[Evaluation in gynecology and obstetrics. Propositions for routine evaluation of professional practices].
All the scientific prerequisites for auditing Gynaecology-Obstetrics clinics are currently available. Nevertheless, it is often difficult to usefully evaluate routine decision making. The aim of this paper was to offer matter for thought concerning the choice of methods and themes to be used in evaluating routine management in Gynaecology-Obstetrics clinics. Several methods are discussed, including monitoring synthetic indicators and complex evaluation of routine decision making (relationship between recruitment, practices and results). Details of this latter method were presented with several examples: prematurity prevention, perinatal mortality and morbidity, screening tests and antenatal diagnosis, cesarean section.
Poisson-Salomon
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Service de l'Evaluation, D.P.I.M., AP-HP, Paris.
Crenn-Hébert
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C
Blot
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D005602:France; D006176:Gynecology / Q000592:standards*; D006801:Humans; D008485:Medical Audit / Q000379:methods*; D009774:Obstetrics / Q000592:standards*; D017063:Outcome Assessment, Health Care; D010818:Practice Patterns, Physicians' / Q000592:standards*