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Related Experiment Videos

Provider-associated factors in obstetric interventions

M Pel1, M H Heres, A A Hart

  • 1Department of Obstetrics and Gynecology, University of Amsterdam, The Netherlands.

European Journal of Obstetrics, Gynecology, and Reproductive Biology
|August 1, 1995
PubMed
Summary

Provider differences in obstetric interventions exist and are influenced by personal and hospital factors. Factors like obstetrician age and electronic fetal monitoring increase interventions, while midwives decrease them.

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Area of Science:

  • Obstetrics and Gynecology
  • Healthcare Management
  • Medical Practice Variation

Background:

  • Variations in obstetric interventions among providers can impact patient care and outcomes.
  • Understanding the drivers of these variations is crucial for standardizing best practices.

Purpose of the Study:

  • To identify personal and hospital-policy factors contributing to differences in provider-associated obstetric interventions.

Main Methods:

  • A survey was administered to obstetricians and co-workers across 38 Dutch hospitals.
  • A questionnaire collected data on personal and hospital-policy factors, alongside clinical scenarios requiring intervention decisions.
  • An Intervention Score was calculated, and analysis of variance was used to assess influencing factors.

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Main Results:

  • The overall Intervention Score was low, but exhibited significant interindividual variation.
  • Obstetrician age and routine electronic fetal monitoring were associated with increased intervention rates.
  • The involvement of midwives was linked to decreased intervention rates.
  • Other factors, including litigation concerns, did not significantly influence the Intervention Score.

Conclusions:

  • Provider-induced differences in obstetric interventions are evident.
  • Personal factors (e.g., obstetrician age, midwife employment) and hospital policies (e.g., electronic fetal monitoring) significantly influence these intervention rates.