La atención al parto en diferentes países de la Organización para la Cooperación y el Desarrollo Económico (OCDE)
Bibliographic record
Abstract
espanolEl desarrollo cientifico-tecnologico ha comportado una progresiva medicalizacion del proceso de embarazo, parto y puerperio y la institucionalizacion de la atencion al parto en los hospitales en la mayoria de paises industrializados. Existen diferentes modelos organizativos y de atencion al parto y se pueden encontrar diferencias en cuanto a los resultados de esta atencion. Objetivo: Describir diferentes modelos organizativos y de atencion al parto en paises seleccionados de la Organizacion para la Cooperacion y el Desarrollo Economico (OCDE) e identificar variaciones en la estructura organizativa de los modelos observados. Metodologia: Busqueda bibliografica y cuestionario a informantes clave de diferentes paises para identificar los aspectos relevantes sobre financiacion de los servicios, lugar en que se presta la atencion y distribucion de competencias. Resultados: Se describe la organizacion y el modelo de atencion al parto, en el contexto de los sistemas de salud de cada pais. Paises incluidos: Reino Unido, Australia, Holanda, Irlanda, Francia, Espana y Canada. Se presentan indicadores de la OCDE sobre la actividad sanitaria, el comportamiento del sistema de salud y el estado de salud de la poblacion. Conclusiones: Se observan diferentes formas de organizar la atencion a la maternidad entre los paises seleccionados y se evidencian diferencias en los resultados de la atencion. Existen varios tipos de localizacion para la atencion a las mujeres con bajo riesgo obstetrico durante el proceso de maternidad. En los sistemas de salud observados, la atencion a las mujeres durante el embarazo se suele realizar en un entorno no hospitalario, mientras que para la atencion al parto existen diferentes opciones sobre los tipos de localizacion y de atencion que, en algunos casos, pueden ser elegidos por las mujeres. Los indicadores seleccionados muestran un amplio rango de resultados entre los paises elegidos, y parece conveniente investigar la posible relacion de esta variabilidad con el tipo de organizacion y de atencion durante el proceso de maternidad, asi como identificar criterios comunes sobre los aspectos especificos para la atencion a las mujeres que no presentan riesgos obstetricos. EnglishScientific and technological advances have entailed an increased influence of medicine in the process of pregnancy, childbirth and post-partum with the institutionalisation this entails for childbirth care in the hospitals of most industrialised countries. Several organisational and childbirth care models are in place and differences can be observed between them with regard to the outcomes of such care. Aim: To describe differing organisational and childbirth care models in the chosen countries of the Organization for Economic Co-operation and Development (OECD) and identify variations in the organisational structure of the models observed. Methodology: To conduct a bibliographical search and questionnaire on key informers from various countries to identify relevant aspects concerning service funding, care settings and distribution of authority in this sphere. Results: A description is given of the organisation and childbirth care model on the context of the health systems of each country. The countries studied are: Australia, Canada, France, Ireland, the Netherlands, Spain and the United Kingdom. OECD indicators are presented on healthcare activity, the operation of the health system and the state of health of the population. Conclusions: Several forms of organising maternity care have been observed from the countries chosen and differences have been identified in the outcomes of care. There are numerous kinds of settings for providing care to women with a low obstetric risk during the maternity process. In the healthcare systems analysed, care for women during pregnancy is often provided in a non-hospital setting; however, when it comes to childbirth care, several options are available in terms of the setting and care which can even be chosen by women themselves in certain cases. The indicators selected point to a broad range of results among the chosen countries and it would be appropriate to research the possible link between this variation in terms of the kind of organisation and care provided during maternity and, accordingly, to identify common criteria relating to specific aspects in care for women with low obstetric risks.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.006 | 0.007 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.003 | 0.006 |
| Science and technology studies | 0.002 | 0.002 |
| Scholarly communication | 0.006 | 0.002 |
| Open science | 0.001 | 0.003 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.009 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".