Staff Resources in Public and Private Hospitals and Their Implication for Medical Practice: A French Study of Caesareans - Risques cliniques et sécurité en santé des femmes et en santé périnatale Accéder directement au contenu
Article Dans Une Revue Healthcare Année : 2024

Staff Resources in Public and Private Hospitals and Their Implication for Medical Practice: A French Study of Caesareans

Résumé

This study aimed to investigate the effect of hospital staffing resources on medical practice in public versus private hospitals. We used exhaustive delivery data from a French district of 11 hospitals over an 11-year period, from 2008 to 2018, including 168,120 observations. We performed multilevel logistic regression models with hospital fixed or random effects, while controlling for factors known to influence obstetric practice. We found that hospital staff ratios of obstetricians and that of midwives affected caesarean rates, but with different effects depending on the hospital sector. In public hospitals, the higher the ratio of obstetricians and that of midwives, the lower the probability of planned caesareans. In private hospitals, the higher the ratio of obstetricians, the greater the probability of planned caesareans. Indeed, in public hospitals, obstetricians and midwives, both salaried employees, do not have financial or organizational incentives to perform more caesareans. In private hospitals, obstetricians, who are independent doctors, may have such incentives. Our results underline the importance of having an adequate supply of health professionals in healthcare facilities to ensure appropriate care, with specific regard to the different characteristics of the public and private sectors.
Fichier principal
Vignette du fichier
healthcare-12-01007-v2.pdf (263.61 Ko) Télécharger le fichier
Origine Fichiers éditeurs autorisés sur une archive ouverte
licence

Dates et versions

hal-04626835 , version 1 (16-07-2024)

Licence

Identifiants

Citer

Saad Zbiri, Patrick Rozenberg, Carine Milcent. Staff Resources in Public and Private Hospitals and Their Implication for Medical Practice: A French Study of Caesareans. Healthcare, 2024, 12 (10), pp.1007. ⟨10.3390/healthcare12101007⟩. ⟨hal-04626835⟩
0 Consultations
0 Téléchargements

Altmetric

Partager

Gmail Mastodon Facebook X LinkedIn More