AN EVALUATION OF THE KESSNER ADEQUACY OF PRENATAL-CARE INDEX AND A PROPOSED ADEQUACY OF PRENATAL-CARE UTILIZATION INDEX
AN EVALUATION OF THE KESSNER ADEQUACY OF PRENATAL-CARE INDEX AND A PROPOSED ADEQUACY OF PRENATAL-CARE UTILIZATION INDEX
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DOI：
10.2105/ajph.84.9.1414
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发表时间：
1994-09-01
影响因子：
12.7
通讯作者：
KOTELCHUCK, M
中科院分区：
文献类型：
--
作者：
KOTELCHUCK, M
目标.对产前护理利用是否充分的评估在很大程度上取决于利用的衡量方式。虽然它被广泛使用，目前的主要利用指数，凯斯纳/医学研究所指数，尚未受到系统的检查。本文提供了这样一个考试。1980年全国出生率调查的数据被用来分解Kessner指数的组成部分，以进行详细分析。一个替代的两部分的指数，产前护理利用指数的准确性，提出了结合独立评估的产前护理启动的时间和启动后收到的访问频率。凯斯纳指数存在严重缺陷。它是沉重的重量对产前护理启动的时间，不区分启动的时间从穷人随后的利用，不准确的措施利用足月或过期妊娠，并缺乏足够的文件一致的计算机编程。产前卡尔利用率指数提供了一套比Kessner指数更准确、更全面的产前护理利用率衡量标准。
Objectives. The assessment of the adequacy of prenatal care utilization is heavily shaped by the way in which utilization is measured. Although it is widely used, the current major index of utilization, the Kessner/Institute of Medicine Index, has not been subjected to systematic examination. This paper provides such an examination.Methods. Data from the 1980 National Natality Survey are used to disaggregate the components of the Kessner Index for detailed analysis. An alternative two-part index the Adequacy of Prenatal Care Utilization Index, is proposed that combines independent assessments of the timing of prenatal care initiation and the frequency of visits received after initiation.Results. The Kessner Index is seriously flawed. It is heavily weighted toward timing of prenatal care initiation, does not distinguish timing of initiation from poor subsequent utilization, inaccurately measures utilization for full- or post-term pregnancies, and lacks sufficient documentation for consistent computer programming.Conclusions. The Adequacy of Prenatal Carl Utilization Index offers a more accurate and comprehensive set of measures of prenatal care utilization than the Kessner Index.