T6_2_3_1

2011 National Healthcare Quality and Disparities Reports

The National Healthcare Quality Report (NHQR) is a comprehensive national overview of quality of health care in the United States. It is organized around four dimensions of quality of care: effectiveness, patient safety, timeliness, and patient centeredness.

Table 6_2_3.1
Obstetric traumaa per 1,000 instrument-assisted vaginal deliveries,b United States, 2000, 2004, 2005, 2007, and 2008
  20082007200520042000
Population groupRateSERateSERateSERateSERateSE
Total 146.63.0143.73.1160.42.6171.72.7197.23.1
Age10-14124.933.8135.627.5134.233.4160.228.9220.929.3
15-17122.89.1127.97.6146.48.6147.37.9185.79.9
18-24128.64.3122.04.2142.94.3152.94.5176.15.7
25-34164.76.0162.46.5176.75.0189.95.7213.36.1
35-54130.08.7129.67.1145.86.5155.86.5189.27.0
Median income of patient's ZIP CodeFirst quartile (lowest income)127.04.4117.04.1132.94.0138.54.0165.24.9
Second quartile142.44.0133.44.0153.84.1164.04.1187.34.1
Third quartile151.04.4145.24.5170.44.1178.14.2203.54.1
Fourth quartile (highest income)161.34.9176.45.1181.64.7196.94.8223.15.3
Location of patient residenceLarge central metropolitan148.16.3143.46.3164.25.1161.24.9186.55.8
Large fringe metropolitan151.44.2159.15.2170.64.9189.55.3212.25.3
Medium metropolitan148.34.9136.35.2157.54.4178.85.9213.47.1
Small metropolitan139.16.7135.05.9146.16.7176.57.8193.77.5
Micropolitan135.15.9123.65.2149.45.8155.56.2171.46.4
Noncore125.07.4138.57.5144.18.0151.07.3184.47.5
Expected payment sourcePrivate insurance166.23.7161.83.7179.53.2195.93.3215.93.4
Medicare126.818.1114.714.7131.619.2122.126.192.318.4
Medicaid105.43.599.93.3122.84.5119.63.5147.84.6
Other insurance135.910.4139.09.6181.811.6165.311.3185.713.1
Uninsured/self-pay/no charge155.210.9150.99.3159.710.7148.210.5174.110.8
Region of inpatient treatmentNortheast145.95.4147.06.6173.56.4192.26.7206.76.7
Midwest172.27.4163.88.4173.04.6186.85.8218.66.3
South137.44.0137.14.3152.54.9163.44.7197.95.5
West133.64.5131.74.9154.34.7159.55.1169.45.7
Ownership/control of hospitalPrivate, not for profit150.63.5145.03.7161.22.9183.03.3205.73.8
Private, for profit115.55.4119.85.7132.65.5115.94.9155.86.2
Public154.17.8157.16.5192.19.1169.16.3187.87.0
Teaching status of hospitalTeaching173.06.4153.56.3185.05.8201.75.7227.17.0
Nonteaching133.82.6137.02.8149.52.7159.03.0183.43.0
Location of hospitalLarge central metropolitan153.95.9145.75.9166.65.0164.04.8189.45.7
Large fringe metropolitan140.34.2156.55.7167.66.1185.26.3211.06.2
Medium metropolitan142.54.8136.75.1156.54.5178.95.9215.07.3
Small metropolitan139.06.4135.05.8146.56.9181.48.6200.37.9
Micropolitan140.46.6125.65.3145.36.4144.26.3159.07.0
Noncore119.010.8134.112.4147.312.6154.211.5167.410.9
Bed size of hospitalLess than 100126.05.4131.05.1142.36.0147.16.1167.06.2
100-299138.83.4139.63.6156.73.8164.84.1183.24.0
300-499138.04.1137.14.6165.35.0178.26.0207.15.9
500 or more187.29.6163.38.9173.97.8190.26.1225.18.7

a. Consistent with the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSI) software, obstetric trauma must involve 3rd or 4th degree lacerations.

b. Rates are adjusted by age using U.S. hospitalizations for 2000 as the standard population. When reporting is by age, there is no adjustment.

Key: SE: standard error.

Source: Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, Nationwide Inpatient Sample and AHRQ Quality Indicators, modified version 4.1.

 

Current as of March 2012
Internet Citation: T6_2_3_1: 2011 National Healthcare Quality and Disparities Reports. March 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr11/6_maternalchildhealth/T6_2_3_1.html