Journal Information
Vol. 8. Issue 44.
Pages 209-214 (September - October 1994)
Vol. 8. Issue 44.
Pages 209-214 (September - October 1994)
Open Access
Evolución de la Tasa de Cesáreas en España: 1984–1988
Evolution of Cesarean Section Rates in Spain: 1984–1988
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Antonio Sarría Santamera1,*, Juan Manuel Sendra Gutiérrez2
1 Subdirección General de Epidemiología. Ministerio de Sanidad y Consumo. Madrid. Center for the Evaluative Clinical Sciences. Dartmouth Medical School. Hanover
2 Servicio de Medicina Preventiva. Hospital Ntra. Sra. Sonsoles. Ávila
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Resumen

El objetivo de este trabajo es describir la evolución de las tasas en España. Las tasas nacionales aumentan de 9,42% en 1984 a 12,99% en 1988. La tendencia es significativamente creciente a nivel nacional y en todas las Comunidades. Las diferencias regionales están disminuyendo (el CSV pasa de 1,71 a 1,09) porque se están consolidando dos grupos de regiones: uno con tasas altas y otro con tasas bajas. La tasa es significativamente superior en los hospitales no públicos (14,33%). Estas diferencias reflejarían la controversia o incertidumbre en sus indicaciones y la influencia de factores organizativos. Aunque hay que conseguir fuentes de información y calcular tasas poblacionales ajustadas por características clínicas y sociodemográficas y estudios de resultados, estas desigualdades permiten sospechar la existencia de un diferencial entre la calidad teórica de la ciencia médica y la que ofrece la práctica médica explicable por causas ajenas a factores clínicos.

Palabras clave:
Cesárea
Factores clínicos
Tasas poblacionales
Summary

The objective of this work is to describe the evolution of cesarean section rates in Spain from 1984 through 1988. National rates increased from 9.92% to 19.99%. Trend is significantly rising nationwide and in all Communities. Overall differences have decreased (CSV from 1.73 to 11.72) because there are two groups of regions: one with high rates, the other one with low rates. Rates are significantly higher in private hospitals (14.53%). These differences could show the controversy and uncertainty in the indications and the influence of organizational factors. Although new sources of information to obtain population rates and outcomes studies adjusted by women clinic and sociodemografic characteristics are due to be developed, these differences lead to suspect that there is a gap between the theoric quality medical science could provide and the actual quality medical practice is providing, explained just by reasons out from clinical factors.

Key words:
Cesarean section
Clinical factors
Population rates
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Copyright © 1994. Sociedad Española de Salud Pública y Administración Sanitaria
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