title: [Healthcare and maternal morbidity and mortality: a hospital-based case-control study in two regions of Colombia (Bogotá and Antioquia), 2009-2011].
abstract: The study aimed to identify whether payment forms and insurance schemes are associated with severe obstetric complications and maternal mortality. A hospital-based case-control study was conducted in two regions of Colombia, 2009-2011. Data were obtained from each woman's clinical history. Unconditional logistic regression was used. The sample included 1,011 patients: 337 cases and 674 controls. No quality component was statistically significant in either region. In Bogotá, the risk of obstetric complications was significantly higher in the contributive insurance scheme than in subsidized coverage or uninsured; Antioquia showed similar associations, but not statistically significant. Differences in maternal morbidity according to payment scheme were not statistically significant in either Antioquia or Bogotá. Factors associated with maternal morbidity and mortality differed according to the study population, suggesting the need for local studies to identify determinants and make appropriate decisions.
authors.affiliation: Asociación Colombiana de la Salud, Bogotá, Colombia.
authors.forename: Francisco J
authors.initials: FJ
authors.lastname: Yepes
authors.affiliation: Centro Nacer, Salud Sexual y Reproductiva, Medellín, Colombia.
authors.forename: Joaquin G
authors.initials: JG
authors.lastname: Gómez
authors.affiliation: Centro Nacer, Salud Sexual y Reproductiva, Medellín, Colombia.
authors.forename: John Jairo
authors.initials: JJ
authors.lastname: Zuleta
authors.affiliation: Asociación Colombiana de la Salud, Bogotá, Colombia.
authors.forename: Juan Luis
authors.initials: JL
authors.lastname: Londoño
authors.affiliation: Departamento de Salud Pública, Universidad del Norte, Barranquilla, Colombia.
authors.forename: Jorge Luis
authors.initials: JL
authors.lastname: Acosta-Reyes
authors.affiliation: Asociación Colombiana de la Salud, Bogotá, Colombia.
authors.forename: Luz Helena
authors.initials: LH
authors.lastname: Sánchez-Gómez
authors.affiliation: Asociación Colombiana de la Salud, Bogotá, Colombia.
authors.forename: Marta L
authors.initials: ML
authors.lastname: Ramírez
mesh_terms: D000328:Adult; D016022:Case-Control Studies; D003105:Colombia / Q000453:epidemiology; D005260:Female; D006801:Humans; D007348:Insurance, Health / Q000706:statistics & numerical data*; D008427:Maternal Health Services / Q000191:economics; D008428:Maternal Mortality; D008483:Medical Assistance / Q000706:statistics & numerical data*; D011225:Pre-Eclampsia / Q000401:mortality*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000401:mortality*; D012307:Risk Factors; D018805:Sepsis / Q000401:mortality*; D012959:Socioeconomic Factors; D014592:Uterine Hemorrhage / Q000401:mortality*