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Should births be centralised in higher level hospitals? Experiences from regionalised health care in Finland

  1. E Hemminki1,
  2. A Heino1,
  3. M Gissler1,2

Article first published online: 24 MAY 2011

DOI: 10.1111/j.1471-0528.2011.02977.x

Issue

BJOG: An International Journal of Obstetrics & Gynaecology

BJOG: An International Journal of Obstetrics & Gynaecology

Volume 118, Issue 10, pages 1186–1195, September 2011

Additional Information

How to Cite

Hemminki, E., Heino, A. and Gissler, M. (2011), Should births be centralised in higher level hospitals? Experiences from regionalised health care in Finland. BJOG: An International Journal of Obstetrics & Gynaecology, 118: 1186–1195. doi: 10.1111/j.1471-0528.2011.02977.x

Author Information

  1. 1

    THL (National Institute for Health and Welfare), Helsinki, Finland

  2. 2

    Nordic School of Public Health, Gothenburg, Sweden

*Prof E Hemminki, THL (National Institute for Health and Welfare), PO Box 30, 00271 Helsinki, Finland. Email elina.hemminki@thl.fi

Publication History

  1. Issue published online: 11 AUG 2011
  2. Article first published online: 24 MAY 2011
  3. Accepted 1 March 2011. Published Online 24 May 2011.

