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Sudo A, Kuroda Y. The impact of centralization of obstetric care resources in Japan on the perinatal mortality rate. ISRN Obstet Gynecol. 2013;2013:709616doi: 10.1155/2013/709616.
Sudo, A., & Kuroda, Y. (2013). The impact of centralization of obstetric care resources in Japan on the perinatal mortality rate. ISRN obstetrics and gynecology, 2013709616. https://doi.org/10.1155/2013/709616
Sudo, Akira, and Kuroda, Yoshiki. "The impact of centralization of obstetric care resources in Japan on the perinatal mortality rate." ISRN obstetrics and gynecology vol. 2013 (2013): 709616. doi: https://doi.org/10.1155/2013/709616
Sudo A, Kuroda Y. The impact of centralization of obstetric care resources in Japan on the perinatal mortality rate. ISRN Obstet Gynecol. 2013 Sep 18;2013:709616. doi: 10.1155/2013/709616. eCollection 2013. PMID: 24167731; PMCID: PMC3791613.
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ISRN Obstet Gynecol. 2013 Sep 18;2013:709616. doi: 10.1155/2013/709616. eCollection 2013.

The impact of centralization of obstetric care resources in Japan on the perinatal mortality rate.

ISRN obstetrics and gynecology

Akira Sudo, Yoshiki Kuroda

Affiliations

  1. Department of Public Health, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake-cho, Miyazaki City, Miyazaki 889-1692, Japan.

PMID: 24167731 PMCID: PMC3791613 DOI: 10.1155/2013/709616

Abstract

Objective. We investigated the effects of the centralization of obstetricians and obstetric care facilities on the perinatal mortality rate in Japan. Methods. We used the Gini coefficient as an index to represent the centralization of obstetricians and obstetric care facilities. The Gini coefficients were calculated for the number of obstetricians and obstetric care facilities of 47 prefectures using secondary medical care zones as units. To measure the effects of the centralization of obstetricians and obstetric care facilities on the outcomes (perinatal mortality rates), we performed multiple regression analysis using the perinatal mortality rate as the dependent variable. Results. Obstetric care facilities were more evenly distributed than obstetricians. The perinatal mortality rate was found to be significantly negatively correlated with the number of obstetricians per capita and the Gini coefficient of obstetric care facilities. The latter had a slightly stronger effect on the perinatal mortality rate. Conclusion. The centralization of obstetric care facilities can improve the perinatal mortality rate, even when increasing the number of obstetricians is difficult.

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