A composite indicator for maternity hospital classification
- Autori: Fantaci, Giovanna; Ferrante, Mauro*; Ettore, Giuseppe; Scondotto, Salvatore
- Anno di pubblicazione: 2018
- Tipologia: Articolo in rivista (Articolo in rivista)
- Parole Chiave: Composite indicator; Healthcare services evaluation; Maternity hospital; Regionalization; Epidemiology; Public Health, Environmental and Occupational Health
- OA Link: http://hdl.handle.net/10447/294519
Abstract
OBJECTIVES: to propose a composite indicator for maternity hospital classification. DESIGN: descriptive analysis of maternity hospitals through a composite indicator and analysis of its association with infant readmissions within 30 days from the childbirth. SETTING AND PARTICIPANTS: 56 maternity units in Sicily, accounting for 44.436 newborns in 2014. MAIN OUTCOME MEASURES: infant readmission rates within 30 days from the childbirth. RESULTS: low-level hospitals show higher infant readmission rates (odds ratio: 1.3) which may be seen as a signal of inappropriateness of maternity care. CONCLUSIONS: the proposed indicator allows for a classification of maternity hospitals taking into account for different dimensions of the quality of care; it allows the identification of critical signals related to the considered dimensions.