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

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Province Hospitals 80 Maternal Intensive Care in Belgium KCE Reports 94 6.1.2 Proportion of "intermediate care women” in hospital with MIC-services Table 40: Intermediate care women by maternity with MIC-service Nb of MIC beds Nb of hospitalized women Proportion MIC beds/ M beds Proportion Intermediate intermediate care women / care women MIC bed Hospitalized women / M bed Région Bruxelles-Capitale - Brussels Hoofdstedelijk gewest Région UCL Bruxelles- CHU St Pierre Capitale Brussels CHU Brugmann + hôpital des enfants Hoofdstedelij k gewest Erasme 16 15 9 8 1,267 1,728 1,437 1,509 44.4% 37.5% 30.0% 29.6% 19.8% 13.4% 17.1% 10.9% 15.7 15.4 38.4 20.6 35.2 43.2 47.9 55.9 VUB 8 1,573 20.0% 17.2% 33.8 39.3 Edith Cavell 8 2,248 14.8% 11.3% 31.6 41.6 Totaal Brussels Hoofdstedelijk gewest 64 9,762 28.2% 14.5% 22.1 43.0 Vlaams gewest Antwerpen U.I.A 8 821 40.0% 22.2% 22.7 41.1 AZ Middelheim 8 1,241 22.2% 6.8% 10.6 34.5 AZ St Augustinus 8 2,498 16.3% 10.9% 34.0 51.0 Vlaams Brabant KUL 20 2,031 30.8% 17.6% 17.9 31.2 West AZ St Jan Vlaanderen Oost Vlaanderen UZ Gent 8 1,004 21.1% 9.0% 11.2 26.4 8 821 25.8% 19.1% 19.6 26.5 Limburg ZOL 8 1,733 13.3% 14.4% 31.3 28.9 Totaal Vlaams gewest 68 10,149 22.7% 13.7% 20.5 33.7 Région Wallonne Hainaut Liège CHU Tivoli CH Notre Dame / Reine 8 1,099 28.6% 18.0% 24.7 39.3 Fabiola 8 1,684 17.8% 10.9% 22.9 37.4 CH St Vincent et Ste Elisabeth 16 3,368 26.2% 16.5% 34.7 55.2 CH La Citadelle 8 1,929 15.1% 14.5% 35.0 36.4 Totale Région Wallonne 40 8,080 21.4% 15.1% 30.4 43.2 Source: Merged IMA and MKG/RCM Data 01/10/2003 – 30/09/2004 Table 40 shows that the proportion of “intermediate care women” among women hospitalized in MIC-services varies strongly from 6,8% to 22%. The number of “intermediate care women” per MIC-bed represents the MIC-bed occupancy ratio. This occupancy ratio varies from 10 to 38, indicating a relative variability between MIC-services. The global occupational rate of the maternity is measured by the total number of hospitalized women per Maternity-bed and acts as reference. The proportion of “intermediate care women” is, in most cases, lower than the proportion of MIC-beds in the maternity The variability in the proportion of intermediate care women admitted in maternities with and without MIC-services as well as the variability observed among the maternities with MIC-services leads to question the potential factors underlying the admission of parturients: Is the variability related to the volume of deliveries (vaginal deliveries and C-sections), used as an indicator of the activity level of the maternities? Is the variability explained by morbidity differences for the intermediate care women in both types of maternities?
Percentage intermediate care women 30% 25% 20% 15% 10% 5% 0% KCE Reports 94 Maternal Intensive Care in Belgium 81 6.1.3 Proportion of intermediate care women in hospital according to activity levels in maternities Hospitals with MIC-services All maternities without MIC-service were taken into account and classified according to their number of deliveries. Three categories were created, according to their volume of deliveries (in percentiles): less than 510 deliveries (P0 to P24; n=22), between 510 and 968 deliveries (P25 to P75; n=45) and more than 968 deliveries (P76 to P100; n=22). Figure 16: Proportion of intermediate care women by maternity by category of volume of deliveries Hospitals with more than 968 deliveries Hospitals without MIC-services Hospitals with 510
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35. Etude relative aux coûts poten
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Soins maternels intensifs (Maternal Intensive Care) en Belgique - KCE

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