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Eur J Obstet Gynecol Reprod Biol. 1995 Aug;61(2):129-34.

Provider-associated factors in obstetric interventions.

Author information

1
Department of Obstetrics and Gynecology, University of Amsterdam, The Netherlands.

Abstract

OBJECTIVE:

To assess which factors influence provider-associated differences in obstetric interventions.

STUDY DESIGN:

A survey of obstetricians and co-workers in a sample consisting of 38 Dutch hospitals was taken, using a questionnaire that contained questions about personal and hospital-policy data, and 19 clinical problems with a choice between intervention and non-intervention. From the clinical problems an Intervention Score was assembled. The influence of the personal and hospital-policy items on this Intervention Score was studied by analysis of variance.

RESULTS:

Overall the Intervention Score was low, with considerable interindividual variation. Four personal/hospital items influenced the Intervention Score: the teacher could affect the score in either direction; the increasing age of the obstetrician and routine electronic fetal monitoring had an increasing effect; employment of midwives had a decreasing effect. Other factors, including litigation, had no effect.

CONCLUSION:

Supplier-induced differences do exist in obstetric interventions and are influenced by personal and hospital-policy factors.

PMID:
7556833
DOI:
10.1016/0301-2115(95)02129-u
[Indexed for MEDLINE]

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