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Related Experiment Videos

Incorporating outcome standards into perinatal regulations.

B J Turnock, J W Masterson

    Public Health Reports (Washington, D.C. : 1974)
    |January 1, 1986
    PubMed
    Summary

    Chicago

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    Area of Science:

    • Healthcare regulation
    • Public health surveillance
    • Maternal and child health outcomes

    Background:

    • Traditional hospital regulation focuses on inputs and processes, not outcomes.
    • Direct evidence linking standards to improved patient outcomes is often lacking.
    • Governments aim to ensure minimum acceptable care levels for patient health.

    Purpose of the Study:

    • To evaluate the effectiveness of an outcome-oriented approach to hospital regulation.
    • To incorporate direct measurement of patient outcomes into regulatory functions.
    • To assess the utility of the Outcome-Oriented Perinatal Surveillance System.

    Main Methods:

    • Incorporated direct measurement of perinatal and neonatal mortality rates into regulatory functions.
    • Used indirect standardization to adjust mortality rates for race and birth weight.
    • Calculated adjusted mortality rates and standardized mortality ratios (SMRs) for screening.
    • Conducted additional evaluations for hospitals identified through screening and for compliance with traditional standards.

    Main Results:

    • The Outcome-Oriented Perinatal Surveillance System was implemented in Chicago for maternity and newborn services.
    • Adjusted mortality rates and SMRs served as an initial screening instrument.
    • Information from outcome and compliance evaluations informed regulatory activities.

    Conclusions:

    • The Outcome-Oriented Perinatal Surveillance System provides an objective basis for hospital monitoring and regulation.
    • This system is understandable and acceptable for maternity and newborn units.
    • Outcome measurement enhances regulatory strategies for improving patient care.

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