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MAURO FERRANTE

A composite indicator for maternity hospital classification

  • Authors: Fantaci, Giovanna; Ferrante, Mauro*; Ettore, Giuseppe; Scondotto, Salvatore
  • Publication year: 2018
  • Type: Articolo in rivista (Articolo in rivista)
  • Key words: 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.