I'd like to add that an analysis of caesarean rates also needs to be done in the context of previous birthing experiences - ie a vaginal birth that is managed poorly can result in the mother requesting an elective caesarean for subsequent births (due to trauma or physical damage from things like a rushed induction, forceps delivery etc). In which case the hospital that carries out the CS may not actually be the "problem".

In my case, the hospital that traumatised me got to record that birth as a vaginal delivery - whereas the compassionate hospital that treated me well and gave me an empowered, healing birth got to record that as a caesarean delivery. The second hospital was definitely "better" than the first but that is not reflected in my own contribution to the stats.