Adverse outcomes of labour in public and private hospitals in Australia

Michael D Coory, Guan T Koh, Vicki Flenady and Maarten Kamp
Med J Aust 2009; 191 (10): . || doi: 10.5694/j.1326-5377.2009.tb03326.x
Published online: 16 November 2009

To the Editor: In their national analysis, Robson and colleagues found less favourable outcomes among term singleton babies born in public hospitals than in private hospitals.1 Most health services research is non-randomised, and it is unrealistic to expect studies such as this to be as internally valid as a randomised controlled trial.2 As noted by others,3,4 in the absence of randomisation, it is difficult to untangle the myriad differences between mothers, babies, and the care provided in private and public hospitals (ie, the results might be subject to confounding).

  • Michael D Coory1
  • Guan T Koh2,3
  • Vicki Flenady4
  • Maarten Kamp2

  • 1 School of Population Health, University of Queensland, Brisbane, QLD.
  • 2 Queensland Health, Brisbane, QLD.
  • 3 Townsville Hospital, Townsville, QLD.
  • 4 Mater Mothers’ Research Centre, Brisbane, QLD.



remove_circle_outline Delete Author
add_circle_outline Add Author

Do you have any competing interests to declare? *

I/we agree to assign copyright to the Medical Journal of Australia and agree to the Conditions of publication *
I/we agree to the Terms of use of the Medical Journal of Australia *
Email me when people comment on this article

Online responses are no longer available. Please refer to our instructions for authors page for more information.