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Titolo:
Health services utilization after induced abortions in Ontario: A comparison between community clinics and hospitals
Autore:
Ostbye, T; Wenghofer, EF; Woodward, CA; Gold, G; Craighead, J;
Indirizzi:
Coll Phys & Surg Ontario, Qual Management Div, Toronto, ON M5G 2E2, CanadaColl Phys & Surg Ontario Toronto ON Canada M5G 2E2 to, ON M5G 2E2, Canada Duke Univ, Dept Community & Family Med, Durham, NC USA Duke Univ Durham NC USA niv, Dept Community & Family Med, Durham, NC USA McMaster Univ, Dept Clin Epidemiol & Biostat, Hamilton, ON, Canada McMaster Univ Hamilton ON Canada idemiol & Biostat, Hamilton, ON, Canada
Titolo Testata:
AMERICAN JOURNAL OF MEDICAL QUALITY
fascicolo: 3, volume: 16, anno: 2001,
pagine: 99 - 106
SICI:
1062-8606(200105/06)16:3<99:HSUAIA>2.0.ZU;2-C
Fonte:
ISI
Lingua:
ENG
Soggetto:
SURGEON VOLUME; CARE; MORTALITY; QUALITY;
Keywords:
abortion; community clinics; complications; data linkage; health services utilization; hospital admissions; Ontario;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
18
Recensione:
Indirizzi per estratti:
Indirizzo: Ostbye, T Coll Phys & Surg Ontario, Qual Management Div, 80 Coll St, Toronto, ON M5G2E2, Canada Coll Phys & Surg Ontario 80 Coll St Toronto ON CanadaM5G 2E2 da
Citazione:
T. Ostbye et al., "Health services utilization after induced abortions in Ontario: A comparison between community clinics and hospitals", AM J MED QU, 16(3), 2001, pp. 99-106

Abstract

The purpose of this study was to compare postabortion health services utilization of hospital abortion patients with community clinic abortion patients using administrative databases. The study was a retrospective cohort study. The study group consisted of patients with induced abortions (n = 41,039) performed in hospitals or community clinics recorded in the 1995 OntarioHealth Insurance Plan claims (OHIP) database. An age matched cohort of 39,220 women who did not undergo induced abortions was selected from the same data source to serve as controls. The main outcome measures were health services utilization indicators constructed from OHIP data within 3 months postabortion from office consultations, emergency room consultations, and hospital admissions. Hospitalization indicators were constructed from Canadian Institute for Health Information hospital discharge data with in 3 months postabortion and included data on hospitalizations for infection, certain surgical events, or psychiatric problems. Postabortion health services utilization and hospitalization were higher in the patient population, regardlessof service location, than in the age-matched co hort. Within the abortion patient population, hospital day surgery patients had higher rates of postabortion utilization and hospitalization than did community clinic patients. Multivariate analysis revealed that hospital day surgery patients had a higher risk of subsequent post abortion hospitalizations for infections (oddsratio [OR] 1.67, 95% confidence interval [CI] 1.23-2.28), surgical events (OR 1.70, 95% CI 1.30-3.24) and psychiatric problems (OR 2.65, 95% CI 1.77-3.98) than community clinic patients. The rates of postabortion health services utilization and risk of hospitalization were lower in community clinicabortion patients than in hospital day-surgery patients. However, it is not possible to fully control for important confounding variables when using these administrative data.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/01/20 alle ore 03:40:15