National Clinician Scholars Program, University of Michigan, Ann Arbor, Michigan.
Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, Michigan.
Prev Chronic Dis. 2018 Feb 8;15:E21. doi: 10.5888/pcd15.170397.
Our objective was to measure obstetric outcomes and delivery-related health care utilization and costs among pregnant women with multiple chronic conditions. We used 2013-2014 data from the National Inpatient Sample to measure obstetric outcomes and delivery-related health care utilization and costs among women with no chronic conditions, 1 chronic condition, and multiple chronic conditions. Women with multiple chronic conditions were at significantly higher risk than women with 1 chronic condition or no chronic conditions across all outcomes measured. High-value strategies are needed to improve birth outcomes among vulnerable mothers and their infants.
我们的目的是衡量患有多种慢性疾病的孕妇的产科结局和与分娩相关的医疗保健利用情况和费用。我们使用了 2013-2014 年全国住院患者样本的数据,衡量了无慢性疾病、有 1 种慢性疾病和有多种慢性疾病的女性的产科结局、与分娩相关的医疗保健利用情况和费用。患有多种慢性疾病的女性在所有测量结果上的风险明显高于患有 1 种慢性疾病或无慢性疾病的女性。需要采取高价值策略来改善弱势母亲及其婴儿的分娩结局。