PMID: 2097335Jan 1, 1990Paper

A method of macro-auditing and assessing the preventability of infant mortality using large volume computerized files

Journal of Perinatal Medicine
A HermanZ Barzilay

Abstract

We present a method for auditing and evaluating infant mortality with the aid of a preventability grading system, based on national computerized files of livebirths and infant deaths. Diagnostic categories and specific causes of deaths were classified into one of the following three preventability grades: Preventable (P), Possibly Preventable (PP) and Non Preventable (NP). This classification was then applied to two different scales: Preventability of Condition (PC) and Preventability of Death (PD) from which a third scale--Preventability of Mortality (PM)--was derived. The method was then applied to matched records of 39,786 livebirth and 452 infant death certificates between 1977 and 1984, in a semi-urban region in Israel encompassing 220,000 inhabitants. Comparison of mortality rates, according to the proposed preventability scores, demonstrated that higher infant mortality rate in non-Jewish population, or in Jewish mothers with a lower educational, was present only in the preventable categories (P or PP), while death rates due to non preventable causes were identical for all groups. The suggested macro-auditing method facilitates the assessment of large scale infant mortality rates in terms of preventability.

References

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Citations

Feb 4, 2010·Journal of Perinatal Medicine·Paul A O M De ReuJan G Nijhuis
Jan 1, 1997·Journal of Perinatal Medicine·I Coria-SotoA M Salinas-Martinez
Aug 30, 2018·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Yousef S KhaderShereen Hamadneh
Jan 1, 1991·Health Affairs·G J Schieber, J P Poullier
Dec 10, 2015·Maternal and Child Health Journal·Anwar M BatiehaRa'eda J Al-Qutob

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