Healthcare Policy

Healthcare Policy 14(2) November 2018 : 22-30.doi:10.12927/hcpol.2018.25689
Discussion and Debate

Understanding the Allocation of Caesarean Outcome to Provider Type: A Chart Review

Kellie Thiessen, Nathan Nickel, Heather J. Prior, Margaret Morris and Kristine Robinson


Introduction: The concept, "most responsible provider" has a specific definition in the Canadian National Discharge Abstract Database (DAD). Variation exists in how care providers are defined in administrative data.

Methods: We compared chart data with administrative data to understand how "most responsible provider" was identified in these two data sources.

Results: We found a 3% discrepancy between data sources. Differences between data sources were attributable to transfers in care that occurred at birth.

Discussion: "Most responsible provider" should consider the full trajectory of care when assigning outcomes in order to understand how to best support optimal health among low-risk births.



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