Understanding the Allocation of Caesarean Outcome to Provider Type: A Chart Review

INTRODUCTION: The concept, “most responsible provider” has a specific definition in the Canadian National Discharge Abstract Database (DAD). Variation exists in how care providers are defined in administrative data. METHODS: We compared chart data with administrative data to understand how “most responsible provider” was identified in these two data sources. RESULTS: We found a 3% discrepancy between data sources. Differences between data sources were attributable to transfers in care that occurred at birth. DISCUSSION: “Most responsible provider” should consider the full trajectory of care when assigning outcomes in order to understand how to best support optimal health among low-risk births.