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Understanding the Allocation of Caesarean Outcome to Provider Type: A Chart Review
Kellie Thiessen1, Nathan Nickel2, Heather J Prior3
1Director, Midwifery Program (University of Manitoba/McMaster University), Assistant Professor, College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB.
Introduction:
The concept, "most responsible provider" has a specific definition in the Canadian National Discharge Abstract Database (DAD). Variation exists in how care providers are defined in administrative data.
Methods:
We compared chart data with administrative data to understand how "most responsible provider" was identified in these two data sources.
Results:
We found a 3% discrepancy between data sources. Differences between data sources were attributable to transfers in care that occurred at birth.
Discussion:
"Most responsible provider" should consider the full trajectory of care when assigning outcomes in order to understand how to best support optimal health among low-risk births.
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