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  1. Setting goals for reductions in Canadian cesarean delivery rates : Benchmarking medical practice patterns.

    Article - En anglais

    OBJECTIVE 

    The objective of this study was to present a structured method for determining achievable cesarean rate goals and specifying which hospitals should receive focused attention.

    STUDY DESIGN 

    Hospital level data from the largest 239 Canadian maternity units were analyzed for 1988-1989, when the number of Canadian cesarean deliveries peaked.

    Cesarean rate statistical limits within the largest, intermediate-sized, and smallest maternity unit classifications were successively set at the 75th, 50th, and 25th percentiles.

    RESULTS 

    The national impact resulting from using the 75th percentile rate as the assigned statistical cesarean rate limit was 2707 (50th 5568 ; 25th 11,018) fewer cesarean deliveries.

    CONCLUSION 

    Benchmarking provides a structured perspective on defining goals and on estimating how much change is required and at which hospitals.

    Mots-clés Pascal : Césarienne, Recommandation, Evaluation performance, Objectif, Pratique professionnelle, Etude statistique, Méthodologie, Canada, Amérique du Nord, Amérique, Homme, Chirurgie

    Mots-clés Pascal anglais : Cesarean section, Recommendation, Performance evaluation, Objective, Professional practice, Statistical study, Methodology, Canada, North America, America, Human, Surgery

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

    Cote : 99-0472544

    Code Inist : 002B30A01C. Création : 22/03/2000.