Quality aspects relating to giving birth in Switzerland: An analysis of quality indicators in inpatient obstetrics from 2013 to 2017

Quality transparency supports the reduction of information asymmetries in the health care system and enables the targeted regulation of health care. This study examines quality variation in inpatient obstetric care using the official Federal Office of Public Health Inpatient Quality Indicators (CH-I...

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Main Author: Dominik Moser
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-10-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.1009412/full
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author Dominik Moser
Dominik Moser
Dominik Moser
Dominik Moser
author_facet Dominik Moser
Dominik Moser
Dominik Moser
Dominik Moser
author_sort Dominik Moser
collection DOAJ
description Quality transparency supports the reduction of information asymmetries in the health care system and enables the targeted regulation of health care. This study examines quality variation in inpatient obstetric care using the official Federal Office of Public Health Inpatient Quality Indicators (CH-IQI; vaginal births with 3rd- and 4th-degree perineal tears, vaginal births with episiotomy, and Caesarean section for low-risk births). It includes 101 maternity hospitals and 425,810 births between 2013 and 2017. For births with perineal laceration of 3rd and 4th degree, Switzerland performs 0.9% poorer in comparison to Germany (D-IQI) and Austria (A-IQI). For births with episiotomy, Switzerland is 1.1% above Germany. The Caesarean section rate for low-risk births was 26.8% in Switzerland in 2017 (Germany: 25.9%). When comparing Swiss clinics, private clinic locations in particular stand out. One possible reason for this may be the density of care, patient demands or the system of affiliated physicians at these clinics.
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spelling doaj.art-60d2fed51b274086972e7f42e12c0b072022-12-22T04:12:32ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-10-011010.3389/fpubh.2022.10094121009412Quality aspects relating to giving birth in Switzerland: An analysis of quality indicators in inpatient obstetrics from 2013 to 2017Dominik Moser0Dominik Moser1Dominik Moser2Dominik Moser3Department of Health Care Management, Institute for Technology and Management, Technical University Berlin, Berlin, GermanyOrganization and Services Department, Operations, GZO Hospital Wetzikon/Zurich, Wetzikon, SwitzerlandEconomics and Technology Department, Swiss Distance University of Applied Sciences (FFHS), Brig, SwitzerlandSchool of Medicine, University of St. Gallen, St. Gallen, SwitzerlandQuality transparency supports the reduction of information asymmetries in the health care system and enables the targeted regulation of health care. This study examines quality variation in inpatient obstetric care using the official Federal Office of Public Health Inpatient Quality Indicators (CH-IQI; vaginal births with 3rd- and 4th-degree perineal tears, vaginal births with episiotomy, and Caesarean section for low-risk births). It includes 101 maternity hospitals and 425,810 births between 2013 and 2017. For births with perineal laceration of 3rd and 4th degree, Switzerland performs 0.9% poorer in comparison to Germany (D-IQI) and Austria (A-IQI). For births with episiotomy, Switzerland is 1.1% above Germany. The Caesarean section rate for low-risk births was 26.8% in Switzerland in 2017 (Germany: 25.9%). When comparing Swiss clinics, private clinic locations in particular stand out. One possible reason for this may be the density of care, patient demands or the system of affiliated physicians at these clinics.https://www.frontiersin.org/articles/10.3389/fpubh.2022.1009412/fullobstetricsquality variationquality transparencyhospital care planningpublic reporting
spellingShingle Dominik Moser
Dominik Moser
Dominik Moser
Dominik Moser
Quality aspects relating to giving birth in Switzerland: An analysis of quality indicators in inpatient obstetrics from 2013 to 2017
Frontiers in Public Health
obstetrics
quality variation
quality transparency
hospital care planning
public reporting
title Quality aspects relating to giving birth in Switzerland: An analysis of quality indicators in inpatient obstetrics from 2013 to 2017
title_full Quality aspects relating to giving birth in Switzerland: An analysis of quality indicators in inpatient obstetrics from 2013 to 2017
title_fullStr Quality aspects relating to giving birth in Switzerland: An analysis of quality indicators in inpatient obstetrics from 2013 to 2017
title_full_unstemmed Quality aspects relating to giving birth in Switzerland: An analysis of quality indicators in inpatient obstetrics from 2013 to 2017
title_short Quality aspects relating to giving birth in Switzerland: An analysis of quality indicators in inpatient obstetrics from 2013 to 2017
title_sort quality aspects relating to giving birth in switzerland an analysis of quality indicators in inpatient obstetrics from 2013 to 2017
topic obstetrics
quality variation
quality transparency
hospital care planning
public reporting
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.1009412/full
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