Is there unwarranted variation in obstetric practice in Australia? Obstetric intervention trends in Queensland hospitals

摘要: Objective The aim of this study was to report on the rates obstetric interventions within each hospital jurisdiction in state Queensland, Australia. Methods This project used a whole-of-population linked dataset that included health and cost data all mothers who gave birth Australia, between 2012 2015 (n = 186 789), plus their babies (n = 189 909). Adjusted unadjusted non-instrumental vaginal delivery were reported Queensland. Results High intervention exist both private public sectors, with higher demonstrated than sector. Within sector, there is substantial variation service jurisdictions after adjusting for confounding variables influence need intervention. Conclusions Due high statewide, deeper understanding needed what factors may be driving these at level, focus clinical necessity provision Caesarean sections. What known about topic? Variation practice exists many disciplines, including care. subpopulation groups states territories does paper add? we know from microlevel analysis Australian population varies substantially sector services not wholly attributable or demographic mothers. are implications practitioners? Individual providers examine sections institution, section.