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首页> 外文期刊>Birth >Hospital‐ownership status and cesareans in the United States: The effect of for‐profit hospitals
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Hospital‐ownership status and cesareans in the United States: The effect of for‐profit hospitals

机译：美国的医院所有权和剖腹产：营业院系的效果

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Abstract Background Given the increasing proportion of United States hospitals that are for‐profit, we examined whether women who give birth in for‐profit hospitals are more likely to have cesareans than women who give birth in not‐for‐profit hospitals. We hypothesized that cesareans are more likely to occur in for‐profit hospitals because of the organizational emphasis on short‐term financial indicators, including payment of shareholder dividends. Methods We used logistic regression and difference of means tests to analyze data from the Listening to Mothers III survey of women who gave birth in the United States in 2011 and 2012. Results Controlling for patient‐level characteristics, we found that the odds of a woman's having a cesarean were two times higher in for‐profit hospitals than in not‐for‐profit hospitals. We also found for‐profit hospitals were significantly more likely to be members of multihospital systems and to have fewer full‐time registered nurses and staff members per hospital bed. Conclusion This research suggests that women who give birth in for‐profit hospitals are more likely to have cesareans than women who give birth in not‐for‐profit hospitals. This information is important to women when deciding where to give birth. Knowing which hospital characteristics are associated with a greater likelihood of cesarean is helpful since hospital cesarean rates may be difficult to find. These findings are also informative for obstetric professionals, who can implement improvement initiatives to decrease cesarean rates and improve the overall quality of care for childbearing women in the United States.
机译：摘要背景鉴于美国医院的增加，营业额增加，我们审查了患有营利性医院的妇女是否比培养不营利医院的妇女更容易生成剖腹产。我们假设由于组织强调短期财务指标，包括支付股东股息，因此剖腹产更有可能发生在营业的医院中。方法采用逻辑回归和差异的方法，分析了2011年和2012年在美国生育的母亲III调查中的母亲III调查。结果控制患者水平特征，我们发现一个女人的几率剖腹产的剖腹产高出资金医院的两倍高于非营利性医院。我们还发现营利性医院的人员明显更有可能成为多竞技制度的成员，并且每张医院床的全职注册护士和工作人员都有更少。结论这项研究表明，为营利性医院出生的妇女比患有非营利医院出生的女性更有可能拥有剖腹产。在决定分娩的地方时，这些信息对女性很重要。由于医院剖宫产率可能难以找到，了解哪些医院特征与剖腹产有益的有关。这些调查结果也是有资格的产科专业人员，他们可以实施改进措施，以减少剖宫产利率，并提高美国生育妇女的整体护理质量。

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