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非临床因素对初次剖宫产的影响。

Impact of non-clinical factors on primary cesarean deliveries.

机构信息

Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Center for Health Care Research and Policy, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH 44109, USA.

出版信息

Semin Perinatol. 2012 Oct;36(5):395-8. doi: 10.1053/j.semperi.2012.04.026.

DOI:10.1053/j.semperi.2012.04.026
PMID:23009975
Abstract

The patient characteristics that influence cesarean rates are well known. However, there are many non clinical factors that also influence cesarean rates. Understanding these non clinical factors and how they can be changed to improve care is an important part of obstetrics. Provider staffing patterns, the types of providers and how information can be used to effectively change practice patterns are explored in this article.

摘要

影响剖宫产率的患者特征是众所周知的。然而,还有许多非临床因素也会影响剖宫产率。了解这些非临床因素以及如何改变它们以改善护理是产科的一个重要组成部分。本文探讨了提供者人员配备模式、提供者类型以及如何利用信息有效改变实践模式。

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BMC Health Serv Res. 2021 Nov 13;21(1):1233. doi: 10.1186/s12913-021-07269-4.
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Social determinants of delivery mode in Jiangsu, China.中国江苏分娩方式的社会决定因素。
BMC Pregnancy Childbirth. 2019 Dec 5;19(1):473. doi: 10.1186/s12884-019-2639-2.
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What Are Optimal Cesarean Section Rates in the U.S. and How Do We Get There? A Review of Evidence-Based Recommendations and Interventions.
美国剖宫产的最佳比率是多少,我们如何实现这一比率?基于证据的建议与干预措施综述。
J Womens Health (Larchmt). 2017 Dec;26(12):1285-1291. doi: 10.1089/jwh.2016.6188. Epub 2017 Aug 21.
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Obstetricians' Opinions of the Optimal Caesarean Rate: A Global Survey.产科医生对最佳剖宫产率的看法:一项全球调查。
PLoS One. 2016 Mar 31;11(3):e0152779. doi: 10.1371/journal.pone.0152779. eCollection 2016.
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Two practice models in one labor and delivery unit: association with cesarean delivery rates.一个产房的两种实践模式:与剖宫产率的关联
Am J Obstet Gynecol. 2015 Apr;212(4):491.e1-8. doi: 10.1016/j.ajog.2014.11.014. Epub 2014 Nov 13.
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Maternal clinical diagnoses and hospital variation in the risk of cesarean delivery: analyses of a National US Hospital Discharge Database.剖宫产风险的产妇临床诊断及医院差异:对美国国家医院出院数据库的分析
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