Local health department perspectives on linkages among birthing hospitals.
OBJECTIVES: To describe perinatal linkages among hospitals, changes in their numbers and their impact on relationships among high-risk providers in local communities. STUDY DESIGN: Data were obtained about the organization of perinatal services in 1996-1999 from a cross-sectional study evaluating fe...
| Publicado en: | Journal of Perinatology Vol. 23; no. 8; pp. 610 - 620 |
|---|---|
| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Dec2003
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106651638&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106651638 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07438346 DZF jtl: Journal of Perinatology issn: 07438346 maglogo: Y pubinfo: dt: Dec2003 vid: 23 iid: 8 pid: 2579 pub: Springer Nature place: Dordrecht, <Blank> artinfo: ui: 106651638 106651638 2004165353 10.1038/sj.jp.7210993 NLM14647155 106651638 ppf: 610 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Local health department perspectives on linkages among birthing hospitals. aug: au: Strobino DM Silver GB Allston AA Grason HA affil: Women's and Children's Health Policy Center, Department of Population and Family Health Services, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, E4153, Baltimore, MD 21205 sug: subj: Health Facility Administration Interinstitutional Relations Pregnancy, High Risk Perinatal Care Transfer, Discharge Intensive Care, Neonatal Referral and Consultation Pregnancy Chi Square Test Questionnaires Interviews Female Funding Source Human Female ab: OBJECTIVES: To describe perinatal linkages among hospitals, changes in their numbers and their impact on relationships among high-risk providers in local communities. STUDY DESIGN: Data were obtained about the organization of perinatal services in 1996-1999 from a cross-sectional study evaluating fetal and infant mortality review (FIMR) programs nationwide. Geographic areas were sampled based on region, population density, and the presence of a FIMR. A local health department representative was interviewed in 76% (N=193) of eligible communities; 188 provided data about hospitals. RESULTS: Linkages among all hospitals were reported in 143 communities and with a subspecialty hospital in 122. All but 12 communities had a maternity hospital, and changes in the number of hospitals occurred in 49 communities. Decreases in the number of Level II hospitals were related to changes in relationships among providers of high-risk care for mothers and newborns; they were associated with changing relationships only for mothers in Level I hospitals. These relations were noted only where established provider relationships existed. CONCLUSIONS: Decreases in the number of maternity hospitals affect provider relationships in communities, but only where there are established linkages among hospitals. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|