{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T04:24:44Z","timestamp":1758860684127},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2004,12,8]],"date-time":"2004-12-08T00:00:00Z","timestamp":1102464000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2005,5]]},"abstract":"<jats:p><jats:bold>Objective\u2003<\/jats:bold> To assess the impact of the publication of hospital caesarean section rates on the reduction of these rates in South Korea, and explore associated factors contributing to the decrease.<\/jats:p><jats:p><jats:bold>Design\u2003<\/jats:bold> Observational study.<\/jats:p><jats:p><jats:bold>Setting\u2003<\/jats:bold> South Korea.<\/jats:p><jats:p><jats:bold>Sample\u2003<\/jats:bold> Two hundred and sixty\u2010three hospitals in South Korea.<\/jats:p><jats:p><jats:bold>Methods\u2003<\/jats:bold> The caesarean section rates of 263 hospitals, before and after the release of caesarean section rates to the public, were obtained. The factors influencing the reduction in hospital caesarean section rates were also explored using multiple logistic regression.<\/jats:p><jats:p><jats:bold>Main outcome measure\u2003<\/jats:bold> Hospital caesarean section rates.<\/jats:p><jats:p><jats:bold>Results\u2003<\/jats:bold> After the release of information in 2000, the total (clinic and hospital) caesarean section rates in 2000 and 2001 decreased to 38.6% and 39.6%, respectively, from 43.0% in 1999. Caesarean section rates for hospitals were 45.9%, 42.7% and 44.6% in 1999, 2000 and 2001, respectively. Hospitals with the highest baseline caesarean section rates (OR 9.4, 95% CI 4.2\u201321.0) and highest number of deliveries (OR 8.1, 95% CI 2.1\u201331.1) were significant factors contributing independently to a decrease in caesarean section rates. Market share, competition, characteristics of revenue generation and ownership did not significantly influence the change of rates.<\/jats:p><jats:p><jats:bold>Conclusion\u2003<\/jats:bold> The public release of information on caesarean section rates in Korea has reversed the ever\u2010increasing trend in these rates. Hospitals with pre\u2010existing high caesarean section rates or a larger number of deliveries were influenced by the information release and could be the main targets for interventions to decrease these rates.<\/jats:p>","DOI":"10.1111\/j.1471-0528.2004.00481.x","type":"journal-article","created":{"date-parts":[[2005,4,14]],"date-time":"2005-04-14T11:54:05Z","timestamp":1113479645000},"page":"607-611","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Are league tables controlling epidemic of caesarean sections in South Korea?"],"prefix":"10.1111","volume":"112","author":[{"given":"Chang\u2010yup","family":"Kim","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Su\u2010Kyoung","family":"Ko","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ki\u2010Young","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2005,1,12]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.324.7346.1118\/d"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0306-5456(00)00009-7"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0412.2003.00112.x"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.112.6.1215"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.319.7222.1397"},{"key":"e_1_2_5_7_2","volume-title":"2001 Caesarean Section in Korea","author":"National Health Insurance Corporation","year":"2002"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.263.5.683"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1998.tb09349.x"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00001703-200012000-00004"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.278.19.1579"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.309.6946.9a"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.271.10.761"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.publhealth.22.1.69"},{"key":"e_1_2_5_15_2","volume-title":"Review of the Korean Health Care System","author":"Organisation for Economic Co\u2010operation and Development","year":"2002"},{"key":"e_1_2_5_16_2","volume-title":"Trend of Caesarean Section in Korea","author":"Health Insurance Review Agency","year":"2002"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.279.20.1638"},{"issue":"1","key":"e_1_2_5_18_2","first-page":"40","article-title":"How Pennsylvania hospitals have responded to publicly released reports on coronary artery bypass graft surgery","volume":"24","author":"Bentley JM","year":"1998","journal-title":"Jt Comm J Qual Improv"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198903163201106"},{"key":"e_1_2_5_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-3506(05)80052-6"},{"key":"e_1_2_5_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1999.tb08233.x"},{"key":"e_1_2_5_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(02)00301-5"},{"key":"e_1_2_5_23_2","doi-asserted-by":"publisher","DOI":"10.1515\/JPM.2000.014"},{"key":"e_1_2_5_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(01)00518-5"},{"key":"e_1_2_5_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(01)01766-5"},{"key":"e_1_2_5_26_2","doi-asserted-by":"publisher","DOI":"10.1017\/S096318010000517X"}],"container-title":["BJOG: An International Journal of Obstetrics &amp; 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