AJPH
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow View responses
Right arrow Purchase Article
Right arrow View Shopping Cart
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Tsai, Y.-W.
Right arrow Articles by Hu, T.-w.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Tsai, Y.-W.
Right arrow Articles by Hu, T.-w.
Related Collections
Right arrow Ethics
Right arrow Insurance
Right arrow Health Professionals
Right arrow Other Maternal and Infant Health
September 2002, Vol 92, No. 9 | American Journal of Public Health 1514-1517
© 2002 American Public Health Association

RESEARCH AND PRACTICE

National Health Insurance, Physician Financial Incentives, and Primary Cesarean Deliveries in Taiwan

Yi-Wen Tsai, PhD and Teh-wei Hu, PhD

Yi-wen Tsai is with the National Health Research Institutes, Taipei, Taiwan. Teh-Wei Hu is with the School of Public Health, University of California, Berkeley.

Correspondence: Requests for reprints should be sent to Yi-Wen Tsai, PhD, Division of Health Policy Research, National Health Research Institutes, 2F, 109, Min-Chuan East Road, Section 6, Taipei 114, Taiwan, ROC (e-mail: ivytsai{at}nhri.org.tw).

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 11 788 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.




This article has been cited by other articles:


Home page
 Obstet GynecolHome page
R. P. Kauffman
One Cheer for Choice
Obstet. Gynecol., February 1, 2007; 109(2): 457 - 457.
[Full Text] [PDF]

Home page
 Obstet GynecolHome page
H.-C. Lin and S. Xirasagar
Institutional Factors in Cesarean Delivery Rates: Policy and Research Implications
Obstet. Gynecol., January 1, 2004; 103(1): 128 - 136.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Public HealthHome page
C.-N. Liu and M.-C. Yang
RETHINKING "WOMAN'S CHOICE" OF CESAREAN DELIVERY
Am J Public Health, July 1, 2003; 93(7): 1036 - 1037.
[Full Text] [PDF]

eLetters:

Read all eLetters

Rethinking "Woman's Choice" of Cesarean Delivery
Chia N. Liu, et al.
AJPH Online, 15 Jan 2003 [Full text]

HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2002 by the American Public Health Association