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  1. Provider-associated factors in obstetric interventions.

    Article - En anglais

    Objective 

    To assess which factors influence provider-associated differences in obstetric interventions.

    Study design

    - A survey of obstetricians and co-workers in a sample consisting of 38 Dutch hospitals was taken, using a questionnaire that contained questions about personal and hospital-policy data, and 19 clinical problems with a choice between intervention and non-intervention.

    From the clinical problems an Intervention Score was assembled.

    The influence of the personal and hospital-policy items on this Intervention Score was studied by analysis of variance.

    Results 

    Overall the Intervention Score was low, with considerable interindividual variation.

    Four personal/hospital items influenced the Intervention Score :

    • the teacher could affect the score in either direction ;

    • the increasing age of the obstetrician and routine electronic fetal monitoring had an increasing effect ;

    • employment of midwives had a decreasing effect.

    Other factors, including litigation, had no effect.

    Conclusion 

    Supplier-induced differences do exist in obstetric interventions and are influenced by personal and hospital-policy factors.

    Mots-clés Pascal : Traitement, Homme, Chirurgie, Obstétrique, Médecin, Choix, Césarienne, Enquête, Sage femme, Pays Bas, Europe

    Mots-clés Pascal anglais : Treatment, Human, Surgery, Obstetrics, Physician, Choice, Cesarean section, Inquiry, Midwife, Netherlands, Europe

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0466687

    Code Inist : 002B20G02. Création : 01/03/1996.