Skip Navigation

This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Phibbs, C. S
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Phibbs, C. S
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

International Journal of Epidemiology 2002;31:1069-1070
© International Epidemiological Association 2002

Health Services Research

Commentary: Does patient volume matter for low-risk deliveries?

Ciaran S Phibbs

Veterans Affairs Palo Alto Health Care System and Stanford University.

Health Economics Resource Center (152), VA Medical Center, 795 Willow Road, Menlo Park, CA 94025, USA. E-mail: cphibbs@stanford.edu

The first 10% of the full text of this article appears below.

That there is a volume-outcome relationship for deliveries, and that mortality is lower for births that occur in hospitals with higher level neonatal intensive care units (NICU) is well established. Numerous studies have found this relationship for all births,1–4 or selected groups of higher risk cases.5–8

Using all births in the German State of Hesse for a 10-year period, the study by Heller et al.9 extends the volume-outcome, level of care analysis to low-risk births. The perinatal care system in Hesse is highly regionalized; over 90% of infants with a birthweight <1500 g (VLBW) are born in perinatal centres. . . . [Full Text of this Article]


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?