Caesarean section rates and activity-based funding in Northern Norway: A model-based study using the World Health Organization's recommendation
Source at https://doi.org/10.1155/2018/6764258. Objective : Caesarean section (CS) rates vary significantly worldwide. ,e World Health Organization (WHO) has recommended a maximum CS rate of 15%. Norwegian hospitals are paid per CS (activity-based funding), employing the diagnosis-related group (DRG...
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ftunivtroemsoe:oai:munin.uit.no:10037/14903 2023-05-15T17:43:23+02:00 Caesarean section rates and activity-based funding in Northern Norway: A model-based study using the World Health Organization's recommendation Norum, Jan Svee, Tove Elisabeth 2018-07-16 https://hdl.handle.net/10037/14903 https://doi.org/10.1155/2018/6764258 eng eng Hindawi Publishing Corporation Obstetrics and Gynecology International Norum, J. & Svee, T.E. (2018). Caesarean section rates and activity-based funding in Northern Norway: A model-based study using the World Health Organization's recommendation. Obstetrics and Gynecology International , 6764258. https://doi.org/10.1155/2018/6764258 FRIDAID 1616241 doi:10.1155/2018/6764258 1687-9589 1687-9597 https://hdl.handle.net/10037/14903 openAccess VDP::Medical disciplines: 700::Health sciences: 800::Community medicine Social medicine: 801 VDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin sosialmedisin: 801 Journal article Tidsskriftartikkel Peer reviewed 2018 ftunivtroemsoe https://doi.org/10.1155/2018/6764258 2021-06-25T17:56:28Z Source at https://doi.org/10.1155/2018/6764258. Objective : Caesarean section (CS) rates vary significantly worldwide. ,e World Health Organization (WHO) has recommended a maximum CS rate of 15%. Norwegian hospitals are paid per CS (activity-based funding), employing the diagnosis-related group (DRG) system. We aimed to document how financial incentives can be affected by reduced CS rates, according to the WHO’s recommendation. Methods : We employed a model-based analysis and included the 2016 data from the Norwegian Patient Registry (NPR) and the Medical Birth Registry of Norway (MBRN). ,e vaginal birth rate and CS rates of each hospital trust in Northern Norway were analyzed. Results : There were 4,860 deliveries and a 17.5% CS rate (range 13.9–20.3%). ,e total funding of the deliveries was €16,351,335 (CS: €6,389,323; vaginal births: €9,962,012). ,e CS rate varied significantly and was lower in the southern region ( P < 0.002). Consequently, the introduction of a cutoff at a 15% CS rate would gain the two southern hospital trusts by a budget increase of 0.2%. ,e two northern ones would experience 6.4% less resources. A total of €644,655 could be allocated to further quality and safety initiatives in obstetrics. Conclusion : The economic consequences of the model-based financial incentive were low, but probably sufficient to get the necessary attention and influence on the CS rate. Recommendations : A financial incentive for the reduction of CS rates should be tested as a supplement to other instruments. Article in Journal/Newspaper Northern Norway University of Tromsø: Munin Open Research Archive Norway Obstetrics and Gynecology International 2018 1 6 |
institution |
Open Polar |
collection |
University of Tromsø: Munin Open Research Archive |
op_collection_id |
ftunivtroemsoe |
language |
English |
topic |
VDP::Medical disciplines: 700::Health sciences: 800::Community medicine Social medicine: 801 VDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin sosialmedisin: 801 |
spellingShingle |
VDP::Medical disciplines: 700::Health sciences: 800::Community medicine Social medicine: 801 VDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin sosialmedisin: 801 Norum, Jan Svee, Tove Elisabeth Caesarean section rates and activity-based funding in Northern Norway: A model-based study using the World Health Organization's recommendation |
topic_facet |
VDP::Medical disciplines: 700::Health sciences: 800::Community medicine Social medicine: 801 VDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin sosialmedisin: 801 |
description |
Source at https://doi.org/10.1155/2018/6764258. Objective : Caesarean section (CS) rates vary significantly worldwide. ,e World Health Organization (WHO) has recommended a maximum CS rate of 15%. Norwegian hospitals are paid per CS (activity-based funding), employing the diagnosis-related group (DRG) system. We aimed to document how financial incentives can be affected by reduced CS rates, according to the WHO’s recommendation. Methods : We employed a model-based analysis and included the 2016 data from the Norwegian Patient Registry (NPR) and the Medical Birth Registry of Norway (MBRN). ,e vaginal birth rate and CS rates of each hospital trust in Northern Norway were analyzed. Results : There were 4,860 deliveries and a 17.5% CS rate (range 13.9–20.3%). ,e total funding of the deliveries was €16,351,335 (CS: €6,389,323; vaginal births: €9,962,012). ,e CS rate varied significantly and was lower in the southern region ( P < 0.002). Consequently, the introduction of a cutoff at a 15% CS rate would gain the two southern hospital trusts by a budget increase of 0.2%. ,e two northern ones would experience 6.4% less resources. A total of €644,655 could be allocated to further quality and safety initiatives in obstetrics. Conclusion : The economic consequences of the model-based financial incentive were low, but probably sufficient to get the necessary attention and influence on the CS rate. Recommendations : A financial incentive for the reduction of CS rates should be tested as a supplement to other instruments. |
format |
Article in Journal/Newspaper |
author |
Norum, Jan Svee, Tove Elisabeth |
author_facet |
Norum, Jan Svee, Tove Elisabeth |
author_sort |
Norum, Jan |
title |
Caesarean section rates and activity-based funding in Northern Norway: A model-based study using the World Health Organization's recommendation |
title_short |
Caesarean section rates and activity-based funding in Northern Norway: A model-based study using the World Health Organization's recommendation |
title_full |
Caesarean section rates and activity-based funding in Northern Norway: A model-based study using the World Health Organization's recommendation |
title_fullStr |
Caesarean section rates and activity-based funding in Northern Norway: A model-based study using the World Health Organization's recommendation |
title_full_unstemmed |
Caesarean section rates and activity-based funding in Northern Norway: A model-based study using the World Health Organization's recommendation |
title_sort |
caesarean section rates and activity-based funding in northern norway: a model-based study using the world health organization's recommendation |
publisher |
Hindawi Publishing Corporation |
publishDate |
2018 |
url |
https://hdl.handle.net/10037/14903 https://doi.org/10.1155/2018/6764258 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Northern Norway |
genre_facet |
Northern Norway |
op_relation |
Obstetrics and Gynecology International Norum, J. & Svee, T.E. (2018). Caesarean section rates and activity-based funding in Northern Norway: A model-based study using the World Health Organization's recommendation. Obstetrics and Gynecology International , 6764258. https://doi.org/10.1155/2018/6764258 FRIDAID 1616241 doi:10.1155/2018/6764258 1687-9589 1687-9597 https://hdl.handle.net/10037/14903 |
op_rights |
openAccess |
op_doi |
https://doi.org/10.1155/2018/6764258 |
container_title |
Obstetrics and Gynecology International |
container_volume |
2018 |
container_start_page |
1 |
op_container_end_page |
6 |
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1766145438907367424 |