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References

  • 1
    Käypä hoito: Ennenaikainen synnytys. Käyvän hoidon tiivistelmät. (20.1.2011). Current Care Summary: pretern birth. Abstract in English: [http://www.kaypahoito.fi/web/kh/suositukset/naytaartikkeli/tunnus/ccs00088?hakusana=Tammela]. Last accessed 9 February 2011.
  • 2
    Rautava L. The Effect of the Birth Hospital and the Time of Birth on the Outcome of Finnish Very Preterm Infants. Annales Universitatis Turkuensis, ser D 902. Turku: University of Turku, 2010.
  • 3
    Phibbs CS, Baker LC, Caughey AB, Danielsen B, Schmitt SK, Phibbs RH. Level and volume of neonatal intensive care and mortality in very-low-birth-weigh infants. NJEM 2007;356:2165–75.
  • 4
    Schmidt N, Abelsen B, Øian P. Deliveries in maternity homes in Norway: results from a 2-year prospective study. Acta Obstet Gynecol Scand 2002;81:731–7.
    Direct Link:
  • 5
    Viisainen K, Gissler M, Hemminki E. Birth outcomes by level of obstetric care in Finland: a catchment area based analysis. J Epidemiol Community Health 1994;48:400–5.
  • 6
    Serenius F, Winbo I, Danlquist G, Källen B. Cause-specific stillbirth and neonatal death in Sweden: a catchment area-based analysis. Acta Paediatr 2001;90:1054–61.
    Direct Link:
  • 7
    Bartels DB, Wypij D, Wenzlaff P, Dammann O, Poets CF. Hospital volume and neonatal mortality among very low birth weight infants. Pediatrics 2006;117:2206–14.
  • 8
    Rautava L, Lehtonen L, Peltola M, Korvenranta E, Korvenranta H, Linna M, et al. for the PERFECT Preterm Infant Study Group The effect of birth in secondary- or tertiary-level hospitals in Finland on mortality in very preterm infants. Pediatrics 2007;119:257–63.
  • 9
    Moster D, Lie RT, Markestad T. Relation between size of delivery unit and neonatal death in low risk deliveries: population based study. Arch Dis Chil Fetal Neonatal Ed 1999;80:F221–5.
  • 10
    Heller G, Richardson DK, Schnell R, Misselwitz B, Kuenzel W, Schmidt S. Are we regionalized enough? Early-neonatal death in low-risk births by the size of delivery units in Hesse, Germany 1990–1999. Int J Epidemiol 2002;31:1061–8.
  • 11
    Tracy SK, Sullivan E, Dahlen H, Black D, Wang YA, Tracy MB. Does size matter? A population-based study of birth in lower volume maternity hospitals for low risk women. BJOG 2006;113:86–96.
  • 12
    EURO-PERISTAT: European Perinatal Health Report – better statistics for better health for pregnant women and their babies. Paris, France. 2008 [http://www.europeristat.com]. Last accessed 9 February 2011.
  • 13
    THL: Medical Birth Register. Quality Report [http://www.stakes.fi/EN/tilastot/qualityreports/birthregister.htm]. Last accessed 2 July 2010.
  • 14
    Teperi J. Multi-method approach to the assessment of data quality in the Finnish Medical Birth Registry. J Epidemiol Community Health 1993;47:242–7.
  • 15
    Gissler M, Teperi J, Hemminki E, Meriläinen J. Data quality after restructuring a nationwide medical registry. Scand J Soc Med 1995;23:75–80.
  • 16
    Gissler M, Rahkonen O, Arntzen A, Cnattingius S, Andersen AM, Hemminki E. Trends in socioeconomic differences in Finnish health 1991–2006. J Epidemiol Community Health 2009;63:420–5.
  • 17
    Moster D, Markestad T, Lie RT. Assessing quality if obstetric care for low-risk deliveries; methodological problems in the use of population based mortality data. Acta Obstet Gynecol Scand 2000;79:478–84.
  • 18
    Norway: Medical Birth Register at National Institute of Public Health. [http://www.fhi.no/]. Last accessed 12 May 2010.
  • 19
    Sweden: Medical Birth Register at the National Board of Health and Welfare. [http://www.sos.se/epc/fodelse/mfr.htm] Last accessed 12 May 2010.
  • 20
    Viisainen K, Gissler M, Hartikainen A-L, Hemminki E. Accidental out-of-hospital births in Finland: incidence and geographical distribution 1963–1995. Acta Obstet Gynecol Scand 1999;78:372–8.
  • 21
    Finnström O, Berg G, Norman A, Otterblad Olausson P. Size of delivery unit and neonatal outcome in Sweden. A catchment area analysis. Acta Obstet Gynecol 2006;85:63–7.
    Direct Link:
  • 22
    Davoli M, Amato L, Minozzi S, Bargagli AM, Vecchi S, Perucci CA. Volume and heath outcomes: an overview of systematic reviews [in Italian]. Epidemiol Prev 2005;29 (Suppl 3–4):3–63.
  • 23
    Merlo J, Gerdtham UG, Eckerlund I, Håkansson S, Otterblad-Olausson P, Pakkanen M, et al. Hospital level of care and neonatal mortality in low- and high-risk deliveries: reassessing the question in Sweden by multilevel analysis. Med Care 2005;43:1092–100.
  • 24
    Halm EA, Lee C, Chassin MR. Is volume related to outcome in health care? A systematic review and methodological critique of the literature. Ann Intern Med 2002;137:511–20.
  • 25
    Eksmyr R, Eklund G. Early neonatal death in geographically defined populations with different organization of medical care. Acta Paediatr Scand 1985;74:848–54.
    Direct Link:
  • 26
    Rosenblatt RA, Reinken J, Shoemack P. Is obstetrics safe in small hospitals? Evidence from New Zealand’s regionalised perinatal system. Lancet 1985;2:429–32.
  • 27
    Larson EH, Hart LG, Rosenblatt RA. Is non-metropolitan residence a risk factor for poor birth outcome in the U.S? Soc Sci Med 1997;45:171–88.
  • 28
    Fallis G, Dunn E, Hilditch J. Small hospital obstetrics: is small beautiful? J Rural Health 1988;4:101–16.
    Direct Link:
  • 29
    Gandjour A, Bannenberg A, Lauterbach KW. Threshold volumes associated with higher survival in health care. Med Care 2003;41:1129–41.
  • 30
    Chowdhury MM, Dagash H, Pierro A. A systematic review of the impact of volume of surgery and specialization on patient outcome. Br J Surg 2007;94:145–61.
    Direct Link:
  • 31
    Glance LG, Osler TM, Mukamel DB, Dick AW. Estimating the potential impact of regionalizing health care delivery based on volume standards versus risk-adjusted mortality rate. Int J Quality Health Care 2007;19:195–2002.
  • 32
    Kazui T, Fujita H. An attempt to analyze the relation between hospital surgical volume and clinical outcome. Gen Thorac Cardiovasc Surg 2007;55:483–92.
  • 33
    Miyata H, Motomura N, Kondo J, Takamoto S, Hasegawa T. Improving the quality of healthcare in Japan: a systematic review of procedural volume and outcome literature. Biosci Trends 2007;1:81–9.
  • 34
    Burgers JS, Wittenberg J, Kallewaard M, van Croonenborg JJ, van Barneveld TA, van Everdingen JJ. Relationship between volume and quality of care for surgical interventions; results of a literature review [in German]. Ned Tijdschr Geneeskd 2007;151:2105–10.
  • 35
    Auerbach AD, Hilton JF, Maselli J, Pekow PS, Rothberg MB, Lindenauer PK. Shop for quality or volume? Volume, quality, and outcomes of coronary artery bypass surgery. Ann Intern Med 2009;150:696–704.
  • 36
    Urbach DR, Croxford R, MacCallum NL, Stukel TA. How are volume-outcome associations related to models of health care funding and delivery? A comparison of the United States and Canada. World J Surg 2005;29:1230–3.
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