Taipei Medical University

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Xirasagar S
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------>journal_name=European Journal of Obstetrics & Gynecology and Reproductive Biology (accepted)
------>paper_name=Maternal Request CS - Role of Hospital Teaching Status and For-Profit Ownership
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------>fullAbstract=OBJECTIVE: To examine whether hospitals~ for-profit (FP) ownership and non-teaching status are associated with greater likelihood of maternal request cesarean (CS) relative to public and not-for-profit (NFP) and teaching status, respectively. METHOD: Retrospective, cross-sectional, population-based study of Taiwan~s National Health Insurance claims data, covering all 739,531 vaginal delivery-eligible singleton deliveries during 1997-2000, using multiple logistic regression analyses. RESULTS: Adjusted for maternal age and geographic location, FP district hospitals (almost all non-teaching), followed by ob/gyn clinics were significantly more likely to perform request CS (OR=3.5-2.3) than public and NFP teaching hospitals. Among non-teaching and teaching hospitals, FPs were more likely to perform request CS than public and NFP hospitals (OR=2.3 and 2.5, respectively). CONCLUSIONS: Our findings are consistent with greater propensity of physicians in FP institutions to accommodate patient requests involving revenue-maximizing procedures such as request CS. This effect is moderated by teaching hospitals~ preference for complicated cases, consistent with their teaching mission and hi-tech infrastructure.
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------>authors2=Lin HC
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------>authors=Xirasagar S
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------>updateTitle=Maternal request CS--role of hospital teaching status and for-profit ownership.
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------>publish_year=2006
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A B C D E F G H I J K L M N O P Q R S T U V W X Y Z