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

Ion Petre, Flavia Barna, Cosmin Cîtu, Florin Gorun (), Oana-Maria Gorun, Laurentiu Cezar Tomescu, Adrian Apostol, Anca Bordianu, Cristian Furau and Izabella Petre
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Ion Petre: Department of Functional Sciences, Medical Informatics and Biostatistics Discipline, “Victor Babes” University of Medicine and Pharmacy Timisoara, 2 Eftimie Murgu Square, 300041 Timisoara, Romania
Flavia Barna: Department of Finance, Faculty of Economics and Business Administration, West University of Timisoara, 16 J. H. Pestalozzi Street, 300115 Timisoara, Romania
Cosmin Cîtu: Department of Obstetrics and Gynecology, “Victor Babes” University of Medicine and Pharmacy Timisoara, 2 Eftimie Murgu Square, 300041 Timisoara, Romania
Florin Gorun: Department of Obstetrics and Gynecology, Municipal Emergency Clinical Hospital Timisoara, 1-3 Alexandru Odobescu Street, 300202 Timisoara, Romania
Oana-Maria Gorun: Doctoral School, “Victor Babes” University of Medicine and Pharmacy Timisoara, 2 Eftimie Murgu Square, 300041 Timisoara, Romania
Laurentiu Cezar Tomescu: Faculty of Medicine, Ovidius University of Constanta, 900527 Constanta, Romania
Adrian Apostol: Department VII of Internal Medicine, “Victor Babes” University of Medicine and Pharmacy Timisoara, 2 Eftimie Murgu Square, 300041 Timisoara, Romania
Anca Bordianu: Departament of Plastic Surgery and Reconstructive Microsurgery Bagdasar-Arseni, Emergency Hospital Bucharest, 014461 Bucharest, Romania
Cristian Furau: Department of Obstetrics and Gynecology, Faculty of Medicine, “Vasile Goldiș” Western University of Arad, 310025 Arad, Romania
Izabella Petre: Department of Obstetrics and Gynecology, “Victor Babes” University of Medicine and Pharmacy Timisoara, 2 Eftimie Murgu Square, 300041 Timisoara, Romania

IJERPH, 2023, vol. 20, issue 3, 1-8

Abstract: Background: Caesarean section rates have continued to trend upward in most countries, including Romania, creating a number of economic challenges. In the public health system, there is no regulation for performing Caesarean sections on demand; it is often done unlawfully, and in private hospitals, it is a real business. Thus, this study aims to investigate the budgetary impact at a hospital level and the profit per procedure by introducing on-demand caesarean sections for a fee. Methods: This study was conducted in one of the largest maternity units in Western Romania—the “Bega” Maternity Clinic of the Timisoara County Emergency Hospital. For the analysis, the difference between a proposed occupancy rate (between 50 and 85%, increasing every 5 percent) and the actual occupancy rate was calculated. Considering that this difference can be used to admit patients to receive Caesarean sections on demand for a fee, the profit that could be obtained during the study period was calculated. Results: It is reported that between 238 (proposed occupancy rate of 50%) and 4683 patients (a proposed occupancy rate of 85%) could have benefited from on-demand caesarean section surgery in 2017–2019. Between RON 419,999 and RON 8,551,636 could be obtained in the 3 years of study by implementing caesarean section against payment. Conclusion: The implementation of a system of on-demand payment for caesarean sections in Romania would bring significant profits to the hospital budget.

Keywords: c-section; budget-impact; economic analysis (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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