2008
DOI: 10.1590/s0102-311x2008001200020
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Significant differences in cesarean section rates between a private and a public hospital in Brazil

Abstract: This paper evaluates the association of maternal variables and of variables related to prena

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Cited by 51 publications
(42 citation statements)
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“…That is, the more "productive" the physicians are, the more revenue he/she generates, the higher bonuses he/she can get. Under such incentive and the predominant fee-for-service payment mechanism, physicians are more likely to take more "revenue generating" procedures, such as those that involve more medical technology for diagnosis and treatment, and prescribe more expensive medications, as the price of these procedures and prescriptions tend to provide higher margins [31,32] . Compared with vaginal delivery, Cesarean delivery has higher returns, not only because of the longer hospital stay associated with delivery by Caesarean section, but also because the antibiotics and other medicines involved in the procedure that also generate higher revenues to the hospitals.…”
Section: The Case Of Chinamentioning
confidence: 99%
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“…That is, the more "productive" the physicians are, the more revenue he/she generates, the higher bonuses he/she can get. Under such incentive and the predominant fee-for-service payment mechanism, physicians are more likely to take more "revenue generating" procedures, such as those that involve more medical technology for diagnosis and treatment, and prescribe more expensive medications, as the price of these procedures and prescriptions tend to provide higher margins [31,32] . Compared with vaginal delivery, Cesarean delivery has higher returns, not only because of the longer hospital stay associated with delivery by Caesarean section, but also because the antibiotics and other medicines involved in the procedure that also generate higher revenues to the hospitals.…”
Section: The Case Of Chinamentioning
confidence: 99%
“…Since the mid-1990s, 90% of the births are institutional, and 80% of the deliveries are financed by the Brazilian national health system, the Sistema Único de Saúde (SUS) [36] . Data for 2006 indicate that the overall rate of Cesarean sections in the SUS was 30.1% [37] , ranging from 18.9% [32] to 36% [36,38] , with some studies reporting rates as high as 43% throughout the years [39] .…”
Section: The Case Of Brazilmentioning
confidence: 99%
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“…Studies 12,13,14,15 conducted in cities located in the Southeast region of Brazil of women who use private health insurance have found a prevalence of caesarean section ranging from 80% to 90%. The standard perinatal model of care for people who use private health insurance in Brazil has the following characteristics: antenatal care and delivery are provided by the same doctor, who is paid by private health insurers in a fee-for-service reimbursement system and who is responsible for covering antenatal care appointments during weekday office hours and for attending labour and birth 12 .…”
Section: Introductionmentioning
confidence: 99%
“…Nesse mesmo contexto, uma maior chance de cesariana se mostrou associada aos melhores ní-veis de escolaridade 15 , partos em hospitais privados 23 , entre as mulheres de etnia branca 24 e entre aquelas que residem nas regiões geográficas socioeconomicamente mais desenvolvidas 18 , ou seja, entre as mulheres potencialmente de menor risco obstétrico.…”
Section: Introductionunclassified