Soins maternels intensifs (Maternal Intensive Care) en Belgique - KCE

More documents

Recommendations

Info

2 Maternal Intensive Care in Belgium KCE Reports 94 4.2.8 Definition of studied indicators...................................................................................................39 4.2.9 Results of the descriptive analysis...............................................................................................40 4.2.10 Analysis of maternities with and without MIC-services.........................................................50 4.2.11 Key messages ..................................................................................................................................60 5 THEORETICAL MODEL .............................................................................................. 61 5.1 INTRODUCTION......................................................................................................................................61 5.2 METHODOLOGY......................................................................................................................................62 5.2.1 Guidelines ........................................................................................................................................62 5.2.2 Construction of the theoretical list of indications ..................................................................63 5.3 SCHEMATIC OVERVIEW CONSTRUCTION THEORETICAL MODEL .....................................64 5.4 TRANSLATION AND VALIDATION OF THE PATHOLOGY AND RISK FACTORS INTO ICD-9-CM/IMA DATA ..............................................................................................................................66 5.5 FEEDBACK MEETING OF EXPERTS.....................................................................................................67 5.6 DATA EXTRACTION...............................................................................................................................67 5.7 MODEL PERFORMANCE.........................................................................................................................71 5.7.1 Comparison between theoretical and observed case-mix....................................................71 5.7.2 Comparison between theoretical and observed case-mix....................................................77 6 COMPARATIVE ANALYSIS ........................................................................................ 79 6.1 PLACE OF DELIVERY................................................................................................................................79 6.1.1 Proportion of "intermediate care women” in MIC-services by province ..........................79 6.1.2 Proportion of "intermediate care women” in hospital with MIC-services ........................80 6.1.3 Proportion of intermediate care women in hospital according to activity levels in maternities....................................................................................................................................................81 6.2 TYPE OF MORBIDITY ..............................................................................................................................81 6.3 TRANSFERS.................................................................................................................................................83 6.3.1 Transfers during pregnancy from a non-MIC to a MIC-service..........................................83 6.4 PREMATURE NEONATES AND VERY LOW BIRTH WEIGHT-INFANTS.................................86 6.5 LOGISTIC REGRESSION MODEL .........................................................................................................88 6.6 SUMMARY OF RESULTS..........................................................................................................................90 7 GENERAL DISCUSSION AND CONCLUSION ....................................................... 93 7.1 CONTEXT...................................................................................................................................................93 7.2 OBJECTIVES.................................................................................................................................................93 7.3 ADEQUATE USE OF MIC-BEDS ............................................................................................................93 7.4 PROVISION OF SERVICES ADEQUACY.............................................................................................94 7.5 EQUITY OF ACCESS TO CARE ............................................................................................................94 7.6 DISCUSSION OF THE METHOD ..........................................................................................................95 7.6.1 Identification of MIC population .................................................................................................95 7.6.2 Limitations .......................................................................................................................................96 7.7 CONCLUSION...........................................................................................................................................96 8 APPENDICES................................................................................................................. 97 9 REFERENCES...............................................................................................................156
KCE Reports 94 Maternal Intensive Care in Belgium 3 LIST OF ABBREVIATIONS ACOG: American College of Obstetrics and Gynaecology AHRQ: Agency for Healthcare Research and Quality. AIM: Agence InterMutualiste ARDS: Adult Respiratory Distress Syndrome ATC : Anatomical Therapeutic Classification BIM : Bénéficiaire de l’Intervention Majorée (Verhoogde BMI: tegemoetkoming) Body Mass Index CMV: CytoMegaloVirus CNK : Code National - Nationale Kode used by INAMI-RIZIV to identify the medicines DRG: Diagnostic Related Group EBM: Evidence Based Medecine ELBW: Extreme Low Birth Weight EU: European Union FPS: Federal Public Service FPZ: Financiering Perinatale Ziekenhuiszorg FTE: Full Time Equivalent HDU: High Dependency Unit HELLP: Haemolysis Elevated Liver enzymes-Low Platelet count syndrome HSIL: High-grade Squamous Intraepithelial Lesions ICD-9-CM: International Classification of Diseases, Ninth Revision, Clinical Modification ICU: Intensive Care Unit ID : Identification IMA: InterMutualistisch Agentschap INAMI : Institut National d’Assurance Maladie-Invalidité INS : Institut National de Statistique ITU: Intensive Therapy Unit IUD: Intra Uterine Device IUGR: Intra Uterine Growth Retardation IUT: Intra Uterine Transport KB: Koninklijk Besluit KCE: Kenniscentrum voor de gezondheidszorg – Centre fédéral d’expertise en soins de santé LBW: Low Birth Weight LOS: Length Of Stay M: Maternity MAF : Maximum Factuur – Maximum à facturer
Page 1 and 2: Soins maternels intensifs (Maternal
Page 3 and 4: Soins maternels intensifs (Maternal
Page 5 and 6: KCE Reports 94B Soins Maternels Int
Page 11: KCE Reports 94 Maternal Intensive C
Page 15 and 16: KCE Reports 94 Maternal Intensive C
Page 53 and 54: Number of women KCE Reports 94 Mate
Page 55 and 56: 45,00% 40,00% 35,00% 30,00% 25,00%
Page 63 and 64:
KCE Reports 94 Maternal Intensive C
Page 65 and 66:
Page 67 and 68:
Status KCE Reports 94 Maternal Inte
Page 69 and 70:
Page 71 and 72:
Page 73 and 74:
Page 75 and 76:
Page 77 and 78:
Page 79 and 80:
Page 81 and 82:
Page 83 and 84:
Page 85 and 86:
Page 87 and 88:
Page 89 and 90:
Page 91 and 92:
Percentage intermediate care women
Page 93 and 94:
Page 95 and 96:
Page 97 and 98:
Page 99 and 100:
Page 101 and 102:
Page 103 and 104:
Page 105 and 106:
Page 107 and 108:
Page 109 and 110:
Page 111 and 112:
Page 113 and 114:
Page 115 and 116:
kCE Reports 94 Maternal Intensive C
Page 117 and 118:
Fowler, S.J. (2005) kCE Reports 94
Page 119 and 120:
Schatz et al ( 15 bis kCE Reports 9
Page 121 and 122:
Zeeman, G., Wendel, G. & Cunningham
Page 123 and 124:
Ryan, M., Hamiltin, V., Bowen, M. &
Page 125 and 126:
Baskett, T. & Sternadel, J. (1998)
Page 127 and 128:
Lapinsky, S., Kruczynski, K., Seawa
Page 129 and 130:
Cohen, J., Singer, P., Kogan, A., H
Page 131 and 132:
Quah, T., Chiu, J., Tan, K., Yeo, S
Page 133 and 134:
Gilbert, T., Smulian, J., Martin, A
Page 135 and 136:
Mirghani, H., Hamed, M. & Weerasing
Page 137 and 138:
Selo-Ojeme, D., Omosaiye, M., Batta
Page 139 and 140:
Page 141 and 142:
Page 143 and 144:
Page 145 and 146:
Page 147 and 148:
Page 149 and 150:
Page 151 and 152:
Page 153 and 154:
Page 155 and 156:
Page 157 and 158:
Page 159 and 160:
Page 161 and 162:
Page 163 and 164:
Page 165 and 166:
Page 167:
Page 170 and 171:
Dépôt légal : D/2008/10.273/78
Page 172 and 173:
35. Etude relative aux coûts poten
show all

Soins maternels intensifs (Maternal Intensive Care) en Belgique - KCE

Create successful ePaper yourself

Delete template?

Save as template?