ArticleHealth services research2012
Adoption of diagnostic technology and variation in caesarean section rates: a test of the practice style hypothesis in Norway.
Article in Health services research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Caesarean section in uninsured women in the USA: systematic review and meta-analysis.BMJ open · 2019Pooled it
- C-sections and hospital characteristics: a long term analysis on low-risk deliveries.Research in health services & regions · 2022Article
- Caesarean sections and health financing: a global analysis.BMJ open · 2021Article
- Gender-specific practice styles and ambulatory health care expenditures.The European journal of health economics : HEPAC : health economics in prevention and care · 2017Article
- Concordance between responses to questionnaire scenarios and actual treatment to repair or replace dental restorations in the National Dental PBRN.Journal of dentistry · 2015Article
- Regionalization and local hospital closure in Norwegian maternity care--the effect on neonatal and infant mortality.Health services research · 2014Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine whether the introduction of advanced diagnostic technology in maternity care has led to less variation in type of delivery between hospitals in Norway. DATA SOURCES: The Medical Birth Registry of Norway provided detailed medical information for 1.7 million deliveries from 1967 to 2005. Information about diagnostic technology was collected directly from the maternity units. STUDY
designThe data were analyzed using a two-level binary logistic model with Caesarean section as the outcome measure. Level one contained variables that characterized the health status of the mother and child. Hospitals are level two. A heterogeneous variance structure was specified for the hospital level, where the error variance was allowed to vary according to the following types of diagnostic technology: two-dimensional ultrasound, cardiotocography, ST waveform analysis, and fetal blood analyses. PRINCIPAL FINDING: There was a marked variation in Caesarean section rates between hospitals up to 1973. After this the variation diminished markedly. This was due to the introduction of ultrasound and cardiotocography.
conclusionDiagnostic technology reduced clinical uncertainty about the diagnosis of risk factors of the mother and child during delivery, and variation in type of delivery between hospitals was reduced accordingly. The results support the practice style hypothesis.
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