Document Detail

Physician volume and obstetric outcome.
MedLine Citation:
PMID:  1518318     Owner:  NLM     Status:  MEDLINE    
Although much has been written regarding regionalization of obstetric services and inferences made about centralization of labor and delivery, little data exist that specifically address the volume-outcome relationship for obstetrics. The purpose of this study was to determine the relationship between physician volume and perinatal outcome as measured by neonatal and perinatal mortality. A sample of 210,547 births to Missouri residents from 1984 to 1987 was studied using multivariate logistic regression with perinatal death and neonatal death as outcomes. No relationship was found between physician volume and outcome.
M L LeFevre
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Medical care     Volume:  30     ISSN:  0025-7079     ISO Abbreviation:  Med Care     Publication Date:  1992 Sep 
Date Detail:
Created Date:  1992-10-07     Completed Date:  1992-10-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0230027     Medline TA:  Med Care     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  866-71     Citation Subset:  IM    
Department of Family and Community Medicine, University of Missouri School of Medicine, Columbia 65212.
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MeSH Terms
Birth Rate
Fetal Death / epidemiology*
Health Services Research / methods
Hospitals, Community / utilization
Infant Mortality*
Infant, Newborn
Intensive Care Units, Neonatal / utilization
Logistic Models
Missouri / epidemiology
Obstetrics / organization & administration,  standards*,  statistics & numerical data
Odds Ratio
Outcome and Process Assessment (Health Care)*
Program Evaluation
Regional Medical Programs / statistics & numerical data*
Regression Analysis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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