6533b853fe1ef96bd12acdde
RESEARCH PRODUCT
Distribution of maternity units and spatial access to specialised care for women delivering before 32 weeks of gestation in Europe
H. PilkingtonB. BlondelE. PapiernikM. CuttiniH. CharreireR.f. MaierS. PetrouE. CombierW. KunzelG. BreartJ. ZeitlinL.a.a. KolleeEt Al.subject
Pediatricsmedicine.medical_specialtyHealth (social science)Perinatal careGeography Planning and DevelopmentPopulation[ SHS.GEO ] Humanities and Social Sciences/Geography03 medical and health sciences0302 clinical medicineQuality of life (healthcare)Hospital planningPregnancy030225 pediatricsIntensive caremedicineHumansMaternal Health Services030212 general & internal medicineeducationComputingMilieux_MISCELLANEOUSPregnancyeducation.field_of_study[SHS.SOCIO]Humanities and Social Sciences/SociologyDistancebusiness.industryHealth services accessibilityPublic Health Environmental and Occupational HealthInfant Newborn[ SHS.SOCIO ] Humanities and Social Sciences/Sociology[SHS.GEO]Humanities and Social Sciences/Geographymedicine.disease3. Good healthEuropeLogistic ModelsQuartileEvaluation of complex medical interventions [NCEBP 2]Premature birthdistance; europe; health services accessibility; hospital planning; perinatal careCohortMultivariate AnalysisGestationPremature BirthFemale[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologieHuman medicinebusinessDemographydescription
Contains fulltext : 88841.pdf (Publisher’s version ) (Closed access) Survival and quality of life are improved for very preterm babies when delivery occurs in a maternity unit with on-site neonatal intensive care (level III unit). We investigated the impact of distance on the probability of delivering in such a unit for births before 32 weeks of gestation from 9 European regions with diverse perinatal health systems (the MOSAIC cohort). We analysed distances between women's homes, and the nearest level III in population quartiles, adjusting for maternal and pregnancy characteristics. Living farther away from a level III reduced access to specialised care everywhere; in some regions women residing in the fourth quartile were half as likely to deliver in level III units as those in the first. To improve regionalized perinatal care the spatial location of level III units should be taken into account. 01 mei 2010
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2010-05-05 |