IDEAS home Printed from https://ideas.repec.org/p/col/000092/005904.html
   My bibliography  Save this paper

Small-area variation in health care affecting the choice of cesarean delivery: the case of a colombian health insurer

Author

Listed:
  • Vecino Ortiz, Andrés Ignacio
  • Bardey, David
  • Castano-Yepes, Ramón

Abstract

In the midst of health care reform, Colombia has succeeded in increasing health insurance coverage and the quality of health care. In spite of this, efficiency continues to be a matter of concern, and small-area variations in health care are one of the plausible causes of such inefficiencies. In order to understand this issue, we use individual data of all births from a Contributory-Regimen insurer in Colombia. We perform two different specifications of a multilevel logistic regression model. Our results reveal that hospitals account for 20% of variation on the probability of performing cesarean sections. Geographic area only explains 1/3 of the variance attributable to the hospital. Furthermore, some variables from both demand and supply sides are found to be also relevant on the probability of undergoing cesarean sections. This paper contributes to previous research by using a hierarchical model and by defining hospitals as cluster. Moreover, we also include clinical and supply induced demand variables.

Suggested Citation

  • Vecino Ortiz, Andrés Ignacio & Bardey, David & Castano-Yepes, Ramón, 2009. "Small-area variation in health care affecting the choice of cesarean delivery: the case of a colombian health insurer," Documentos de Trabajo 5904, Universidad del Rosario.
    • Handle: RePEc:col:000092:005904
    as

    Download full text from publisher

    File URL: http://repository.urosario.edu.co/bitstream/handle/10336/10850/5904.pdf
    Download Restriction: no
    ---><---

    More about this item

    Keywords

    Small-area variation; health care; procedure of delivery; multilevel analysis.;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:col:000092:005904. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Facultad de Economía (email available below). General contact details of provider: https://edirc.repec.org/data/ferosco.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.