Factors on the Gap between Predicted Cesarean Section Rate and Real Cesarean Section Rate in Tertiary Hospitals.
10.4069/kjwhn.2012.18.3.200
- Author:
Yun Mi KIM
1
;
Se Young KIM
Author Information
1. College of Nursing, Eulji University, Daejeon, Korea. sarakimk@eulji.ac.kr
- Publication Type:Original Article
- Keywords:
Nursing staff;
Cesarean section;
Hospital
- MeSH:
Cesarean Section;
Cross-Sectional Studies;
Female;
Humans;
Insurance, Health;
Nursing Staff;
Pregnancy;
Tertiary Care Centers
- From:Korean Journal of Women Health Nursing
2012;18(3):200-208
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study was aimed to examine the gap between predicted cesarean section rate and real cesarean section rate and it's determining factors of 44 tertiary hospitals. METHOD: This study is a cross-sectional analysis using the data of 25,623 deliveries in 2009 drawn from homepage of Health Insurance Review and Assessment Service. Data were analyzed with t-test, F-test, Scheffe? test, and logistic regression. RESULT: There were statistically significant differences in the gap of cesarean section rate (more gap indicates higher quality of delivery) by grade of nurse staffing and delivery cases. Hospitals with nurse staffing grade 1 to 2 had more possibility to be classified into higher grade in quality of delivery (OR 5.67, 95% CI 1.07~30.08). Also hospitals with over 500 delivery cases had more possibility be classified into higher grade in quality of delivery (OR 4.92, 95% CI 1.14~21.23, respectively). CONCLUSION: The finding suggests that grade of nurse staffing may influence the real cesarean section rate because nurses do a vital role to prevent unnecessary cesarean section. Further study is required to provide evidence that nurse staffing influence on patient outcome and cost-effectiveness in order to obtain adequate number of nursing staffs.
