Repositori institucional URV
| URV's Author/s: | De Molina Fernandez, Maria Inmaculada |
| Author, as appears in the article.: | Pueyo, Maria-Jesus; Escuriet, Ramon; Perez-Botella, M; de Molina, I; Ruiz-Berdun, D; Albert, S; Diaz, S; Torres-Capcha, P; Ortun, V |
| Author's mail: | inmaculada.demolina@urv.cat inmaculada.demolina@urv.cat |
| Author identifier: | 0000-0002-1429-4455 0000-0002-1429-4455 |
| Journal publication year: | 2018 |
| Publication Type: | Journal Publications |
| ISSN: | 01688510 |
| APA: | Pueyo, Maria-Jesus; Escuriet, Ramon; Perez-Botella, M; de Molina, I; Ruiz-Berdun, D; Albert, S; Diaz, S; Torres-Capcha, P; Ortun, V (2018). Health Policies for the reduction of obstetric interventions in singleton full-term births in catalonia. Health Policy, 122(4), 367-372. DOI: 10.1016/j.healthpol.2018.01.016 |
| Paper original source: | Health Policy. 122 (4): 367-372 |
| Abstract: | Abstract Aim To explore the effect of hospital's characteristics in the proportion of obstetric interventions (OI) performed in singleton fullterm births (SFTB) in Catalonia (2010-2014), while incentives were employed to reduce C-sections. Methods Data about SFTB assisted at 42 public hospitals were extracted from the dataset of hospital discharges. Hospitals were classified according to the level of complexity, the volume of births attended, and the adoption of a non-medicalized delivery (NMD) strategy. The annual average change in the percentage for OI was calculated based on Poisson regression models. Results The rate of OI (35% of all SFTB) including C-sections (20.6%) remained stable through the period. Hospitals attending less complex cases had a lower average of OI, while hospitals attending lower volumes had the highest average. Higher levels of complexity increased the use of C-sections (+4% yearly) and forceps (+16%). The adoption of the NMD strategy decreased the rate of C-sections. Conclusions The proportion of OI, including C-sections, remained stable in spite of public incentives to reduce them. The adoption of the NMD strategy could help in decreasing the rate of OI. To reduce the OI rate, new strategies should be launched as the development of low-risk pregnancies units, alignment of incentives and hospital payment, increased value of incentives and encouragement of a cultural shift towards non-medicalized births. Keywords: Cesárea, Obstetric interventions, Level of complexity, Volume of births, Non-medicalized delivery, Health policies |
| Article's DOI: | 10.1016/j.healthpol.2018.01.016 |
| Link to the original source: | https://www.sciencedirect.com/science/article/abs/pii/S0168851018300319?via%3Dihub |
| Paper version: | info:eu-repo/semantics/acceptedVersion |
| licence for use: | https://creativecommons.org/licenses/by/3.0/es/ |
| Department: | Infermeria |
| Licence document URL: | https://repositori.urv.cat/ca/proteccio-de-dades/ |
| Thematic Areas: | Sociologia i política Saúde coletiva Odontología Medicine (miscellaneous) Medicina ii Medicina i Health policy & services Health policy Health care sciences & services General medicine Engenharias iii Engenharias i Ciencias sociales |
| Keywords: | Volume of births Term birth Surveys and questionnaires Spain Pregnancy Obstetric interventions Non-medicalized delivery Level of complexity Infant, newborn Humans Hospitals, public Health policy Health policies Female Cesarean section Cesárea obstetric interventions non-medicalized delivery level of complexity health policies cesarea |
| Entity: | Universitat Rovira i Virgili |
| Record's date: | 2025-01-27 |
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