國家衛生研究院 NHRI:Item 3990099045/1615
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    Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/1615


    Title: National health insurance, physician financial incentives, and primary cesarean deliveries in Taiwan
    Authors: Tsai, YW;Hu, TW
    Contributors: Center for Health Policy Research and Development
    Abstract: Objectives. Taiwan's National Health Insurance Program (NHI) was implemented on March 1, 1995. This study analyzed the influences of the Case Payment method of reimbursement for inpatient care and of physician financial incentives on a woman's choice for primary cesarean delivery. Methods. Logistic regressions were used to analyze 11788 first-time deliveries in a nonprofit hospital system between March 1, 1994, and February 29, 1996. Results. After implementation of the NHI's Case Payment scheme, the likelihood that a woman would choose primary cesarean delivery increased by four to five times compared with the choice behavior of uninsured individuals prior to NHI (P<.0001). Conclusion. Out-of-pocket payment discourages the selection of primary cesarean delivery. No robust statistics were found relating physician financial incentives to delivery choice.
    Keywords: Public, Environmental & Occupational Health
    Date: 2002-09
    Relation: American Journal of Public Health. 2002 Sep;92(9):1514-1517.
    Link to: http://www.ajph.org/cgi/content/abstract/92/9/1514
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0090-0036&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:000177661900032
    Cited Times(Scopus): http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=0036721630
    Appears in Collections:[Yi-Wen Tsai(1999-2010)] Periodical Articles

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