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Estimating the effect of cesarean section rate on health outcome : Evidence from Swedish hospital data

Eckerlund, Ingemar and Gerdtham, Ulf G. LU (1999) In International Journal of Technology Assessment in Health Care 15(1). p.123-135
Abstract

This paper tests the null hypothesis of a zero effect of cesarean section rate on health outcome against the alternative of a positive effect. Using data from 59 hospitals in Sweden from 1988-92, we specify two separate linear regression models for health outcome, one with perinatal mortality, and the other with rate of asphyxia, as dependent variable. We estimate the models by single-year cross-section regressions and as pooled data systems. The null hypothesis cannot be rejected, i.e., we do not find any significant positive effect of cesarean section rate on health outcome. Thus, we conclude that an increase in cesarean section rate does not imply lower perinatal mortality or lower rate of asphyxia. This in turn indicates that the... (More)

This paper tests the null hypothesis of a zero effect of cesarean section rate on health outcome against the alternative of a positive effect. Using data from 59 hospitals in Sweden from 1988-92, we specify two separate linear regression models for health outcome, one with perinatal mortality, and the other with rate of asphyxia, as dependent variable. We estimate the models by single-year cross-section regressions and as pooled data systems. The null hypothesis cannot be rejected, i.e., we do not find any significant positive effect of cesarean section rate on health outcome. Thus, we conclude that an increase in cesarean section rate does not imply lower perinatal mortality or lower rate of asphyxia. This in turn indicates that the minimum cesarean section rate is optimal.

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author
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Cesarean section, Economic consequences, Health outcome, Regression analysis
in
International Journal of Technology Assessment in Health Care
volume
15
issue
1
pages
13 pages
publisher
Cambridge
external identifiers
  • scopus:0032931410
ISSN
0266-4623
DOI
10.1017/S0266462399152127
language
English
LU publication?
no
id
ad371844-38d8-493a-bbae-e164fe4c387b
date added to LUP
2018-10-09 12:24:29
date last changed
2018-10-15 16:08:34
@article{ad371844-38d8-493a-bbae-e164fe4c387b,
  abstract     = {<p>This paper tests the null hypothesis of a zero effect of cesarean section rate on health outcome against the alternative of a positive effect. Using data from 59 hospitals in Sweden from 1988-92, we specify two separate linear regression models for health outcome, one with perinatal mortality, and the other with rate of asphyxia, as dependent variable. We estimate the models by single-year cross-section regressions and as pooled data systems. The null hypothesis cannot be rejected, i.e., we do not find any significant positive effect of cesarean section rate on health outcome. Thus, we conclude that an increase in cesarean section rate does not imply lower perinatal mortality or lower rate of asphyxia. This in turn indicates that the minimum cesarean section rate is optimal.</p>},
  author       = {Eckerlund, Ingemar and Gerdtham, Ulf G.},
  issn         = {0266-4623},
  keyword      = {Cesarean section,Economic consequences,Health outcome,Regression analysis},
  language     = {eng},
  month        = {12},
  number       = {1},
  pages        = {123--135},
  publisher    = {Cambridge},
  series       = {International Journal of Technology Assessment in Health Care},
  title        = {Estimating the effect of cesarean section rate on health outcome : Evidence from Swedish hospital data},
  url          = {http://dx.doi.org/10.1017/S0266462399152127},
  volume       = {15},
  year         = {1999},
}