention models to assess the effect of the RPR on cesarean section rates and ordinal logistic regression model to determine the characteristics of the change in cesarean section rates.
Results: Among four RPR, we found that only the first one (August 29, 2005) decreased the cesarean section rate (by 0.81 percent) and continued to have an impact period through the last observation in May 2007. Baseline cesarean section rates (OR, 4.7; 95% CI, 3.1 to 7.1) and annual number of deliveries (OR, 2.8; 95% CI, 1.6 to 4.7) of institutions in the upper third of each category at before first intervention had a significant contribution to the decrease of cesarean section rates.
Conclusions: We could not found the evidence that RPR has had the significant effect of reducing cesarean section rates.
Institutions with upper baseline cesarean section rates and annual number of deliveries were more responsive to RPR.
목차
등록된 정보가 없습니다.
참고문헌 (27)
참고문헌 신청
Abreu MN / 2008 / Ordinal logistic regression models: application in quality of life studies / Cad Saude Publica 24 (4) : S581 ~ S591
Althabe F / 2004 / Mandatory second opinion to reduce rates of unnecessary caesarean sections in Latin America: a cluster randomised controlled trial / Lancet 363 (9425) : 19
Baicker K / 2006 / Geographic variation in the appropriate use of cesarean delivery / Health Aff (Millwood) 25 (5) : w355 ~ w367
Berwick DM / 2003 / Connections between quality measurement and improvement / Med Care 41 (1) : I30 ~ I38
Box GEP / 1975 / Intervention analysis with applications to economic and environmental problems / J Am Statist Assoc 70 (349) : 70 ~ 79
Althabe F / 2004 / Mandatory second opinion to reduce rates of unnecessary caesarean sections in Latin America: a cluster randomised controlled trial / Lancet 363 (9425) : 19
Baicker K / 2006 / Geographic variation in the appropriate use of cesarean delivery / Health Aff (Millwood) 25 (5) : w355 ~ w367
Berwick DM / 2003 / Connections between quality measurement and improvement / Med Care 41 (1) : I30 ~ I38
Box GEP / 1975 / Intervention analysis with applications to economic and environmental problems / J Am Statist Assoc 70 (349) : 70 ~ 79
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