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Erschienen in:

01.09.2005

A Framework for the Development of MaternalQuality of Care Indicators

verfasst von: Lisa M. Korst, MD, PhD, Kimberly D. Gregory, MD, MPH, Michael C. Lu, MD, MPH, Carolina Reyes, MD, Calvin J. Hobel, MD, Gilberto F. Chavez, MD, MPH

Erschienen in: Maternal and Child Health Journal | Ausgabe 3/2005

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Abstract

Background: In collaboration with the California Department of Health Maternal and Child Health Branch, the authors formed a Working Group to identify potential clinical indicators that could be used to inform decision making regarding maternal health care quality. Objective: To develop potential indicators for the assessment of maternal health care quality. Materials and Methods: A Working Group was convened to review information from the published literature and expert opinion. Selection of potential indicators was guided by the following goals: 1) To identify key areas for routine aggregate monitoring; 2) To include perspectives of relevant stakeholders in maternal health care services; 3) To include measures that are comprehensive and reflect a balance between maternal and fetal interests; and 4) To develop measures that would be valid, generalizable, mutable, and feasible. Results: Ninety potential indicators were identified. Each underwent a thorough review based on: its definition, objective, and validity; its contribution to innovation; the cost and timeliness of implementation; its feasibility, acceptability, and potential effectiveness; and its compatibility with ethics, values, and social policy. This process yielded 24 final indicators from the following categories: Health Status and Access (e.g., availability of 24 h inpatient anesthesia); Preconception and Interconception Care (e.g., Pap smear use); Antenatal Care (e.g., hospitalization for uncontrolled diabetes or pyelonephritis); Labor and Delivery Care (e.g., chorioamnionitis or obstetrical hemorrhage), and Postpartum Care (e.g., rate of postpartum visits). Conclusions: These potential indicators, representative of the women's health continuum, can serve as a foundation to structure the development of consensus and methods for maternal health care quality assessment.

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Titel: A Framework for the Development of MaternalQuality of Care Indicators
verfasst von: Lisa M. Korst, MD, PhD
Kimberly D. Gregory, MD, MPH
Michael C. Lu, MD, MPH
Carolina Reyes, MD
Calvin J. Hobel, MD
Gilberto F. Chavez, MD, MPH
Publikationsdatum: 01.09.2005
Verlag: Springer US
Erschienen in: Maternal and Child Health Journal / Ausgabe 3/2005
Print ISSN: 1092-7875
Elektronische ISSN: 1573-6628
DOI: https://doi.org/10.1007/s10995-005-0001-y

Springer Medizin

Abstract

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