Impact of Obstetrician/Gynecologist Hospitalists on Response Time of Obstetric Emergency Operation in Sardjito Hospital Yogyakarta Indonesia: A Retrospective Cohort Study

https://doi.org/10.22146/jkr.35955

Eugenius Phyowai Ganap(1*), Mohammad Hakimi(2), Soerjo Hadijono(3), Ova Emilia(4)

(1) Departemen Obstetri dan Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan (FKKMK) UGM
(2) Departemen Obstetri dan Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan (FKKMK) UGM
(3) Departemen Obstetri dan Ginekologi, Fakultas Kedokteran,Universitas Diponegoro
(4) Departemen Obstetri dan Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan (FKKMK) UGM
(*) Corresponding Author

Abstract


Background: The hospitalist model in obstetric care which was introduced over the last decades now has an important role in care delivery management with the potential positive impact on maternal and neonatal outcomes.

Objective: The aim of this study was to evaluate the effect of hospitalist model towards surgical emergency response time.

Method: This research design was cohort a retrospective study. Participants included were  the patient in the time before and after implementation of obstetrician/gynecologist full-hospitalist policy during October 2013 until September 2014. The outcome measured were mean response time and possible hospital factors which contribute to response time.

Result and Discussion: We included a total of 71 patients (30 on-call obstetrician group and  41 full-time hospitalist group).  Univariate analysis indicated  mean response time was significantly differ in full-time hospitalist group when compared to the on-call obstetrician group (65.3 + 25.89 vs. 84 + 22.29 mins; p = 0.002). Multivariable analysis determined that hospital factors which contribute to response time are readiness of operating theatre.

Conclusion: Implementation of full-time hospitalist model is associated with a significant improvement of response time in emergency obstetric care.

Keywords: Maternal mortality, Obstetrician/Gynecology Hospitalist, C-section, Response Time


Keywords


Maternal mortality; Obstetrician/Gynecology Hospitalist; C-section; Response Time

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References

  1. Badan Pusat Statistik-Statistics Indonesia (BPS) National Family Planning Coordinating Board Ministry of Health ORC Macro: Indonesia Demographic and Health Survey 2007. Calverton, Maryland: BPS and ORC Macro. 2008. https://dhsprogram.com/pubs/pdf/FR218/ FR218%5B27August2010%5D.pdf
  2. Statistics Indonesia (Badan Pusat Statistik— BPS), National Population and Family Planning Board (BKKBN), and Kementerian Kesehatan (Kemenkes—MOH), and ICF International. 2013. Indonesia Demographic and Health Survey 2012. Jakarta, Indonesia: BPS, BKKBN, Kemenkes, and ICF International. https://dhsprogram.com/pubs/pdf/ FR275/FR275.pdf
  3. WHO, UNICEF, UNFPA and The World Bank estimates. Trends in maternal mortality: 1990 to 2013. http://apps.who.int/iris/bitstream/ 10665/ 112682/2/9789241507226_eng.pdf
  4. Putra, M.P., Yudha, editors. Menkes: Angka Kematian Ibu Melahirkan Masih Tinggi [Internet]. Jakarta: Republika;2013 [cited 2013 May 5]. Available from: http://www.republika.co.id/berita/ nasional/daerah/13/02/16/mi9ugy-menkes-angkakematian-ibu-melahirkan-masih-tinggi
  5. Thaddeus S, Maine D. Too far to walk : maternal mortality in context. Soc Scie Med. 1994 Apr; 38(8):m 1091-110.
  6. Widawati. Faktor yang mempengaruhi pola pemilihan penolong persalinan di kecamatan bojongloa kidul, kota bandung tahun 2007 [thesis]. Universitas Indonesia; 2008.
  8. Wachter RM, Goldman L. The emerging role of “hospitalists” in the American health care system. N Engl J Med 1996; 335:514-7.
  9. Olson R, Garite TJ, Fishman A, Andress IF. Obstetrician/gynecologist hospitalists: can we improve safety and outcomes for patients and hospitals and improve lifestyle for physicians?. Am J Obstet Gynecol 2012; 81-6.
  10. Chauhan SP, Roach H, Naef RW, et al. Cesarean section for suspected fetal distress. Does the decision-incision time make a difference? J Reprod Med 1997; 42:347-52
  11. National Institute for Health and Care Excellence. Clinical Guideline : Caesarean Section. London, UK : NICE 2011.
  12. Sibuea H. 2007. Manajemen Seksio Sesarea Emergensi: Masalah dan Tantangan. Pidato pengukuhan Guru Besar Bidang Kebidanan dan Penyakit Kandungan Universitas Sumatera Utara.
  13. Olson R, Thomas JG, Fishman A. et al. Obstetrician/ gynecologist hospitalists: can we improve safety and outcomes for patients and hospitals and improve lifestyle for physicians. American Journal of Obstetrics and Gynecology 2012. 81-86.



DOI: https://doi.org/10.22146/jkr.35955

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