ArticleHealth services research2014
Regionalization and local hospital closure in Norwegian maternity care--the effect on neonatal and infant mortality.
Article in Health services research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
7 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Are birth outcomes in low risk birth cohorts related to hospital birth volumes? A systematic review.BMC pregnancy and childbirth · 2021Pooled it
- Pooled it
- Efficiency effects of public hospital closures in the context of public hospital reform: a multistep efficiency analysis.Health care management science · 2024Article
- Does the use of Doppler ultrasound reduce fetal mortality? A population study of all deliveries in Norway 1990-2014.International journal of epidemiology · 2022Article
- Does the Use of Diagnostic Technology Reduce Fetal Mortality?Health services research · 2018Article
- Letter to the Editor.Canadian journal of surgery. Journal canadien de chirurgie · 2016Article
- The effect of concentrating obstetrics services in fewer hospitals on patient access: a simulation.International journal of health geographics · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo study whether neonatal and infant mortality, after adjustments for differences in case mix, were independent of the type of hospital in which the delivery was carried out. DATA: The Medical Birth Registry of Norway provided detailed medical information for all births in Norway. STUDY
designHospitals were classified into two groups: local hospitals/maternity clinics versus central/regional hospitals. Outcomes were neonatal and infant mortality. The data were analyzed using propensity score weighting to make adjustments for differences in case mix between the two groups of hospitals. This analysis was supplemented with analyses of 13 local hospitals that were closed. Using a difference-in-difference approach, the effects that these closures had on neonatal and infant mortality were estimated. PRINCIPAL FINDING: Neonatal and infant mortality were not affected by the type of hospital where the delivery took place.
conclusionA regionalized maternity service does not lead to increased neonatal and infant mortality. This is mainly because high-risk deliveries were identified well in advance of the birth, and referred to a larger hospital with sufficient perinatal resources to deal with these deliveries.
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Registered trials
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