Factors Associated with Pregnant Women for Choosing Deliver at Medical Center

• Main Authors: Sun, Hsiao-Yun, 孫曉筠
• Other Authors: Hung, Chin-Tun
• Format: Others
• Language: zh-TW
• Published: 2015
• Online Access: http://ndltd.ncl.edu.tw/handle/03671913596119167218

碩士 === 中臺科技大學 === 醫療暨健康產業管理系碩士班 === 103 === Medical Center of the severity of the disease often than other high-level research institutes, medical resources they consume more often. As pregnant women giving birth and the production of select medical institutions without limitation, found that when pregnant women giving birth have a higher risk of production or labor, it may go from the original check-agency medical center, under payment conditions equal pay for the same disease Medical Center It seems to be more unfavorable; this study hope to explore the path to go to the medical center of the producer for the more complex cases, and a higher severity of the disease, resulting in higher medical costs of its related factors. This study belongs to a secondary data analysis, data for the Medical Center of the National Health Insurance database application materials. Research and analysis from 2005 to 2009 in the Medical Center producers sample, the maternal distinguish three groups: all check-in Medical Center (complete set), fourth after giving birth are in the Medical Center (middle group), as well as trails go to medical centers (Trail went group) or no medical center for check-record holder. Age, multiple births, caesarean section, the number of times the diagnosis and maternal holds any major injuries were analyzed as control variables to ANOVA, logistic regression and linear regression. A total of 53,929 people study sample, the average maternal age was 31.46 years. Complete set of medical expenses to 26,989.83 points, complications and complication rate was 10.8% and the number of days of hospitalization was 4.03 days; the middle group of medical expenses 27,191.24 points, complications and complication rate was 10.1% and the number of days of hospitalization was 4.07 days; path to go group of medical expenses to 32,763.13 points, complications and complication rate was 11.7% and the number of days of hospitalization was 5.58 days. After controlling for age, risk group path went probability of complications and complications of 1.21 times than a full set of high medical costs more complete set of multi 2,096.1 points, the number of days of hospitalization increased 1.29 days (p <0.0001). Research Medical Center confirmed that no records of mothers giving birth, their medical expenses, hospitalization days and complications and complications are relatively high, that is, medical centers often have to explain to undertake part of the condition is more severe in patients with complex, so when the reimbursement for costs should be reasonable adjustments It tends to make the payment system more equitable.