Distribution of maternity units and spatial access to specialised care for women delivering before 32 weeks of gestation in Europe
Hugo Pilkington
(1)
,
Béatrice Blondel
(2)
,
Emile Papiernik
(3)
,
Marina Cuttini
(4)
,
Hélène Charreire
(5)
,
Rolf Maier
(6)
,
Stavros Petrou
(7)
,
Evelyne Combier
(8)
,
Wolfgang Künzel
(9)
,
Gérard Bréart
(2)
,
Jennifer Zeitlin
(2)
1
LADYSS -
Laboratoire Dynamiques Sociales et Recomposition des Espaces
2 UMR_S 953 - Recherche Epidémiologique en Santé Périnatale et Santé des Femmes et des Enfants
3 Maternité Port-Royal [CHU Cochin]
4 IRCCS Ospedale Pediatrico Bambino Gesù = Bambino Gesù Children’s Hospital
5 CERMES3 - UMR 8211 / U988 / UM 7 - CERMES3 - Centre de recherche Médecine, sciences, santé, santé mentale, société
6 Philipps Universität Marburg = Philipps University of Marburg
7 University of Warwick [Coventry]
8 CEP - Centre d'épidémiologie des populations
9 JLU - Justus-Liebig-Universität Gießen = Justus Liebig University
2 UMR_S 953 - Recherche Epidémiologique en Santé Périnatale et Santé des Femmes et des Enfants
3 Maternité Port-Royal [CHU Cochin]
4 IRCCS Ospedale Pediatrico Bambino Gesù = Bambino Gesù Children’s Hospital
5 CERMES3 - UMR 8211 / U988 / UM 7 - CERMES3 - Centre de recherche Médecine, sciences, santé, santé mentale, société
6 Philipps Universität Marburg = Philipps University of Marburg
7 University of Warwick [Coventry]
8 CEP - Centre d'épidémiologie des populations
9 JLU - Justus-Liebig-Universität Gießen = Justus Liebig University
Hugo Pilkington
- Fonction : Auteur
- PersonId : 933771
Hélène Charreire
- Fonction : Auteur
- PersonId : 10409
- IdHAL : helene-charreire
- ORCID : 0000-0002-1260-9812
- IdRef : 122545737
Jennifer Zeitlin
- Fonction : Auteur
- PersonId : 756756
- ORCID : 0000-0002-9568-2969
- IdRef : 174867816
Résumé
Survival and quality of life are improved for very preterm babies when delivery occurs in a maternityunit with on-site neonatal intensive care (level III unit). We investigated the impact of distance on the probability of delivering in such a unit for births before 32weeks of gestation from 9 European regions with diverse perinatal health systems (the MOSAIC cohort). We analysed distances between women's homes, and the nearest level III in population quartiles, adjusting for maternal and pregnancy characteristics. Living farther away from a level III reduced access to specialisedcare everywhere; in some regions women residing in the fourth quartile were half as likely to deliver in level III units as those in the first. To improve regionalized perinatal care the spatial location of level III units should be taken into account.
Format du dépôt | Notice |
---|---|
Type de dépôt | Article dans une revue |
Titre |
en
Distribution of maternity units and spatial access to specialised care for women delivering before 32 weeks of gestation in Europe
|
Résumé |
en
Survival and quality of life are improved for very preterm babies when delivery occurs in a maternityunit with on-site neonatal intensive care (level III unit). We investigated the impact of distance on the probability of delivering in such a unit for births before 32weeks of gestation from 9 European regions with diverse perinatal health systems (the MOSAIC cohort). We analysed distances between women's homes, and the nearest level III in population quartiles, adjusting for maternal and pregnancy characteristics. Living farther away from a level III reduced access to specialisedcare everywhere; in some regions women residing in the fourth quartile were half as likely to deliver in level III units as those in the first. To improve regionalized perinatal care the spatial location of level III units should be taken into account.
|
Auteur(s) |
Hugo Pilkington
1
, Béatrice Blondel
2
, Emile Papiernik
3
, Marina Cuttini
4
, Hélène Charreire
5
, Rolf Maier
6
, Stavros Petrou
7
, Evelyne Combier
8
, Wolfgang Künzel
9
, Gérard Bréart
2
, Jennifer Zeitlin
2
1
LADYSS -
Laboratoire Dynamiques Sociales et Recomposition des Espaces
( 1004856 )
- Université Paris Ouest Nanterre La Défense Bâtiment T 200 avenue de la République 92001 Nanterre cedex
- France
2
UMR_S 953 -
Recherche Epidémiologique en Santé Périnatale et Santé des Femmes et des Enfants
( 81504 )
- HÔPITAL SAINT VINCENT DE PAUL - BATIMENT LELONG
82 AVENUE DENFERT ROCHEREAU
75014 PARIS
- France
3
Maternité Port-Royal [CHU Cochin]
( 495459 )
- 123 Boulevard de Port-Royal, 75014 Paris.
- France
4
IRCCS Ospedale Pediatrico Bambino Gesù = Bambino Gesù Children’s Hospital
( 189859 )
- 00165 Rome
- Italie
5
CERMES3 - UMR 8211 / U988 / UM 7 -
CERMES3 - Centre de recherche Médecine, sciences, santé, santé mentale, société
( 176631 )
- 7 rue Guy Môquet - BP 8 - 94801 Villejuif Cedex
Site administratif : Campus CNRS- 7, rue Guy Môquet- BP 8- 94801 Villejuif Cedex
Site Paris: CUSP (Centre universitaire des Saints-Pères)- Bâtiment Jacob (3ème étage)- 45, rue des Saints-Pères- 75270 Paris Cedex 06
- France
6
Philipps Universität Marburg = Philipps University of Marburg
( 303418 )
- Philipps-Universität Marburg, Biegenstraße 10, 35032 Marburg
- Allemagne
7
University of Warwick [Coventry]
( 302824 )
- Coventry CV4 7AL
- Royaume-Uni
8
CEP -
Centre d'épidémiologie des populations
( 128670 )
- Université de Bourgogne - Faculté de Médecine - 21000 DIJON
- France
9
JLU -
Justus-Liebig-Universität Gießen = Justus Liebig University
( 301926 )
- Ludwigstraße 23, 35390 Gießen
- Allemagne
|
Commentaire |
ACL (facteur d'impact)
|
Nom de la revue |
|
Date de publication |
2010-05
|
Langue du document |
Anglais
|
Vulgarisation |
Non
|
Comité de lecture |
Oui
|
Audience |
Internationale
|
Volume |
16
|
Numéro |
3
|
Page/Identifiant |
531-538
|
Domaine(s) |
|
Mots-clés |
en
Hospital planning, Distance, Europe, Health services accessibility, Perinatal care
|
DOI | 10.1016/j.healthplace.2009.12.011 |
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