Applying the Ecology Model to Perinatal Medicine: From a Regional Population-Based Study
Objective. Ecology model is useful to provide a framework for organizing medical care. We aimed to see if the ecology model is applicable to perinatal care in Japan. Methods. On a population-based approach, we had 53,461 deliveries in Miyazaki from 2001 to 2005. In comparison, we used all of the 106...
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doaj-f4bf1ea1c3b04e9c985eb9652869d6a32020-11-24T21:18:34ZengHindawi LimitedJournal of Pregnancy2090-27272090-27352011-01-01201110.1155/2011/587390587390Applying the Ecology Model to Perinatal Medicine: From a Regional Population-Based StudySyuichi Tokunaga0Hiroshi Sameshima1Tsuyomu Ikenoue2Department of Obstetrics and Gynecology, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki 889-1692, JapanDepartment of Obstetrics and Gynecology, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki 889-1692, JapanDepartment of Obstetrics and Gynecology, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki 889-1692, JapanObjective. Ecology model is useful to provide a framework for organizing medical care. We aimed to see if the ecology model is applicable to perinatal care in Japan. Methods. On a population-based approach, we had 53,461 deliveries in Miyazaki from 2001 to 2005. In comparison, we used all of the 106,613 deliveries in Tokyo in 2009. Women were divided into 4 grades by risk-allocation criteria and their proportion was expressed per 1,000 women to apply to the model and to delineate the ecology curve. The perinatal mortality was compared by Chi-square test. Results. We found remarkable similarity in ecology curves between the original ecology models and that representing Miyazaki perinatal data. However, the curve representing Tokyo was different from the original one. Besides, the perinatal mortality was significantly lower in Miyazaki (4.40/1,000) than in Tokyo (5.06/1,000). Conclusion. Applying the ecology model to perinatal care is useful with improvement of perinatal outcome and it would provide an appropriate framework for organizing perinatal care.http://dx.doi.org/10.1155/2011/587390 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Syuichi Tokunaga Hiroshi Sameshima Tsuyomu Ikenoue |
spellingShingle |
Syuichi Tokunaga Hiroshi Sameshima Tsuyomu Ikenoue Applying the Ecology Model to Perinatal Medicine: From a Regional Population-Based Study Journal of Pregnancy |
author_facet |
Syuichi Tokunaga Hiroshi Sameshima Tsuyomu Ikenoue |
author_sort |
Syuichi Tokunaga |
title |
Applying the Ecology Model to Perinatal Medicine: From a Regional Population-Based Study |
title_short |
Applying the Ecology Model to Perinatal Medicine: From a Regional Population-Based Study |
title_full |
Applying the Ecology Model to Perinatal Medicine: From a Regional Population-Based Study |
title_fullStr |
Applying the Ecology Model to Perinatal Medicine: From a Regional Population-Based Study |
title_full_unstemmed |
Applying the Ecology Model to Perinatal Medicine: From a Regional Population-Based Study |
title_sort |
applying the ecology model to perinatal medicine: from a regional population-based study |
publisher |
Hindawi Limited |
series |
Journal of Pregnancy |
issn |
2090-2727 2090-2735 |
publishDate |
2011-01-01 |
description |
Objective. Ecology model is useful to provide a framework for organizing medical care. We aimed to see if the ecology model is applicable to perinatal care in Japan. Methods. On a population-based approach, we had 53,461 deliveries in Miyazaki from 2001 to 2005. In comparison, we used all of the 106,613 deliveries in Tokyo in 2009. Women were divided into 4 grades by risk-allocation criteria and their proportion was expressed per 1,000 women to apply to the model and to delineate the ecology curve. The perinatal mortality was compared by Chi-square test. Results. We found remarkable similarity in ecology curves between the original ecology models and that representing Miyazaki perinatal data. However, the curve representing Tokyo was different from the original one. Besides, the perinatal mortality was significantly lower in Miyazaki (4.40/1,000) than in Tokyo (5.06/1,000). Conclusion. Applying the ecology model to perinatal care is useful with improvement of perinatal outcome and it would provide an appropriate framework for organizing perinatal care. |
url |
http://dx.doi.org/10.1155/2011/587390 |
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