EditorialForty years of unwarranted variation—And still counting
References (4)
- et al.
Small area variations in health care delivery: a population-based health information system can guide planning and regulatory decision-making
Science
(1973) - et al.
A test of consumer contributions to small area variations in health care delivery
Journal of the Maine Medical Association
(1977)
Cited by (65)
Heterogeneity in multicentre trial participating centers: lessons from the TOPCAT trial on interpreting trial data for clinical practice
2023, Journal of Clinical EpidemiologyExploring unwarranted clinical variation: The attitudes of midwives and obstetric medical staff regarding induction of labour and planned caesarean section
2021, Women and BirthCitation Excerpt :“Unwarranted variation means people are exposed to real harm from not receiving care that they need or potential harm from receiving care that they do not need and cannot benefit them” [7]. Unwarranted variation occurs across all areas of health care [3,4], including maternity care [2]. In maternity care the potential for both short and long term harm to maternal and infant health from exposing pregnant women to interventions, medications or procedures that they do not need is cause for concern [8,9].
What are women's mode of birth preferences and why? A systematic scoping review
2020, Women and BirthCitation Excerpt :Shared decision-making is now widely recognised as an integral component to the provision of high-quality maternity care.110–112 Shared decision-making is not only associated with improved satisfaction and outcomes,111,113 but is increasingly put forward as a strategy to reduce the overuse of interventions.114–117 This is consistent with a number of studies included in this review that found that women who have access to information and knowledge to make informed choices are less likely to prefer or request a CS.70,77
Making shared decisions in relation to planned caesarean sections: What are we up to?
2020, Patient Education and CounselingCitation Excerpt :Despite a range of initiatives, efforts to minimise the rising rate of CS have been mostly unsuccessful [18]. This is not surprising as evidence from different areas of healthcare highlight the complexity of reducing clinical variation and unnecessary interventions [19–22]. One strategy that is sometimes put forward as having the potential to reduce clinical variation and the overuse of interventions is shared decision-making (SDM) [20,23,24].