Taiwan’s high rate of cesarean section deliveries – impacts of National Health Insurance and fetal gender preference

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題名:	Taiwan’s high rate of cesarean section deliveries – impacts of National Health Insurance and fetal gender preference
作者:	林恆慶 Liu TC;Chen CS;Tsai YW;Lin HC
貢獻者:	醫務管理學系
日期:	2007
上傳時間:	2009-08-18 16:29:09 (UTC+8)
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.
關聯:	Birth-Issues in Perinatal Care.(34):115-122.
資料類型:	article
顯示於類別:	[醫務管理學系暨研究所] 期刊論文

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