國家衛生研究院 NHRI:Item 3990099045/1632
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    题名: Taiwan's high rate of cesarean births: Impacts of National Health Insurance and fetal gender preference
    作者: Liu, TC;Chen, CS;Tsai, YW;Lin, HC
    贡献者: Center for Health Policy Research and Development
    摘要: Background: Taiwan has a high rate of cesarean section, approximately 33 percent in the past decade. This study investigates and discusses 2 possible factors that may encourage the practice, one of which is fetal gender difference and the other is Taiwan's recently implemented National Health Insurance (NHI). Methods: A logistic regression model was used with the 1989 and 1996 National Maternal and Infant Health Survey and with the 2001 to 2003 NHI Research Databases. Results: Using survey data, we found a statistically significant 0.3 percent gender difference in parental choice for cesarean section. However no statistically significant difference was found in the rate of cesarean section before and after NHI implementation. Conclusions: Taiwan's high cesarean section rate is not directly related to financial incentives under NHI, indicating that adjusting policy to lower financial incentives from NHI would have only limited effect. Likewise, focusing effort on the small gender difference is unlikely to have much impact. Effective campaigns by health authorities might be conducted to educate the general population about risks associated with cesarean section and the benefits of vaginal birth to the child, mother and society.
    关键词: Nursing;Obstetrics & Gynecology;Pediatrics
    日期: 2007-06
    關聯: Birth. 2007 Jun;34(2):115-122.
    Link to: http://dx.doi.org/10.1111/j.1523-536X.2007.00157.x
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0730-7659&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:000246801400002
    Cited Times(Scopus): http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=34249785072
    显示于类别:[蔡憶文(1999-2010)] 期刊論文

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