TY - JOUR
T1 - The relationship of health care delivery system characteristics and legal factors to mode of delivery in women with prior cesarean section
T2 - A systematic review
AU - Kraemer, Dale F.
AU - Berlin, Michelle
AU - Guise, Jeanne Marie
N1 - Funding Information:
The authors would like to thank Patricia Osterweil, BS, Peggy Nygren, MA, Patty Davies, MS, and Kathryn Krages, AMLS, MA, for their invaluable assistance. This work was performed by the Oregon Health & Sciences University Evidence-based Practice Center, under contract to the Agency for Healthcare Research and Quality (AHRQ) (Contract Number: 290-97-0018; Task Order No. 9). Support for Dr Guise was also provided by AHRQ, grant no. 1 K08 HS11338-01. The authors of this article are responsible for its contents, including any clinical or treatment recommendations. No statement in this article should be construed as an official position of AHRQ or the U.S. Department of Health and Human Services.
PY - 2004
Y1 - 2004
N2 - Objective To evaluate the relationship of health care delivery system characteristics and legal factors to mode of delivery in women with prior cesarean section. Methods We identified relevant studies by searching MEDLINE and HealthSTAR (1980 to May 2002), reference lists of pertinent articles, and recommendations of local and national experts. We also searched the online Cochrane systematic reviews and controlled trials registries, Database of Abstracts and Reviews on Effectiveness, and EMBASE databases. Results Studies of guidelines suggested that opinion leaders influence provider behavior regarding repeat cesarean delivery versus trial of labor decisions. Studies of hospital and insurance characteristics provided inconsistent results. There was insufficient evidence to evaluate the relationship between provider characteristics and delivery outcomes. Legislation and liability-related factors effected limited change. Conclusion Studies of health care system characteristics and other factors focused primarily on rates of delivery modes (vaginal birth after cesarean or repeat cesarean delivery) rather than patient safety or health outcomes. Future studies must account for case mix, time trends, and other potential confounders, especially concerning associations of provider characteristics.
AB - Objective To evaluate the relationship of health care delivery system characteristics and legal factors to mode of delivery in women with prior cesarean section. Methods We identified relevant studies by searching MEDLINE and HealthSTAR (1980 to May 2002), reference lists of pertinent articles, and recommendations of local and national experts. We also searched the online Cochrane systematic reviews and controlled trials registries, Database of Abstracts and Reviews on Effectiveness, and EMBASE databases. Results Studies of guidelines suggested that opinion leaders influence provider behavior regarding repeat cesarean delivery versus trial of labor decisions. Studies of hospital and insurance characteristics provided inconsistent results. There was insufficient evidence to evaluate the relationship between provider characteristics and delivery outcomes. Legislation and liability-related factors effected limited change. Conclusion Studies of health care system characteristics and other factors focused primarily on rates of delivery modes (vaginal birth after cesarean or repeat cesarean delivery) rather than patient safety or health outcomes. Future studies must account for case mix, time trends, and other potential confounders, especially concerning associations of provider characteristics.
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U2 - 10.1016/j.whi.2004.04.002
DO - 10.1016/j.whi.2004.04.002
M3 - Article
C2 - 15193637
AN - SCOPUS:2942572879
SN - 1049-3867
VL - 14
SP - 94
EP - 103
JO - Women's Health Issues
JF - Women's Health Issues
IS - 3
ER -