Cesarean Section Rates: Effects of Participation in a Performance Measurement Project

Kazandjian, Vahé A.; Lied, Terry R.

doi:10.1016/s1070-3241(16)30371-6

Cited by 25 publications

(27 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Two randomised trials comparing audit and feedback to an opinion leader, or no intervention to reduce CS found no difference in rates . On the other hand, several controlled before‐and‐after studies and a metanalysis have suggested that audit and feedback can reduce CS rates . In the metanalysis, which included five studies involving 734 321 women, audit and feedback alone was moderately effective in reducing CS rate and more effective when used in combination with other interventions .…”

Section: Discussionmentioning

confidence: 99%

“…24,25 On the other hand, several controlled before-and-after studies and a metanalysis have suggested that audit and feedback can reduce CS rates. 5,[26][27][28][29] In the metanalysis, which included five studies involving 734 321 women, audit and feedback alone was moderately effective in reducing CS rate and more effective when used in combination with other interventions. 5 Of note, the framework used to perform audit and feedback differed among all the primary studies described.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Audit and feedback using the Robson classification to reduce caesarean section rates: a systematic review

Boatin

Cullinane

Torloni

et al. 2017

BJOG

View full text Add to dashboard Cite

BackgroundIn most regions worldwide, caesarean section (CS) rates are increasing. In these settings, new strategies are needed to reduce CS rates.ObjectivesTo identify, critically appraise and synthesise studies using the Robson classification as a system to categorise and analyse data in clinical audit cycles to reduce CS rates.Search strategyMedline, Embase, CINAHL and LILACS were searched from 2001 to 2016.Selection criteriaStudies reporting use of the Robson classification to categorise and analyse data in clinical audit cycles to reduce CS rates.Data collectionData on study design, interventions used, CS rates, and perinatal outcomes were extracted.ResultsOf 385 citations, 30 were assessed for full text review and six studies, conducted in Brazil, Chile, Italy and Sweden, were included. All studies measured initial CS rates, provided feedback and monitored performance using the Robson classification. In two studies, the audit cycle consisted exclusively of feedback using the Robson classification; the other four used audit and feedback as part of a multifaceted intervention. Baseline CS rates ranged from 20 to 36.8%; after the intervention, CS rates ranged from 3.1 to 21.2%. No studies were randomised or controlled and all had a high risk of bias.ConclusionWe identified six studies using the Robson classification within clinical audit cycles to reduce CS rates. All six report reductions in CS rates; however, results should be interpreted with caution because of limited methodological quality. Future trials are needed to evaluate the role of the Robson classification within audit cycles aimed at reducing CS rates.Tweetable abstractUse of the Robson classification in clinical audit cycles to reduce caesarean rates.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Audit and feedback using the Robson classification to reduce caesarean section rates: a systematic review

Boatin

Cullinane

Torloni

et al. 2017

BJOG

View full text Add to dashboard Cite

show abstract

“…To date, however, there are only a few published studies that report that participation in a performance measurement project actually improves performance (e.g. Kazandjian & Lied 1998). There are both methodological and conceptual issues that have gone unidentified that may account for this shortage of positive results.…”

Section: Quality Vs Performancementioning

confidence: 99%

Performance: a multi‐disciplinary and conceptual model

Lied

Kazandjian²

1999

Evaluation Clinical Practice

Self Cite

View full text Add to dashboard Cite

We contend that the scientific study of performance requires a model or paradigm. We propose a performance model with an underlying mathematical basis that is well defined, has explicit assumptions and has the potential to be both heuristic and scientifically testable. The model is based on an integration of concepts from health sciences and psychology that have been adapted to performance measurement in health care. The proposed performance model consists of a combination of four primary elements: quality of care, cost of care, access to care and satisfaction. Satisfaction is defined as a function of perceived and expected outcomes of care and perceived and expected input. This performance model can serve as both a tool for understanding and as a vehicle for comparing performance within and between health care organizations. We believe that this model can be used to develop a performance profile report and the future report card.

show abstract

“…In the past decade, the strategies for accountability have run the gauntlet from public release of mortalities by the federal government and private sector projects, 11 12 to the design of comparative analysis of rates across institutions which voluntarily joined eVort to learn more from each other and improve performance. 13 The lesson is still not completely learned, but its message seems to be "if there are multiple audiences, there must be multiple report cards." Why has such an obvious realisation taken so long to crystallise?…”

Section: Why Is Variation Unacceptable?mentioning

confidence: 99%

The National Health Service in England considers on the government's plans to improve quality of health care

Whitty

1998

Quality and Safety in Health Care

View full text Add to dashboard Cite

Cesarean Section Rates: Effects of Participation in a Performance Measurement Project

Cited by 25 publications

References 8 publications

Audit and feedback using the Robson classification to reduce caesarean section rates: a systematic review

Audit and feedback using the Robson classification to reduce caesarean section rates: a systematic review

Performance: a multi‐disciplinary and conceptual model

The National Health Service in England considers on the government's plans to improve quality of health care

Contact Info

Product

Resources

About