What is unnecessary surgery? Who shall decide? Issues of consumer sovereignty, conflict and self-regulation

Schacht, Paul J.; Pemberton, Alec

doi:10.1016/0277-9536(85)90232-1

Cited by 7 publications

(3 citation statements)

References 23 publications

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“…Similarly, international comparisons of hysterectomy rates show striking differences in rates by country. The hysterectomy rate in the USA and Canada is 3 times the rate in Britain, with Australian rates falling midway between the two (7). Rates also vary considerably within countries (8).…”

mentioning

confidence: 99%

Prevalence and Characteristics of Women Who Have Had a Hysterectomy in a Community Survey

Schofield

Hennrikus

Redman

et al. 1991

Aust NZ J Obst Gynaeco

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A community survey of 8,896 households was undertaken in the Hunter region of New South Wales to assess women's health status. Consent was gained from 5,781 of the 6,361 eligible women between 18 and 69 years of age. The prevalence of hysterectomy in this sample was 16.9%, with 34.2% of women in their fifties having had a hysterectomy. Most hysterectomies (75%) were performed on women between the ages of 30 and 49 years. The demographic variables of parent's country of birth, educational level and employment status predicted recent hysterectomies after controlling for the effect of age.

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mentioning

confidence: 99%

Prevalence and Characteristics of Women Who Have Had a Hysterectomy in a Community Survey

Schofield

Hennrikus

Redman

et al. 1991

Aust NZ J Obst Gynaeco

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“…This decline could be partly a result of the availability of alternative treatments to hysterectomy and critical assessments of the appropriateness of indications leading to "unnecessary surgery." 2,4,8,[34][35][36][37] A detailed analysis of all aspects of contraception and sterilization showed that hysterectomy decreased simultaneously with the growth of tubal sterilization and a decline in IUD use. 16 It has also been argued that this finding reflects the increased power of women and changes in women's health policy in New Zealand.…”

Section: Discussionmentioning

confidence: 99%

Biosocial determinants of hysterectomy in New Zealand

2000

Am J Public Health

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A B S T R A C TObjectives. This study examined the prevalence and biosocial correlates of hysterectomy.Methods. Data were from a 1995 national survey of women aged 20 to 59 years. We applied piecewise nonparametric exponential hazards models to a subsample aged 25 to 59 to estimate the effects of biosocial correlates on hysterectomy likelihood.Results. Risks of hysterectomy for 1991 through 1995 were lower than those before 1981. University-educated and professional women were less likely to undergo hysterectomy. Higher parity and intrauterine device side effects increased the risk.Conclusions. This study confirms international results, especially those on education and occupation, but also points to ethnicity's mediating role. Education and occupation covary independently with hysterectomy. Analysis of time variance and periodicity showed declines in

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“…It is widely known that there are variations in age and sex standardized rates for various medical services between different regions and through time (Schact and Pemberton, 1985). For some, such epidemiological evidence is taken to indicate that medical practitioners pursue their own economic interests.…”

Section: Analysis Of Supplier Interestsmentioning

confidence: 99%

Medical technology and health expenditure: An economic review and a proposal

Doessel

1986

Health Planning & Management

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This paper is an evaluative survey of the economic literature on the relationship between technology and/or innovation and health expenditures. Various types of analysis viz. econometric modelling; three residual approaches; the cost-of-illness approach; and the literature on supplier interests are contrasted, and the results presented. The paper concludes with a discussion of the policy and planning implications, and a simple, and conventional, proposal is made that could unambiguously determine this relationship in the case of process innovations.

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What is unnecessary surgery? Who shall decide? Issues of consumer sovereignty, conflict and self-regulation

Cited by 7 publications

References 23 publications

Prevalence and Characteristics of Women Who Have Had a Hysterectomy in a Community Survey

Prevalence and Characteristics of Women Who Have Had a Hysterectomy in a Community Survey

Biosocial determinants of hysterectomy in New Zealand

Medical technology and health expenditure: An economic review and a proposal

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