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On Variations in Cesarean Section Rates Between Counties in Sweden -A cross sectional study of data from 2011

Linder, Anna LU (2013) NEKH01 20131
Department of Economics
Abstract
During the last four decades cesarean section rates in Sweden have increased substantially. This development is however not equal throughout the country, which has caused considerable variations in cesarean section rates between counties and hospitals. The purpose of this paper was to analyse whether these variations imply inefficiencies in the utilization of health care services.

Through a cross sectional study of data from 2011, this paper examined the effect of several demand- and supply-related factors on cesarean section rates, with an ambition to estimate how much of the variation between counties could be derived from these factors.

Some variables, reflecting demography, capacity and organizational factors in the county... (More)
During the last four decades cesarean section rates in Sweden have increased substantially. This development is however not equal throughout the country, which has caused considerable variations in cesarean section rates between counties and hospitals. The purpose of this paper was to analyse whether these variations imply inefficiencies in the utilization of health care services.

Through a cross sectional study of data from 2011, this paper examined the effect of several demand- and supply-related factors on cesarean section rates, with an ambition to estimate how much of the variation between counties could be derived from these factors.

Some variables, reflecting demography, capacity and organizational factors in the county councils showed correlation with cesarean section rates. It was however more difficult to find guidance regarding the level of determination in the results. A theoretical approach on medical practice variation implied that some of the variation was caused by practice style, and it was therefore plausible to believe that the variations were signs of either over- or underutilization. It was however not possible to conclude that the variations implied inefficiencies, this because no comprehensive cost-effectiveness analysis on vaginal delivery compared to cesarean delivery on request of the mother was available. (Less)
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author
Linder, Anna LU
supervisor
organization
course
NEKH01 20131
year
type
M2 - Bachelor Degree
subject
keywords
Health economics, Cesarean Section, Practice Variation
language
English
id
3810022
date added to LUP
2013-06-20 11:31:13
date last changed
2013-06-20 11:31:13
@misc{3810022,
  abstract     = {During the last four decades cesarean section rates in Sweden have increased substantially. This development is however not equal throughout the country, which has caused considerable variations in cesarean section rates between counties and hospitals. The purpose of this paper was to analyse whether these variations imply inefficiencies in the utilization of health care services. 

Through a cross sectional study of data from 2011, this paper examined the effect of several demand- and supply-related factors on cesarean section rates, with an ambition to estimate how much of the variation between counties could be derived from these factors. 

Some variables, reflecting demography, capacity and organizational factors in the county councils showed correlation with cesarean section rates. It was however more difficult to find guidance regarding the level of determination in the results. A theoretical approach on medical practice variation implied that some of the variation was caused by practice style, and it was therefore plausible to believe that the variations were signs of either over- or underutilization. It was however not possible to conclude that the variations implied inefficiencies, this because no comprehensive cost-effectiveness analysis on vaginal delivery compared to cesarean delivery on request of the mother was available.},
  author       = {Linder, Anna},
  keyword      = {Health economics,Cesarean Section,Practice Variation},
  language     = {eng},
  note         = {Student Paper},
  title        = {On Variations in Cesarean Section Rates Between Counties in Sweden -A cross sectional study of data from 2011},
  year         = {2013},
}