Rodrigues J
Department of Health Policy and Management, School of Hygiene and Public Health, Johns Hopkins University, Baltimore, MD 21205.
Am J Public Health. 1988 Jun;78(6):704-5. doi: 10.2105/ajph.78.6.704.
Paraíba State, Brazil is one of the poorest areas in that country; many of the hospitals are not high quality and medical training is not comparable to that of developed countries. Nevertheless, the rate of cesarean section delivery in urban hospitals has risen from 19.0 per cent in 1977 to 28.5 in 1981. Despite the larger volume of obstetric services in government hospitals, these hospitals had lower cesarean section rates than private hospitals, both profit and non-profit.
巴西帕拉伊巴州是该国最贫困的地区之一;许多医院质量不高,医学培训水平也无法与发达国家相比。然而,城市医院的剖宫产率已从1977年的19.0%升至1981年的28.5%。尽管政府医院提供的产科服务量更大,但这些医院的剖宫产率低于私立医院,包括盈利性和非营利性私立医院。