Comportamiento médico: una aplicación a las cesáreas en el Uruguay
AbstractIn Uruguay, as all over the world, the Caesarean section rate has been systematically increasing, and in 2003 it reached 23 per cent of the deliveries in public hospitals and 42 per cent in private hospitals. Considering deliveries registered in 2003 (23.474) by the Perinatal Information System (PIS) in Montevideo (Uruguay), the probability of having a Caesarean section delivery is estimated, controlled by risk factors and the endogeneity of the choice of hospital. At Montevideo private hospitals this procedure has to be paid for whereas public hospitals have fixed budget payment systems. As theory predicts, in the former there is no effect of income over induction, but in private hospitals this effect is positive, and is lower in cases where there is less medical risk. As a result, probability differences may confirm the induced demand hypothesis in Caesarean section deliveries. The empirical work yields evidence to say that there is 20 per cent of probability for a woman having a Caesarean section delivery in a public hospital, while in private hospitals the probability rises to 40 per cent. At the same time, differences between the two types of hospitals get bigger for lower risk women. For example, the probability of having a new Caesarean section delivery for those with a previous one is 64 per cent in public institutions versus 83 per cent in private institutions. However, women considered to have no medical risk have double the probability of a Caesarean section in private hospitals than in public ones (26 per cent versus 11 per cent).
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
Bibliographic InfoPaper provided by Department of Economics - dECON in its series Documentos de Trabajo (working papers) with number 0605.
Length: 36 pages
Date of creation: Nov 2005
Date of revision:
Contact details of provider:
Postal: Constituyente 1502, 6to piso, CP 11200, Montevideo
Phone: (598) 2410-6449
Fax: (598) 2410-6450
Web page: http://www.fcs.edu.uy/subcategoria.php?SubCatId=48&CatId=53
More information through EDIRC
health; induced demand; cesarean section delivery; exogeneity testing;
Find related papers by JEL classification:
- I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
- I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
- C35 - Mathematical and Quantitative Methods - - Multiple or Simultaneous Equation Models; Multiple Variables - - - Discrete Regression and Qualitative Choice Models; Discrete Regressors; Proportions
This paper has been announced in the following NEP Reports:
- NEP-ALL-2006-01-01 (All new papers)
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Dranove, David & Wehner, Paul, 1994. "Physician-induced demand for childbirths," Journal of Health Economics, Elsevier, vol. 13(1), pages 61-73, March.
- Victor R. Fuchs, 1978. "The Supply of Surgeons and the Demand for Operations," NBER Working Papers 0236, National Bureau of Economic Research, Inc.
- Thomas G. McGuire & Mark V. Pauly, 1991. "Physician Response to Fee Changes with Multiple Payers," Papers 0015, Boston University - Industry Studies Programme.
- Andrew Epstein & Sean Nicholson, 2005.
"The Formation And Evolution Of Physician Treatment Styles: An Application To Cesarean Sections,"
- Epstein, Andrew J. & Nicholson, Sean, 2009. "The formation and evolution of physician treatment styles: An application to cesarean sections," Journal of Health Economics, Elsevier, vol. 28(6), pages 1126-1140, December.
- Andrew Epstein & Sean Nicholson, 2005. "The Formation and Evolution of Physician Treatment Styles: An Application to Cesarean Sections," NBER Working Papers 11549, National Bureau of Economic Research, Inc.
- Phelps, Charles E., 1986. "Induced demand -- can we ever know its extent?," Journal of Health Economics, Elsevier, vol. 5(4), pages 355-365, December.
- Eckerlund, Ingemar & Gerdtham, Ulf-G, 1996. "Variation in cesarean section rates in Sweden - Causes and economic consequences," Working Paper Series in Economics and Finance 106, Stockholm School of Economics.
- McGuire, Thomas G. & Pauly, Mark V., 1991. "Physician response to fee changes with multiple payers," Journal of Health Economics, Elsevier, vol. 10(4), pages 385-410.
- Tavares, Aida Isabel & Rocha, Tania, 2012. "The demand factors for cesareans in Portugal – some preliminary results," MPRA Paper 43585, University Library of Munich, Germany.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Irene Musio) or (Héctor Pastori).
If references are entirely missing, you can add them using this form.