Saad Zbiri

• PhD
• PhD at University of Paris-Saclay

Background High rates of maternal mortality and morbidity remain significant health issues in low- and middle-income countries. Despite this, few researchers have investigated the underlying factors of severe maternal complications in sub-Saharan Africa. Therefore, the objective of this systematic review was to determine the socioeconomic, demograp...

Background The private healthcare sector has become an essential component of healthcare systems globally. This interest has increased with the universal health coverage agenda. However, in most low- and middle-income countries, few classificatory studies of the private hospital sector were carried out. Methods This study describes the private hos...

This study aimed to investigate the effect of hospital staffing resources on medical practice in public versus private hospitals. We used exhaustive delivery data from a French district of 11 hospitals over an 11-year period, from 2008 to 2018, including 168,120 observations. We performed multilevel logistic regression models with hospital fixed or...

In many countries, healthcare systems suffer from fragmentation between hospitals and primary care. In response, many governments institutionalised healthcare networks (HN) to facilitate integration and efficient healthcare delivery. Despite potential benefits, the implementation of HN is often challenged by inefficient collaborative dynamics that...

Background Maternal and neonatal mortality in low- and middle-income countries is frequently caused by inadequate management of obstetric and neonatal complications and a shortage of skilled health workers. The availability of these workers is essential for effective and high-quality healthcare. To meet the needs of sexual, reproductive, maternal,...

Introduction Migrants’ access to sexual and reproductive health (SRH) services is constrained by several individual, organisational and structural barriers. To address these barriers, many interventions have been developed and implemented worldwide to facilitate the access and utilisation of SRH services for migrant populations. The aim of this sco...

Background: The COVID-19 pandemic has spread rapidly to all countries with significant health, socioeconomic, and political consequences. Several safe and effective vaccines have been developed. However, it is not certain that all African countries have successfully vaccinated their populations. Objective: To study the distribution and determina...

Background In many low-income countries, households bear most of the health care costs. Community-based health insurance (CBHI) schemes have multiplied since the 1990s in West Africa. They have significantly improved their members’ access to health care. However, a large proportion of users are reluctant to subscribe to a local CBHI. Identifying th...

This article includes Author Insights, a video abstract available at: https://vimeo.com/761844040

Prior to the COVID-19 pandemic, French healthcare practitioners seldom used teleconsultations in France. COVID-19 has brought with it a great need for the use of teleconsultation and other interventions using digital technology. The study’s objective was to identify how French healthcare practitioners used teleconsultation for obstetrics and gyneco...

Background Home-based postnatal care after hospital discharge has become an integral part of postnatal care. This study aimed to determine the factors relating either to individuals or the healthcare system that affect enrollment and full participation (adherence) in the French home-based postnatal coordinated care program (PRADO). Methods All adm...

In the French diagnosis-related group (DRG)-based payment system, both private and public hospitals are financed by a public single payer. Public hospitals are overcrowded and have no direct financial incentives to choose one procedure over another. If a patient has a strong preference, they can switch to a private hospital. In private hospitals, t...

Background and objective: Several cardiovascular risk factors have emerged as important determinants of severe illness and death among coronavirus disease 2019 (COVID-19) patients. However, the full impact of these cardiovascular risk factors is still under investigation. This study aimed to investigate the association between patients' level of ca...

Background: The aim of this study is to evaluate the costs and the outcomes comparing lung lobectomy by video-assisted thoracoscopic surgery (VATS) versus thoracotomy for operable non-small cell lung cancer. Methods: A retrospective review of a prospectively maintained patient’s database who had lobectomy for lung cancer at a single institution bet...

Background: Obesity can be associated with one or more co-morbidities that worsen the effect of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Studies demonstrated that severe forms of coronavirus disease (COVID-19) have occurred in elderly patients and patients with co-morbidities such as diabetes, hypertension, and cardiovascular d...

Background: Data for predicting severity of patients with COVID-19 infection are sparse and still under investigation. We retrospectively studied whether the admission serum C-reactive protein level (CRP) can serve as nearly predictor of disease severity during COVID-19 infection in comparison with other hematologic and inflammatory markers. Meth...

Diabetes is considered a risk factor for complications due to COVID-19. In order to clarify this association, we are exploring the characteristics, the clinical signs, the outcomes and death in diabetic patients with COVID-19. In this retrospective observational study we are evaluating the demographic characteristics, the comorbidities of the patie...

Cesarean deliveries are widely used in many high- and middle-income countries. This overuse both increases costs and lowers quality of care and is thus a major concern in the healthcare industry. The study first examines the impact of prenatal care utilization on cesarean delivery rates. It then determines whether socioeconomic status affects the u...

Objective To investigate whether staffing levels of maternity units affect prelabor urgent, elective, and intrapartum cesarean delivery rates. Methods This population-based retrospective cohort study covers the deliveries of the 11 hospitals of a French perinatal network in 2008–2014 (N = 102 236). The independent variables were women’s demographi...

Cesarean deliveries are widely used in many high- and middle-income countries. This overuse both increases costs and lowers quality of care and is thus a major concern in the healthcare industry. The study first examines the impact of prenatal care utilization on cesarean delivery rates. It then determines whether socioeconomic status affects the u...

The overuse of cesarean deliveries induces both increased costs and low quality of care. French data and multilevel logit models were used to examine the impact of prenatal care on cesarean delivery rates, a question insufficiently investigated to date. Controlling for relevant factors, our results show that antenatal education decreases the probab...

The overuse of cesarean deliveries induces both increased costs and low quality of care. French data and multilevel logit models were used to examine the impact of prenatal care on cesarean delivery rates, a question insufficiently investigated to date. Controlling for relevant factors, our results show that antenatal education decreases the probab...

The use of cesarean deliveries varies across regions and providers. This variation is worrisome because of the increased cost and clinical risk of cesarean deliveries. French data and multilevel logit models with hospital fixed effect clustered at the iris level were used to examine the effect of each determinant factor, after activity-based pricin...

Dans cet article, nous nous proposons d’analyser les facteurs déterminants de la pratique de la césarienne en France après l’entrée en vigueur de la tarification à l’activité (T2A). Nous prenons l’exemple de l’ensemble des accouchements du département des Yvelines sur la période de 2008 à 2013. Nos résultats montrent que les établissements privés p...