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[The eastern Paris perinatal network (2008-2010). Defining the target population and assessing health needs]
A Serfaty1, F Gold, J-L Benifla
1Département d'information médicale, groupe hospitalier Armand-Trousseau La Roche-Guyon, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France. annie.serfaty@trs.aphp.fr <annie.serfaty@trs.aphp.fr>
Insights
Defining the target population for the Eastern Paris Perinatal Network is crucial for effective healthcare planning. This involves considering both local residents and those utilizing services, estimating around 19,000 women for the network.
Area of Science:
- Perinatal care regionalization
- Public health policy
- Healthcare network planning
Context:
- French governmental plans since the 1990s have promoted regionalization of perinatal care to enhance safety and quality.
- The Eastern Paris Perinatal Network is being established in health area 75-2, encompassing specific arrondissements of Paris.
- A key challenge is ensuring the network adequately serves its intended population.
Purpose:
- To define the target population of mothers and newborns for the Eastern Paris Perinatal Network.
- To develop a matrix for assessing population needs and identifying necessary data for network planning.
Summary:
- A matrix was developed using data from INSEE, health facility activities, national medical informatics programs, and 8th-day health certificates.
- The target population varies by perinatal period; for conception, it includes all women aged 15-49.
- In 2007, approximately 16,500 women gave birth in the area, with only 41.46% residing locally. Including women from the area delivering elsewhere, the estimated network population is around 19,000 women.
Impact:
- Highlights the necessity of considering both resident and user populations in urban healthcare planning.
- Emphasizes the importance of clearly defining target populations for effective policy and planning in dense healthcare environments like Paris.
Background:
Since the 1990s, governmental plans in France have imposed the regionalization of perinatal care to improve both safety and quality of care. The Eastern Paris Perinatal Network is under construction in health area 75-2, which includes the 11th, 12th, 13th and 20th arrondissements of Paris. A major issue is ensuring that the network can meet the needs of its target population. The objective is to define the network's target population of mothers and newborns.
Methods:
We designed a matrix to help assess these needs and identify the data required to define the network's population. Four principal data sources were analyzed: the National Statistics and Economic Studies Institute (Insee) data, annual health facility activity data, national medical informatics program data, and 8th-day health certificates.
Results:
The network's target population varies according to the precise perinatal period and the planning stage. For the conception period, it includes the general population and specifically all women of childbearing age (15-49 years). The health area included 672,000 inhabitants in 2006, 29% of them are women of childbearing age. The proportion of people born outside France and who are of foreign nationality ranges, according to arrondissement, from 13.2 to 20.0%; the mean for the Paris metropolitan area is 14.7%. Approximately 16,500 women gave birth in 2007, at nine obstetric facility sites in the health area (five level I, three level II, and one type III); only 41.46% of them resided in the health area. Approximately 2500 women living in the health area gave birth at a facility outside the area. The population likely to be covered by the network is thus estimated at approximately 19,000 women.
Conclusion:
A network must simultaneously take into account the local resident population and the population using its health care system. In an urban area such as Paris, where the health care supply is dense, it is essential for policy planning process to define the contours of the target population of a health network.
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