Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Provider distribution and variations in statewide cesarean section rates.

W J Hueston1, S Lewis-Stevenson

  • 1Department of Family Medicine, Medical University of South Carolina, Charleston 29425, USA.

Journal of Community Health
|April 12, 2001
PubMed
Summary

Statewide cesarean section rates vary widely. Increased family physician participation in obstetrics was linked to lower cesarean delivery rates, suggesting a practice style supporting non-operative care.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Antibiotic resistance and the need for the rational use of antibiotics.

Le Journal medical libanais. The Lebanese medical journal·2002
Same author

Treatment of hypothyroidism.

American family physician·2002
Same author

Use of microalbuminuria testing in persons with type 2 diabetes: are the right patients being tested?

The Journal of family practice·2001
Same author

Female and underrepresented minority faculty in academic departments of family medicine: are women and minorities better off in family medicine?

Family medicine·2001
Same author

The financial status of departments of family medicine at US medical schools.

Family medicine·2001
Same author

Controlling antibiotic resistance: will we someday see limited prescribing autonomy?

American family physician·2001

Area of Science:

  • Obstetrics and Gynecology
  • Health Services Research

Background:

  • Cesarean section rates exhibit significant state-level variation, suggesting non-clinical factors influence delivery decisions.
  • Patient factors alone do not account for the wide disparities in cesarean rates across states.

Purpose of the Study:

  • To investigate the association between provider workforce characteristics and statewide cesarean delivery rates.
  • To determine if factors like obstetrician delivery volume, nurse midwife utilization, or family physician involvement correlate with cesarean rates.

Main Methods:

  • A linear regression model was employed using 1996 statewide cesarean delivery rates as the dependent variable.
  • Independent variables included: deliveries per board-certified obstetrician, percentage of deliveries by nurse midwives, and percentage of family physicians performing obstetrics.

Related Experiment Videos

  • The model adjusted for state rurality and median income.

    • Main Results:

    • Only the percentage of family physicians providing obstetric services was significantly associated with statewide cesarean delivery rates.
    • A higher percentage of family physicians performing obstetrics correlated with lower cesarean delivery rates.
    • This association remained significant after adjusting for rurality, income, and other provider factors.

    Conclusions:

    • Family physician participation in obstetrics appears to be a marker for practice environments that favor non-operative obstetric care.
    • The findings suggest that the medical environment and practice style, rather than solely provider numbers, influence cesarean delivery rates.