Effect of repeated public releases on cesarean section rates

Won Mo Jang, Sang Jun Eun, Chae Eun Lee, Yoon Kim

Research output: Contribution to journalArticleResearchpeer-review

9 Citations (Scopus)

Abstract

Objectives: Public release of and feedback (here after public release) on institutional (clinics and hospitals) cesarean section rates has had the effect of reducing cesarean section rates. However, compared to the isolated intervention, there was scant evidence of the effect of repeated public releases (RPR) on cesarean section rates. The objectives of this study were to evaluate the effect of RPR for reducing cesarean section rates. Methods: From January 2003 to July 2007, the nationwide monthly institutional cesarean section rates data (1 951 303 deliveries at 1194 institutions) were analyzed. We used autoregressive integrated moving average (ARIMA) time-series intervention models to assess the effect of the RPR on cesarean section rates and ordinal logistic regression model to determine the characteristics of the change in cesarean section rates. Results: Among four RPR, we found that only the first one (August 29, 2005) decreased the cesarean section rate (by 0.81 percent) and continued to have an impact period through the last observation in May 2007. Baseline cesarean section rates (OR, 4.7; 95% CI, 3.1 to 7.1) and annual number of deliveries (OR, 2.8; 95% CI, 1.6 to 4.7) of institutions in the upper third of each category at before first intervention had a significant contribution to the decrease of cesarean section rates. Conclusions: We could not found the evidence that RPR has had the significant effect of reducing cesarean section rates. Institutions with upper baseline cesarean section rates and annual number of deliveries were more responsive to RPR.

Original languageEnglish
Pages (from-to)2-8
Number of pages7
JournalJournal of Preventive Medicine and Public Health
Volume44
Issue number1
DOIs
StatePublished - 1 Jan 2011

Fingerprint

Cesarean Section
Logistic Models
Observation

Keywords

  • Cesarean section rates
  • Program evaluation
  • Public releases
  • Quality of healthcare

Cite this

Jang, Won Mo ; Eun, Sang Jun ; Lee, Chae Eun ; Kim, Yoon. / Effect of repeated public releases on cesarean section rates. In: Journal of Preventive Medicine and Public Health. 2011 ; Vol. 44, No. 1. pp. 2-8.
@article{30df0870c83c4213adbaff23b06011fc,
title = "Effect of repeated public releases on cesarean section rates",
abstract = "Objectives: Public release of and feedback (here after public release) on institutional (clinics and hospitals) cesarean section rates has had the effect of reducing cesarean section rates. However, compared to the isolated intervention, there was scant evidence of the effect of repeated public releases (RPR) on cesarean section rates. The objectives of this study were to evaluate the effect of RPR for reducing cesarean section rates. Methods: From January 2003 to July 2007, the nationwide monthly institutional cesarean section rates data (1 951 303 deliveries at 1194 institutions) were analyzed. We used autoregressive integrated moving average (ARIMA) time-series intervention models to assess the effect of the RPR on cesarean section rates and ordinal logistic regression model to determine the characteristics of the change in cesarean section rates. Results: Among four RPR, we found that only the first one (August 29, 2005) decreased the cesarean section rate (by 0.81 percent) and continued to have an impact period through the last observation in May 2007. Baseline cesarean section rates (OR, 4.7; 95{\%} CI, 3.1 to 7.1) and annual number of deliveries (OR, 2.8; 95{\%} CI, 1.6 to 4.7) of institutions in the upper third of each category at before first intervention had a significant contribution to the decrease of cesarean section rates. Conclusions: We could not found the evidence that RPR has had the significant effect of reducing cesarean section rates. Institutions with upper baseline cesarean section rates and annual number of deliveries were more responsive to RPR.",
keywords = "Cesarean section rates, Program evaluation, Public releases, Quality of healthcare",
author = "Jang, {Won Mo} and Eun, {Sang Jun} and Lee, {Chae Eun} and Yoon Kim",
year = "2011",
month = "1",
day = "1",
doi = "10.3961/jpmph.2011.44.1.2",
language = "English",
volume = "44",
pages = "2--8",
journal = "Journal of Preventive Medicine and Public Health",
issn = "1975-8375",
publisher = "Korean Society for Preventive Medicine",
number = "1",

}

Effect of repeated public releases on cesarean section rates. / Jang, Won Mo; Eun, Sang Jun; Lee, Chae Eun; Kim, Yoon.

