Cargando…

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 res...

Descripción completa

Detalles Bibliográficos
Autores principales: Thiessen, Kellie, Nickel, Nathan, Prior, Heather J., Morris, Margaret, Robinson, Kristine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Longwoods Publishing 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7008672/
https://www.ncbi.nlm.nih.gov/pubmed/30710438
http://dx.doi.org/10.12927/hcpol.2018.25689
_version_ 1783495512832344064
author Thiessen, Kellie
Nickel, Nathan
Prior, Heather J.
Morris, Margaret
Robinson, Kristine
author_facet Thiessen, Kellie
Nickel, Nathan
Prior, Heather J.
Morris, Margaret
Robinson, Kristine
author_sort Thiessen, Kellie
collection PubMed
description 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.
format Online
Article
Text
id pubmed-7008672
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Longwoods Publishing
record_format MEDLINE/PubMed
spelling pubmed-70086722020-02-13 Understanding the Allocation of Caesarean Outcome to Provider Type: A Chart Review Thiessen, Kellie Nickel, Nathan Prior, Heather J. Morris, Margaret Robinson, Kristine Healthc Policy Discussion and Debate 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. Longwoods Publishing 2018-11 /pmc/articles/PMC7008672/ /pubmed/30710438 http://dx.doi.org/10.12927/hcpol.2018.25689 Text en Copyright © 2018 Longwoods Publishing http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 License, which permits rights to copy and redistribute the work for non-commercial purposes only, provided the original work is given proper attribution.
spellingShingle Discussion and Debate
Thiessen, Kellie
Nickel, Nathan
Prior, Heather J.
Morris, Margaret
Robinson, Kristine
Understanding the Allocation of Caesarean Outcome to Provider Type: A Chart Review
title Understanding the Allocation of Caesarean Outcome to Provider Type: A Chart Review
title_full Understanding the Allocation of Caesarean Outcome to Provider Type: A Chart Review
title_fullStr Understanding the Allocation of Caesarean Outcome to Provider Type: A Chart Review
title_full_unstemmed Understanding the Allocation of Caesarean Outcome to Provider Type: A Chart Review
title_short Understanding the Allocation of Caesarean Outcome to Provider Type: A Chart Review
title_sort understanding the allocation of caesarean outcome to provider type: a chart review
topic Discussion and Debate
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7008672/
https://www.ncbi.nlm.nih.gov/pubmed/30710438
http://dx.doi.org/10.12927/hcpol.2018.25689
work_keys_str_mv AT thiessenkellie understandingtheallocationofcaesareanoutcometoprovidertypeachartreview
AT nickelnathan understandingtheallocationofcaesareanoutcometoprovidertypeachartreview
AT priorheatherj understandingtheallocationofcaesareanoutcometoprovidertypeachartreview
AT morrismargaret understandingtheallocationofcaesareanoutcometoprovidertypeachartreview
AT robinsonkristine understandingtheallocationofcaesareanoutcometoprovidertypeachartreview