ArticleAmerican journal of public health1990
Cesarean section use and source of payment: an analysis of California hospital discharge abstracts.
Article in American journal of public health, 1990. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 167 citations in OpenAlex.
- Caesarean section in uninsured women in the USA: systematic review and meta-analysis.BMJ open · 2019Pooled it
- Pooled it
- Acute care visits and rehospitalization in women and infants after cesarean birth.Journal of perinatology : official journal of the California Perinatal AssociationTrial
- Caesarean sections and health financing: a global analysis.BMJ open · 2021Article
- Article
- Paradox lost on the U.S.-Mexico border: U.S. Latinas and cesarean rates.BMC pregnancy and childbirth · 2018Article
- Pre-induction translabial ultrasound measurements in predicting mode of delivery compared to bishop score: a cross-sectional study.BMC pregnancy and childbirth · 2016Article
- Trends in hospital-based childbirth care: the role of health insurance.The American journal of managed care · 2013Article
- Rise in cesarean section rate over a 20-year period in a public sector hospital in northern Thailand.Archives of gynecology and obstetrics · 2013Article
- Racial and ethnic differences in indication for primary cesarean delivery at term: experience at one U.S. Institution.Birth (Berkeley, Calif.) · 2012Article
- Mind the information gap: fertility rate and use of cesarean delivery and tocolytic hospitalizations in Taiwan.Health economics review · 2011Article
- The impact of hospital revenue on the increase in Caesarean sections in Norway. A panel data analysis of hospitals 1976-2005.BMC health services research · 2011Article
- Declining fertility and the use of cesarean delivery: evidence from a population-based study in Taiwan.Health services research · 2010Article
- Risk-adjusted cesarean section rates for the assessment of physician performance in Taiwan: a population-based study.BMC public health · 2006Article
- Explaining source of payment differences in U.S. cesarean rates: why do privately insured mothers receive more cesareans than mothers who are not privately insured?Health care management science · 2005Article
- Provider distribution and variations in statewide cesarean section rates.Journal of community health · 2001Article
- Predictors of cesarean section delivery among college-educated black and white women, Davidson County, Tennessee, 1990-1994.Journal of the National Medical Association · 1999Article
- Interspecialty differences in the obstetric care of low-risk women.American journal of public health · 1997Article
- The impact of nonclinical factors on practice variations: the case of hysterectomies.Health services research · 1996Article
- Using ICD-9 codes to identify indications for primary and repeat cesarean sections: agreement with clinical records.American journal of public health · 1995Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author at 1 institution in 1 country.
Funding
Abstract
This study assessed the relation between payment source and cesarean section use by analyzing California data on hospital deliveries. Of 461,066 deliveries in 1986, cesarean sections were performed in 24.4 percent. Women with private insurance had the highest cesarean section rates (29.1 percent). Successively lower rates were observed for women covered by non-Kaiser health maintenance organizations (26.8 percent), Medi-Cal (22.9 percent), Kaiser (19.7 percent), self-pay (19.3 percent), and Indigent Services (15.6 percent). Vaginal birth after cesarean (VBAC) occurred more than twice as frequently in women covered by Kaiser (19.9 percent) and Indigent Services (24.8 percent), compared to those with private insurance (8.1 percent). Sizable, although less pronounced, associations between payment source and cesarean section use were noted for the indications of breech presentation, dystocia, and fetal distress. Accounting for maternal age and race/ethnicity did not alter these findings. Variations in the use of cesarean section have a substantial financial impact on health care payors.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.