Assessing Medical Practices through PSRO Cooperative Studies: An Evaluation of Cesarean Births in Nine PSRO Areas

Nine Professional Standards Review Organizations jointly conducted an areawide medical care evaluation study of Cesarean births. Of 5,002 Cesarean births studied in 158 hospitals, only 1.1 per cent were judged to be unjustified procedures by local physician peer review. Although there was substantia...

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Bibliographic Details
Published in:Medical care 1982-01, Vol.20 (1), p.75-84
Main Authors: Jessee, William F., Nickerson, C. W., Grant, William S.
Format: Article
Language:English
Subjects:
Cesarean section
Cesarean Section - statistics & numerical data
Childbirth
Female
Fetal monitoring
Humans
Infants
Interinstitutional Relations
Length of Stay
Medical Audit
Medical practice
Obstetric labor complications
Obstetrics
Operating rooms
Outcome and Process Assessment (Health Care)
Patient care
Physicians
Pregnancy
Professional Review Organizations
United States
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Summary:Nine Professional Standards Review Organizations jointly conducted an areawide medical care evaluation study of Cesarean births. Of 5,002 Cesarean births studied in 158 hospitals, only 1.1 per cent were judged to be unjustified procedures by local physician peer review. Although there was substantial geographic variation in rates of Cesarean birth (11.0%-18.3 per cent), no statistically significant pattern of variation was identified. Maternal outcomes and infant outcomes were generally good. This study demonstrates the potential for use of PSRO data in studying major issues in health care, as well as the practical constraints of such studies.
ISSN:0025-7079
1537-1948
DOI:10.1097/00005650-198201000-00006