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The Effect of Regionalization On Infant and Early Neonatal Mortality

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  • Marvin B. Mandell

    (University of Maryland Baltimore Graduate School)

Abstract

Regionalization ofperinatal care is widely assumed to be an effective means of improving pregnancy outcomes. However, due to limitations of the research designs employed in previous studies aimed at empirically confirming this conventional wisdom, strong evidence concerning the impact of regionalization on pregnancy outcomes is still lacking. In this article an interrupted time-series design is used to assess the impact of regionalization of perinatal care on infant and early neonatal mortality in Central New York. The analysis indicates that regionalization has had a statistically significant, grad ual permanent impact on both infant and early neonatal mortality.

Suggested Citation

  • Marvin B. Mandell, 1986. "The Effect of Regionalization On Infant and Early Neonatal Mortality," Evaluation Review, , vol. 10(6), pages 806-829, December.
    • Handle: RePEc:sae:evarev:v:10:y:1986:i:6:p:806-829
    DOI: 10.1177/0193841X8601000605
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    References listed on IDEAS

    as
    1. McCormick, M.C., 1981. "The regionalization of perinatal care," American Journal of Public Health, American Public Health Association, vol. 71(6), pages 571-572.
    2. Siegel, E. & Gillings, D. & Campbell, S. & Guild, P., 1985. "A controlled evaluation of rural regional perinatal care: Impact on mortality and morbidity," American Journal of Public Health, American Public Health Association, vol. 75(3), pages 246-253.
    3. Morris, N.M. & Udry, J.R. & Chase, C.L., 1975. "Shifting age parity distribution of births and the decrease in infant mortality," American Journal of Public Health, American Public Health Association, vol. 65(4), pages 359-362.
    4. Lee, K.S. & Paneth, N. & Gartner, L.M. & Pearlman, M.A. & Gruss, L., 1980. "Neonatal mortality: An analysis of the recent improvement in the United States," American Journal of Public Health, American Public Health Association, vol. 70(1), pages 15-21.
    5. Gillings, D. & Makuc, D. & Siegel, E., 1981. "Analysis of interrupted time series mortality trends: An example to evaluate regionalized perinatal care," American Journal of Public Health, American Public Health Association, vol. 71(1), pages 38-46.
    6. Placek, P.J. & Taffel, S. & Moien, M., 1983. "Cesarean section delivery rates: United States, 1981," American Journal of Public Health, American Public Health Association, vol. 73(8), pages 861-862.
    7. Marvin B. Mandell & Stuart I. Bretschneider, 1984. "Using Exponential Smoothing To Specify Intervention Models for Interrupted Time Series," Evaluation Review, , vol. 8(5), pages 663-691, October.
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