Understanding the Allocation of Caesarean Outcome to Provider Type: A Chart Review
Introduction
The concept, "most responsible provider" has a specific definition in the Canadian National Discharge Abstract Database (DAD). Variation exists in how care providers are defined in administrative data.


Methods
We compared chart data with administrative data to understand how "most responsible provider" was identified in these two data sources.


Results
We found a 3% discrepancy between data sources. Differences between data sources were attributable to transfers in care that occurred at birth.


Discussion
"Most responsible provider" should consider the full trajectory of care when assigning outcomes in order to understand how to best support optimal health among low-risk births.