芬兰不同产科护理水平下的分娩结局：基于集水区的分析
Birth outcomes by level of obstetric care in Finland: a catchment area based analysis.
作者信息
Viisainen K, Gissler M, Hemminki E
机构信息
Department of Public Health University of Helsinki, Finland.
出版信息
J Epidemiol Community Health. 1994 Aug;48(4):400-5. doi: 10.1136/jech.48.4.400.
Abstract
STUDY OBJECTIVE
To study whether hospitals of different levels are equally safe places to give birth in a regionalised system of care.
DESIGN
This was a population based, cross sectional survey comparing birth outcomes in nationwide catchment areas of different levels of hospital care. All women and low risk women were examined separately.
SETTING AND SUBJECTS
The study population comprised all women who gave birth in Finland in 1987-88. The data were obtained from the Finnish Medical Registry, complemented by official data.
MAIN RESULTS
No statistically significant differences were found in crude or birthweight specific perinatal mortality rates between the catchment areas, nor did the other outcomes studied favour tertiary care compared with other levels of care in the area based analysis.
CONCLUSIONS
In a regionalised system of birth care with a proper referral system, small local hospitals are as safe places to give birth as tertiary care hospitals.
摘要
研究目的
研究在区域化护理体系中，不同级别的医院作为分娩场所是否同样安全。
设计
这是一项基于人群的横断面调查，比较了不同级别医院护理的全国服务区域内的分娩结局。所有女性和低风险女性分别进行了检查。
设置与研究对象
研究人群包括1987 - 1988年在芬兰分娩的所有女性。数据来自芬兰医疗登记处，并辅以官方数据。
主要结果
在各服务区域之间，粗围产死亡率或按出生体重计算的围产死亡率均未发现有统计学意义的差异，并且在基于区域的分析中，与该区域的其他护理级别相比，所研究的其他结局也未显示出三级护理更具优势。
结论
在具有适当转诊系统的区域化分娩护理体系中，小型当地医院作为分娩场所与三级护理医院一样安全。
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