文化大學機構典藏 CCUR:Item 987654321/24324
English  |  正體中文  |  简体中文  |  全文筆數/總筆數 : 46867/50733 (92%)
造訪人次 : 11890432      線上人數 : 708
RC Version 6.0 © Powered By DSPACE, MIT. Enhanced by NTU Library IR team.
搜尋範圍 查詢小技巧：
  • 您可在西文檢索詞彙前後加上"雙引號"，以獲取較精準的檢索結果
  • 若欲以作者姓名搜尋，建議至進階搜尋限定作者欄位，可獲得較完整資料
    •  進階搜尋
    主頁 ‧ 登入 ‧ 上傳 ‧ 說明 ‧ 關於CCUR ‧ 管理 到手機版


    請使用永久網址來引用或連結此文件: https://irlib.pccu.edu.tw/handle/987654321/24324


    題名: Financial Incentives and Use of Cesarean Delivery: Taiwan Birth Data 2003 to 2007
    作者: Hong, YC (Hong, Yi-Chen)
    Linn, GC (Linn, George Chinhung)
    貢獻者: Dept Econ
    關鍵詞: SECTION
    RATES
    日期: 2012
    上傳時間: 2013-02-26 10:32:53 (UTC+8)
    摘要: Objectives: The Cesarean section (CS) rate in Taiwan has exceeded 30% since 2000. To lower the CS rate, the Bureau of National Health Insurance in Taiwan raised the payment for vaginal delivery (VD) in May 2005, and also increased the insured's copayment for elective CS in May 2006. This study clarifies the influences of these financial incentives, and explores whether the 2 policies lowered the CS rate.

    Study Design: The materials used are birth cases obtained from a systematic sampling of the original inpatient claim data in the National Health Insurance research database between 2003 and 2007. The empirical analysis of this study groups the birth data into 4 types: VD, unplanned CS, planned CS, and elective CS.

    Methods: The 4 delivery types represent the dependent variable. A multinomial logistic regression model was adopted as the empirical method. The policy changes, hospital attributes, and insured status were considered independent variables.

    Results: Results indicate that the supply-side policy change in May 2005 reduced the number of CS cases. However, the policy effect was not very significant, and the CS rate decreased mainly because of planned CS cases, The demand-side policy change in May 2006 did not lower the rate of elective CS.

    Conclusions: The results imply that the financial incentives were not the main consideration for both the demand and supply sides. To encourage more VDs and lower the CS rate, the authorities could consider mechanisms other than adjusting the payment or changing the copayment.
    關聯: AMERICAN JOURNAL OF MANAGED CARE 卷: 18 期: 1 頁數: E35-E40
    顯示於類別:[經濟學系暨經濟學系碩博士班] 期刊論文

    文件中的檔案:

    沒有與此文件相關的檔案.



    檢視Licence

    在CCUR中所有的資料項目都受到原著作權保護.

    DSpace Software Copyright © 2002-2004  MIT &  Hewlett-Packard  /   Enhanced by   NTU Library IR team Copyright ©   - 回饋