The relationship of health care delivery system characteristics and legal factors to mode of delivery in women with prior cesarean section: A systematic review

D. Kraemer, Michelle Berlin, Jeanne Marie Guise

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objective To evaluate the relationship of health care delivery system characteristics and legal factors to mode of delivery in women with prior cesarean section. Methods We identified relevant studies by searching MEDLINE and HealthSTAR (1980 to May 2002), reference lists of pertinent articles, and recommendations of local and national experts. We also searched the online Cochrane systematic reviews and controlled trials registries, Database of Abstracts and Reviews on Effectiveness, and EMBASE databases. Results Studies of guidelines suggested that opinion leaders influence provider behavior regarding repeat cesarean delivery versus trial of labor decisions. Studies of hospital and insurance characteristics provided inconsistent results. There was insufficient evidence to evaluate the relationship between provider characteristics and delivery outcomes. Legislation and liability-related factors effected limited change. Conclusion Studies of health care system characteristics and other factors focused primarily on rates of delivery modes (vaginal birth after cesarean or repeat cesarean delivery) rather than patient safety or health outcomes. Future studies must account for case mix, time trends, and other potential confounders, especially concerning associations of provider characteristics.

Original languageEnglish
Pages (from-to)94-103
Number of pages10
JournalWomen's Health Issues
Volume14
Issue number3
DOIs
Publication statusPublished - May 2004

Fingerprint

legal factors
health care delivery system
Cesarean Section
Delivery of Health Care
opinion leader
Vaginal Birth after Cesarean
Trial of Labor
Databases
liability
insurance
Diagnosis-Related Groups
legislation
expert
Patient Safety
health care
labor
Insurance
Legislation
MEDLINE
Registries

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Public Health, Environmental and Occupational Health
  • Nursing(all)
  • Health(social science)

Cite this

The relationship of health care delivery system characteristics and legal factors to mode of delivery in women with prior cesarean section : A systematic review. / Kraemer, D.; Berlin, Michelle; Guise, Jeanne Marie.

In: Women's Health Issues, Vol. 14, No. 3, 05.2004, p. 94-103.

Research output: Contribution to journalArticle

@article{1e8aa2ea973840ee98aae14c2bf29531,
title = "The relationship of health care delivery system characteristics and legal factors to mode of delivery in women with prior cesarean section: A systematic review",
abstract = "Objective To evaluate the relationship of health care delivery system characteristics and legal factors to mode of delivery in women with prior cesarean section. Methods We identified relevant studies by searching MEDLINE and HealthSTAR (1980 to May 2002), reference lists of pertinent articles, and recommendations of local and national experts. We also searched the online Cochrane systematic reviews and controlled trials registries, Database of Abstracts and Reviews on Effectiveness, and EMBASE databases. Results Studies of guidelines suggested that opinion leaders influence provider behavior regarding repeat cesarean delivery versus trial of labor decisions. Studies of hospital and insurance characteristics provided inconsistent results. There was insufficient evidence to evaluate the relationship between provider characteristics and delivery outcomes. Legislation and liability-related factors effected limited change. Conclusion Studies of health care system characteristics and other factors focused primarily on rates of delivery modes (vaginal birth after cesarean or repeat cesarean delivery) rather than patient safety or health outcomes. Future studies must account for case mix, time trends, and other potential confounders, especially concerning associations of provider characteristics.",
author = "D. Kraemer and Michelle Berlin and Guise, {Jeanne Marie}",
year = "2004",
month = "5",
doi = "10.1016/j.whi.2004.04.002",
language = "English",
volume = "14",
pages = "94--103",
journal = "Women's Health Issues",
issn = "1049-3867",
publisher = "Elsevier USA",
number = "3",

}

TY - JOUR

T1 - The relationship of health care delivery system characteristics and legal factors to mode of delivery in women with prior cesarean section

T2 - A systematic review

AU - Kraemer, D.

AU - Berlin, Michelle

AU - Guise, Jeanne Marie

PY - 2004/5

Y1 - 2004/5

N2 - Objective To evaluate the relationship of health care delivery system characteristics and legal factors to mode of delivery in women with prior cesarean section. Methods We identified relevant studies by searching MEDLINE and HealthSTAR (1980 to May 2002), reference lists of pertinent articles, and recommendations of local and national experts. We also searched the online Cochrane systematic reviews and controlled trials registries, Database of Abstracts and Reviews on Effectiveness, and EMBASE databases. Results Studies of guidelines suggested that opinion leaders influence provider behavior regarding repeat cesarean delivery versus trial of labor decisions. Studies of hospital and insurance characteristics provided inconsistent results. There was insufficient evidence to evaluate the relationship between provider characteristics and delivery outcomes. Legislation and liability-related factors effected limited change. Conclusion Studies of health care system characteristics and other factors focused primarily on rates of delivery modes (vaginal birth after cesarean or repeat cesarean delivery) rather than patient safety or health outcomes. Future studies must account for case mix, time trends, and other potential confounders, especially concerning associations of provider characteristics.

AB - Objective To evaluate the relationship of health care delivery system characteristics and legal factors to mode of delivery in women with prior cesarean section. Methods We identified relevant studies by searching MEDLINE and HealthSTAR (1980 to May 2002), reference lists of pertinent articles, and recommendations of local and national experts. We also searched the online Cochrane systematic reviews and controlled trials registries, Database of Abstracts and Reviews on Effectiveness, and EMBASE databases. Results Studies of guidelines suggested that opinion leaders influence provider behavior regarding repeat cesarean delivery versus trial of labor decisions. Studies of hospital and insurance characteristics provided inconsistent results. There was insufficient evidence to evaluate the relationship between provider characteristics and delivery outcomes. Legislation and liability-related factors effected limited change. Conclusion Studies of health care system characteristics and other factors focused primarily on rates of delivery modes (vaginal birth after cesarean or repeat cesarean delivery) rather than patient safety or health outcomes. Future studies must account for case mix, time trends, and other potential confounders, especially concerning associations of provider characteristics.

UR - http://www.scopus.com/inward/record.url?scp=2942572879&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=2942572879&partnerID=8YFLogxK

U2 - 10.1016/j.whi.2004.04.002

DO - 10.1016/j.whi.2004.04.002

M3 - Article

C2 - 15193637

AN - SCOPUS:2942572879

VL - 14

SP - 94

EP - 103

JO - Women's Health Issues

JF - Women's Health Issues

SN - 1049-3867

IS - 3

ER -