Impact of case payment on physicians practicing vaginal birth after cesarean section

Ya Hui Tsai, Kuo Cherh Huang, Yung Kuei Soong

研究成果: 雜誌貢獻文章同行評審

2 引文 斯高帕斯(Scopus)

摘要

Objectives: To reduce the cesarean delivery rate, Taiwan's Bureau of National Health Insurance (BNHI) introduced the "Vaginal Birth after Cesarean Section" (VBAC) case payment program on April 1, 2003. The purpose of the current study was to determine the impact of case payment on physicians practicing VBAC. Methods: The data used in the study were derived from the health care system in Taiwan, including four of the system's hospitals, 30 obstetric attendings, and 2,246 gravidas with a previous cesarean section delivery under the attending physician's care. A paired t-test was used to analyze the VBAC rate before and after the introduction of the VBAC case payment initiative. Logistic regression analysis was then performed to determine the relationship between VBAC case payment and the likelihood of physicians practicing VBAC, controlling for related variables, such as previous cesarean section delivery of the sample gravidas. Results: After implementation of VBAC case payments, the VBAC rates at the sampled hospitals increased 6.06% (p

原文英語
頁(從 - 到)283-292
頁數10
期刊Taiwan Journal of Public Health
25
發行號4
出版狀態已發佈 - 八月 2006

ASJC Scopus subject areas

  • 公共衛生、環境和職業健康

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