Hospital variations in the cascade of birth interventions

09/28/2022 12:00 pm 09/28/2022 01:00 pm Australia/Melbourne Hospital variations in the cascade of birth interventions

Variation in caesarean birth rates has been widely documented between and within countries, however a small literature suggests that caesarean birth is not independent of the interventions which precede it.

In this study, we employ population-based data from 2004 to 2018 on a sample of over 390,000 births to examine the use of a sequence, or ‘cascade’, of birth interventions.

It is the increase over time in this cascade outcome that underlies the observation that women have become much more likely to receive all of the interventions in our study, and commensurately much less likely to give birth without intervention.

Our focus is on inter-hospital variations, and methodological considerations of how to model hospital-level effects in light of potential selection biases and in the absence of any plausibly exogenous variation in hospital assignment.

Speaker 

Denzil Fiebig

Professor Denzil G Fiebig, School of Economics, UNSW Business School

Prof Fiebig previously held a chair in econometrics at the University of Sydney. He has served terms as discipline head and member of Academic Board at both US and UNSW.

Prof Fiebig was a member of the Australian Research Council College of Experts 2014-17, President of AHES 2005-10, on the Executive Board of iHEA 2014-17, chaired the iHEA Scientific Committee 2016-19 and is on the Scientific Committee of the Asian Workshop on Econometrics and Health Economics.

He currently serves on the Advisory Board of the Centre for Health Economics Research and Evaluation at UTS and the Advisory Committee of the Centre for Health Economics at Monash University and on the editorial boards of The Economic Record and Social Science and Medicine.

Prof Fiebig has won numerous teaching awards including a Vice Chancellor’s Award for Teaching Excellence in 2016.

His main research area is econometrics with an emphasis on applications in health economics. Associated publications have appeared in journals such as Journal of Econometrics, Journal of Business and Economic Statistics, Review of Economics and Statistics, Journal of Economic Behavior and Organization, Marketing Science, Journal Health Economics, Health Economics and Social Science and Medicine. In 2003 Denzil was elected a Fellow of the Academy of Social Sciences in Australia.

CHE weekly seminar series

As part of the Centre for Health Economics’ vibrant research culture, we host a weekly seminar series. Visiting and invited researchers present current research relating to the economics of health and wellbeing, and the healthcare sector. Visitors are welcome to join these sessions where discussion and debate is encouraged. We aim to present all seminars in-person and also on Zoom.

Event Details

Date:
28 September 2022 at 12:00 pm – 1:00 pm
Venue:
Caulfield campus, Building H, Level 9, Room H921
Categories:
CHE Seminar; General; Health Economics

Description

Variation in caesarean birth rates has been widely documented between and within countries, however a small literature suggests that caesarean birth is not independent of the interventions which precede it.

In this study, we employ population-based data from 2004 to 2018 on a sample of over 390,000 births to examine the use of a sequence, or ‘cascade’, of birth interventions.

It is the increase over time in this cascade outcome that underlies the observation that women have become much more likely to receive all of the interventions in our study, and commensurately much less likely to give birth without intervention.

Our focus is on inter-hospital variations, and methodological considerations of how to model hospital-level effects in light of potential selection biases and in the absence of any plausibly exogenous variation in hospital assignment.

Speaker 

Denzil Fiebig

Professor Denzil G Fiebig, School of Economics, UNSW Business School

Prof Fiebig previously held a chair in econometrics at the University of Sydney. He has served terms as discipline head and member of Academic Board at both US and UNSW.

Prof Fiebig was a member of the Australian Research Council College of Experts 2014-17, President of AHES 2005-10, on the Executive Board of iHEA 2014-17, chaired the iHEA Scientific Committee 2016-19 and is on the Scientific Committee of the Asian Workshop on Econometrics and Health Economics.

He currently serves on the Advisory Board of the Centre for Health Economics Research and Evaluation at UTS and the Advisory Committee of the Centre for Health Economics at Monash University and on the editorial boards of The Economic Record and Social Science and Medicine.

Prof Fiebig has won numerous teaching awards including a Vice Chancellor’s Award for Teaching Excellence in 2016.

His main research area is econometrics with an emphasis on applications in health economics. Associated publications have appeared in journals such as Journal of Econometrics, Journal of Business and Economic Statistics, Review of Economics and Statistics, Journal of Economic Behavior and Organization, Marketing Science, Journal Health Economics, Health Economics and Social Science and Medicine. In 2003 Denzil was elected a Fellow of the Academy of Social Sciences in Australia.

CHE weekly seminar series

As part of the Centre for Health Economics’ vibrant research culture, we host a weekly seminar series. Visiting and invited researchers present current research relating to the economics of health and wellbeing, and the healthcare sector. Visitors are welcome to join these sessions where discussion and debate is encouraged. We aim to present all seminars in-person and also on Zoom.