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    Petrou, Stavros and Khan, Kamran 2013. An Overview of the Health Economic Implications of Elective Caesarean Section. Applied Health Economics and Health Policy, Vol. 11, Issue. 6, p. 561.


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    Jacquemyn, Yves Ahankour, Fatima and Martens, Guy 2003. Flemish obstetricians’ personal preference regarding mode of delivery and attitude towards caesarean section on demand. European Journal of Obstetrics & Gynecology and Reproductive Biology, Vol. 111, Issue. 2, p. 164.


    Henderson, Jane McCandlish, Rona Kumiega, Lesley and Petrou, Stavros 2001. Systematic review of economic aspects of alternative modes of delivery. British Journal of Obstetrics and Gynaecology, Vol. 108, Issue. 2, p. 149.


    Henderson, Jane McCandlish, Rona Kumiega, Lesley and Petrou, Stavros 2001. Systematic review of economic aspects of alternative modes of delivery. BJOG: An International Journal of Obstetrics and Gynaecology, Vol. 108, Issue. 2, p. 149.


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  • International Journal of Technology Assessment in Health Care, Volume 14, Issue 4
  • October 1998, pp. 774-787

Econometric Analysis of Variation in Cesarean Section Rates: A Cross-sectional Study of 59 Obstetrical Departments in Sweden

  • Ingemar Eckerlund (a1) and Ulf-G Gerdtham (a2)
  • DOI: http://dx.doi.org/10.1017/S0266462300012071
  • Published online: 01 March 2009
Abstract
Abstract

The objective of this study was to explain the variation in cesarean section rates among hospitals (obstetrical departments) in Sweden, and to discuss its potential economic consequences. Using data from The Swedish Medical Birth Registry 1991, we made a cross-sectional study of the cesarean section rate at the departmental level. We identified some 20 determinants, demand-related as well as supply-related. A general model including all these regressors was specified. After reducing this model, we were able to explain about one-quarter of the variation. We conclude that the large variation in cesarean section rates indicates inefficiency, due mainly to overutilization, but perhaps also underutilization. It is difficult to calculate the economic consequences or the welfare loss to society. We estimated an additional cost for unnecessary cesarean sections of 13—16 million Swedish crowns (SEK) per year.

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International Journal of Technology Assessment in Health Care
  • ISSN: 0266-4623
  • EISSN: 1471-6348
  • URL: /core/journals/international-journal-of-technology-assessment-in-health-care
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