↓ Skip to main content

Increasing the percentage of vaginal birth in the private sector in Brazil through the redesign of care model

Overview of attention for article published in Revista brasileira de ginecologia e obstetrícia revista da Federação Brasileira das Sociedades de Ginecologia e Obstetrícia, October 2015
Altmetric Badge

About this Attention Score

  • Average Attention Score compared to outputs of the same age

Mentioned by

twitter
1 X user

Citations

dimensions_citation
13 Dimensions

Readers on

mendeley
49 Mendeley
You are seeing a free-to-access but limited selection of the activity Altmetric has collected about this research output. Click here to find out more.
Title
Increasing the percentage of vaginal birth in the private sector in Brazil through the redesign of care model
Published in
Revista brasileira de ginecologia e obstetrícia revista da Federação Brasileira das Sociedades de Ginecologia e Obstetrícia, October 2015
DOI 10.1590/so100-720320150005264
Pubmed ID
Authors

Paulo Borem, Janise Braga Barros Ferreira, Uyara Januzzi da Silva, Jeyner Valério Júnior, Cristiana Machado Borges Orlanda

Abstract

To reduce the percentage of cesareans among pregnant women at UNIMED Jaboticabal by redesigning the care delivery model. Descriptive study conducted at an institution in São Paulo State starting in 2012 to propose the redesign of the care mode based on Continued Improvement Science adapted to the health area. To measure the results of changes we selected nine indicators and their targets. The percentage of natural births reached the target of 40% after seven months of implementation of the interventions. The percentage of natural births reached 66% among pregnant women in SUS. The perinatal mortality rate decreased by 25% from 2012 to 2014, and the prematurity rate was 3 per 100 live births in 2014. The percentage of pregnant women from UNIMED with six or more prenatal consultations reached 95%. The hospital costs for childbirth care decreased by 27% compared to 2012 and 2013. This reduction was not sustainable and the per capita cost returned to the same level in 2014. The remuneration of all obstetricians increased by 72% from 2012 to 2014.Unimed's costs attributed to the neonatal intensive care unit (NICU) decreased by 61% from 2012 to 2013. The cost was the same for 2013 as it was for 2014 while the admission rate among newborns at UNIMED decreased by 55%. The percentage of pregnant women participating in courses to prepare for birth did not reach the goal set at 80%. The percentage of pregnant women satisfied and very satisfied with care delivery reached 86%. This project achieved its objectives by reducing the percentage of C-sections among pregnant women of UNIMED Jaboticabal representing a concrete example of achieving the Triple Aim in health: to improve the experience of care and the health outcomes of populations and individuals and to perform these two tasks at a lower cost.

X Demographics

X Demographics

The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 49 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Brazil 2 4%
Unknown 47 96%

Demographic breakdown

Readers by professional status Count As %
Student > Master 8 16%
Student > Bachelor 6 12%
Professor 5 10%
Student > Doctoral Student 4 8%
Other 4 8%
Other 7 14%
Unknown 15 31%
Readers by discipline Count As %
Medicine and Dentistry 13 27%
Nursing and Health Professions 9 18%
Business, Management and Accounting 4 8%
Social Sciences 2 4%
Psychology 2 4%
Other 3 6%
Unknown 16 33%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 January 2016.
All research outputs
#17,729,864
of 25,986,827 outputs
Outputs from Revista brasileira de ginecologia e obstetrícia revista da Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
#2
of 2 outputs
Outputs of similar age
#173,312
of 288,034 outputs
Outputs of similar age from Revista brasileira de ginecologia e obstetrícia revista da Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
#2
of 3 outputs
Altmetric has tracked 25,986,827 research outputs across all sources so far. This one is in the 21st percentile – i.e., 21% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2 research outputs from this source. They receive a mean Attention Score of 1.2. This one scored the same or higher as 0 of them.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 288,034 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 31st percentile – i.e., 31% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 3 others from the same source and published within six weeks on either side of this one.