Inter-hospital comparison of Cesarean delivery rates should not be considered to reflect quality of care without consideration of patient heterogeneity: An observational study.

Niamh C Murphy,Naomi Burke,Fionnuala M Breathnach,Gerard Burke,Fionnuala M McAuliffe,John J Morrison,Michael J Turner,Samina Dornan,John Higgins,Amanda Cotter,Michael P Geary,Fiona Cody,Peter McParland,Cecelia Mulcahy,Sean Daly,Patrick Dicker,Elizabeth C Tully,Fergal D Malone

European Journal of Obstetrics & Gynecology and Reproductive Biology（2020）

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摘要

Inter-institutional diversity is common. We suggest that crude comparison of Cesarean delivery rates between different hospitals as a marker of care quality is inappropriate. Allowing for marked differences in patient characteristics is essential for correct interpretation of such comparisons.

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关键词

Cesarean delivery,Comparison of rates,Genesis study,Patient heterogeneity

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