Development of a Framework for On-Demand Caesarean Section in Romania

Area of Science:

• Public Health
• Health Economics
• Maternal Health

Background:

• Caesarean section rates are increasing globally, including Romania, posing economic challenges.
• Unregulated on-demand Caesarean sections occur unlawfully in public systems and are a business in private hospitals.
• This study examines the financial implications of introducing paid, on-demand Caesarean sections.

Purpose of the Study:

• To assess the budgetary impact of on-demand Caesarean sections at the hospital level.
• To calculate the potential profit generated per procedure through a fee-based system.
• To analyze the economic feasibility of elective Caesarean sections in Romania.

Main Methods:

• The study was conducted at a major maternity clinic in Western Romania.
• Profitability was calculated based on the difference between proposed and actual hospital occupancy rates.
• Analysis covered a 3-year period (2017-2019) to estimate potential revenue.

Main Results:

• Between 238 and 4,683 patients could have undergone on-demand Caesarean sections annually.
• Implementing paid Caesarean sections could generate between RON 419,999 and RON 8,551,636 over three years.
• Significant financial gains are possible for hospitals adopting this model.

Conclusions:

• A fee-based system for on-demand Caesarean sections in Romania offers considerable profit potential for hospitals.
• This model could help manage the economic challenges associated with rising Caesarean section rates.
• The study highlights the financial benefits of regulating and monetizing elective Caesarean procedures.