Format

Send to

Choose Destination
See comment in PubMed Commons below
J Health Econ. 2009 Jan;28(1):244-50. doi: 10.1016/j.jhealeco.2008.09.005. Epub 2008 Oct 2.

Physician financial incentives and cesarean delivery: new conclusions from the healthcare cost and utilization project.

Author information

1
Department of Economics and International Business, Sam Houston State University, Huntsville, TX 77341-2118, United States. dgrant@shsu.edu

Abstract

This paper replicates Gruber et al.'s [Gruber, J., Kim, J., Mayzlin, D., 1999. Physician fees and procedure intensity: the case of cesarean delivery. Journal of Health Economics, 18 (4), 473-490] analysis of the effect of physician financial incentives on cesarean delivery rates, using their data, sample selection criteria, and specification. Coincident trends explain much of their estimated positive relation between fees and cesarean utilization, which also falls somewhat upon the inclusion of several childbirth observations that had been inadvertently excluded from their estimation sample. The data ultimately indicate that a $1000 increase, in current dollars, in the reimbursement for a cesarean section increases cesarean delivery rates by about one percentage point, one-quarter of the effect estimated originally.

PMID:
19027184
DOI:
10.1016/j.jhealeco.2008.09.005
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Support Center