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Small-area variation in health care affecting the choice of cesarean delivery: the case of a Colombian health insurer

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dc.creatorVecino Ortiz, Andrés Ignacio
dc.creatorBardey, David
dc.creatorCastaño Yepez, Ramón Abel
dc.date.accessioned2015-09-21T15:57:34Z
dc.date.available2015-09-21T15:57:34Z
dc.date.created2009-10
dc.date.issued2009
dc.description.abstractIn the midst of health care reform, Colombia has succeeded in increasing health insurance coverage and the quality of health care. In spite of this, efficiency continues to be a matter of concern, and small-area variations in health care are one of the plausible causes of such inefficiencies. In order to understand this issue, we use individual data of all births from a Contributory-Regimen insurer in Colombia. We perform two different specifications of a multilevel logistic regression model. Our results reveal that hospitals account for 20% of variation on the probability of performing cesarean sections. Geographic area only explains 1/3 of the variance attributable to the hospital. Furthermore, some variables from both demand and supply sides are found to be also relevant on the probability of undergoing cesarean sections. This paper contributes to previous research by using a hierarchical model and by defining hospitals as cluster. Moreover, we also include clinical and supply induced demand variables.eng
dc.format.extent24 páginasspa
dc.format.mediumRecurso electrónicospa
dc.format.mimetypeapplication/pdf
dc.format.tipoDocumentospa
dc.identifier.citationVecino Ortiz, A. I., Bardey, D., & Castaño Yepes, R. A. (2009). Small-area variation in health care affecting the choice of cesarean delivery: the case of a Colombian health insurer. Bogotá: Universidad del Rosario, Facultad de Economía.
dc.identifier.doihttps://doi.org/10.48713/10336_10850
dc.identifier.editorialUniversidad del Rosario, Facultad de Economíaspa
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/10850
dc.language.isospa
dc.publisherUniversidad del Rosariospa
dc.publisher.departmentFacultad de Economíaspa
dc.relation.citationIssueNo. 73
dc.relation.citationTitleSerie Documentos de trabajo. Economía
dc.relation.ispartofSerie Documentos de trabajo ; No. 73spa
dc.relation.isversionof1spa
dc.relation.urihttps://ideas.repec.org/p/col/000092/005904.html
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto completo)spa
dc.rights.ccAtribución-NoComercial-SinDerivadas 2.5 Colombiaspa
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dc.source.instnameinstname:Universidad del Rosariospa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.ddcProblemas & servicios de bienestar social
dc.subject.keywordSmall-area variationeng
dc.subject.keywordHealth careeng
dc.subject.keywordProcedure of deliveryeng
dc.subject.keywordMultilevel analysiseng
dc.subject.lembHospitales::Utilizaciónspa
dc.subject.lembAtención médica::Utilizaciónspa
dc.subject.lembAnálisis multivariantespa
dc.subject.lembAnálisis de varianzaspa
dc.titleSmall-area variation in health care affecting the choice of cesarean delivery: the case of a Colombian health insurerspa
dc.typeworkingPapereng
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaDocumento de trabajospa
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