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Non-elective cesarean sections in public hospitals: hospital capacity constraints and doctor´s incentives

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dc.contributor.authorArrieta, Alejandroes_ES
dc.contributor.authorGarcía Prado, Ariadna
dc.contributor.departmentEconomíaes_ES
dc.contributor.departmentEkonomiaeu
dc.date.accessioned2016-05-10T07:40:29Z
dc.date.available2016-05-10T07:40:29Z
dc.date.issued2012
dc.description.abstractUsing administrative records of births from the Perinatal Surveillance System of the Social Security System (ESSALUD) in Peru, we test whether high admissions of pregnant women affected unplanned cesarean section rates in the ESSALUD public hospitals during the period 2005-2006. To this purpose, we present a basic theoretical model that considers not only physician preference for leisure but also the effect of hospital capacity constraints. Based on inferences of this model, we find that physician demand for leisure increases the probability of a c-section in the smallest hospitals, while hospital constraints set a limit on the number of cesarean sections that can be performed. We discuss the policy implications of our findings and the policies implemented in ESSALUD to monitor the quality of obstetric services and avoid unnecessary or unjustified c-sections.en
dc.format.extent27 p.
dc.format.mimetypeapplication/pdfen
dc.identifier.urihttps://academica-e.unavarra.es/handle/2454/20621
dc.language.isoengen
dc.relation.ispartofseriesDocumentos de Trabajo DE - ES Lan Gaiakes
dc.relation.ispartofseries1212en
dc.rightsCC Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)en
dc.rights.accessRightsAcceso abierto / Sarbide irekiaes
dc.rights.accessRightsinfo:eu-repo/semantics/openAccessen
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectCesarean sectionsen
dc.subjectPublic hospitalsen
dc.subjectLeisureen
dc.subjectCapacity constraintsen
dc.subjectPerúen
dc.titleNon-elective cesarean sections in public hospitals: hospital capacity constraints and doctor´s incentivesen
dc.typeDocumento de trabajo / Lan gaiakes
dc.typeinfo:eu-repo/semantics/workingPaperen
dspace.entity.typePublication
relation.isAuthorOfPublicationf274dcce-d76b-4798-8fb4-bbf93611cce6
relation.isAuthorOfPublication.latestForDiscoveryf274dcce-d76b-4798-8fb4-bbf93611cce6

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