Related Experiment Video
Updated: Jun 5, 2025
08:49
External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
14.4K
Validity of a Classification System for the Levels of Maternal Care
Jennifer Vanderlaan1, Jay Shen, Ian K McDonough
1School of Nursing, the School of Public Health, and the Department of Economics, Lee Business School, University of Nevada, Las Vegas, Las Vegas, Nevada.
Obstetrics and Gynecology
|December 12, 2024
Summary
The American Hospital Association Database can classify maternal care levels, aiding research into risk-appropriate maternal care. High-risk patients and transfers are more likely to deliver at higher-level, larger, or teaching hospitals.
Area of Science:
- Healthcare research
- Maternal health services
- Hospital quality assessment
Background:
- The American Hospital Association Database is a valuable resource for healthcare research.
- Accurate classification of maternal care levels is crucial for studying risk-appropriate care.
- Previous research has not fully assessed the validity of this database for maternal care research.
Purpose of the Study:
- To evaluate the content validity of the maternal level of care classification within the American Hospital Association Database.
- To determine if the database's classification accurately reflects hospital characteristics relevant to maternal care.
- To support the use of this database for future research on maternal risk-appropriate care.
Main Methods:
- Secondary data analysis using the 2018 American Hospital Association Database.
- Linking maternal care levels to birth hospitalizations from State Inpatient Databases (2016-2017) across five states.
- Comparing maternal care level classifications with hospital characteristics (volume, size, teaching status) and patient factors (high Obstetric Comorbidity Index, hospital transfers).
Main Results:
- Patients with high Obstetric Comorbidity Index (OCI) scores and inter-hospital transfers showed increased odds of delivery at higher-level (III/IV), large, or teaching hospitals.
- The probability of delivery at the highest-level hospital increased by 4.9% for high OCI patients and 5.2% for transferred patients when considering Level III/IV care.
- Adjusted analyses controlled for maternal race, rural residence, primary payer, and state.
Conclusions:
- The American Hospital Association Database provides a valid method for classifying maternal level of care.
- This classification can be reliably used by researchers to investigate maternal risk-appropriate care.
- Findings support the utility of the database for studying disparities and outcomes in maternal healthcare.
More Related Videos
Related Concept Videos
01:26Traditional Level Of Health Care System
2.7K
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
2.7K
01:26Methods Of Healthcare Delivery System
3.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.2K
01:29Nursing Interventions II: Selecting and Classifying the Nursing Interventions
2.1K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
2.1K
00:55Ordinal Level of Measurement
22.9K
The way a set of data is measured is called its level of measurement. Correct statistical procedures depend on a researcher being familiar with levels of measurement. For analysis, data are classified into four levels of measurement—nominal, ordinal, interval, and ratio.
Data measured using an ordinal scale are similar to nominal scale data, but there is one major difference. The ordinal scale data can be ordered. An example of ordinal scale data is a list of the top five national parks...
Data measured using an ordinal scale are similar to nominal scale data, but there is one major difference. The ordinal scale data can be ordered. An example of ordinal scale data is a list of the top five national parks...
22.9K
01:17Classification of Illness
7.3K
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
7.3K
01:26Classification of Systems-I
169
Linearity is a system property characterized by a direct input-output relationship, combining homogeneity and additivity.
Homogeneity dictates that if an input x(t) is multiplied by a constant c, the output y(t) is multiplied by the same constant. Mathematically, this is expressed as:
Homogeneity dictates that if an input x(t) is multiplied by a constant c, the output y(t) is multiplied by the same constant. Mathematically, this is expressed as:
169