Quick Hit: Geographic Variation in the Appropriate Use of Cesarean Delivery

Geographic Variation in the Appropriate Use of Cesarean Delivery [pdf]

Variation in local medical opinion about the right cutoff for initiating a cesarean delivery, strengthened by available capacity and malpractice pressure, continues to be the best explanation for the facts in our analysis. In an era of soaring health care costs, where already strained public programs reimburse for cesarean delivery, it seems particularly important to consider the ramifications of intensive treatments whose medical benefits are uncertain when performed in less medically appropriate populations.