In: Journal of Preventive Medicine and Public Health, Vol. 44, No. 1, 01.01.2011, p. 2-8.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Effect of repeated public releases on cesarean section rates

AU - Jang, Won Mo

AU - Eun, Sang Jun

AU - Lee, Chae Eun

AU - Kim, Yoon

PY - 2011/1/1

Y1 - 2011/1/1

N2 - Objectives: Public release of and feedback (here after public release) on institutional (clinics and hospitals) cesarean section rates has had the effect of reducing cesarean section rates. However, compared to the isolated intervention, there was scant evidence of the effect of repeated public releases (RPR) on cesarean section rates. The objectives of this study were to evaluate the effect of RPR for reducing cesarean section rates. Methods: From January 2003 to July 2007, the nationwide monthly institutional cesarean section rates data (1 951 303 deliveries at 1194 institutions) were analyzed. We used autoregressive integrated moving average (ARIMA) time-series intervention models to assess the effect of the RPR on cesarean section rates and ordinal logistic regression model to determine the characteristics of the change in cesarean section rates. Results: Among four RPR, we found that only the first one (August 29, 2005) decreased the cesarean section rate (by 0.81 percent) and continued to have an impact period through the last observation in May 2007. Baseline cesarean section rates (OR, 4.7; 95% CI, 3.1 to 7.1) and annual number of deliveries (OR, 2.8; 95% CI, 1.6 to 4.7) of institutions in the upper third of each category at before first intervention had a significant contribution to the decrease of cesarean section rates. Conclusions: We could not found the evidence that RPR has had the significant effect of reducing cesarean section rates. Institutions with upper baseline cesarean section rates and annual number of deliveries were more responsive to RPR.

AB - Objectives: Public release of and feedback (here after public release) on institutional (clinics and hospitals) cesarean section rates has had the effect of reducing cesarean section rates. However, compared to the isolated intervention, there was scant evidence of the effect of repeated public releases (RPR) on cesarean section rates. The objectives of this study were to evaluate the effect of RPR for reducing cesarean section rates. Methods: From January 2003 to July 2007, the nationwide monthly institutional cesarean section rates data (1 951 303 deliveries at 1194 institutions) were analyzed. We used autoregressive integrated moving average (ARIMA) time-series intervention models to assess the effect of the RPR on cesarean section rates and ordinal logistic regression model to determine the characteristics of the change in cesarean section rates. Results: Among four RPR, we found that only the first one (August 29, 2005) decreased the cesarean section rate (by 0.81 percent) and continued to have an impact period through the last observation in May 2007. Baseline cesarean section rates (OR, 4.7; 95% CI, 3.1 to 7.1) and annual number of deliveries (OR, 2.8; 95% CI, 1.6 to 4.7) of institutions in the upper third of each category at before first intervention had a significant contribution to the decrease of cesarean section rates. Conclusions: We could not found the evidence that RPR has had the significant effect of reducing cesarean section rates. Institutions with upper baseline cesarean section rates and annual number of deliveries were more responsive to RPR.

KW - Cesarean section rates

KW - Program evaluation

KW - Public releases

KW - Quality of healthcare

UR - http://www.scopus.com/inward/record.url?scp=79961153367&partnerID=8YFLogxK

U2 - 10.3961/jpmph.2011.44.1.2

DO - 10.3961/jpmph.2011.44.1.2

M3 - Article

VL - 44

SP - 2

EP - 8

JO - Journal of Preventive Medicine and Public Health

JF - Journal of Preventive Medicine and Public Health

SN - 1975-8375

IS - 1

ER -