Caesarean Section versus Normal Vaginal Delivery: A Game Theory Discussion in Reimbursement Interventions
Background: The rate of caesarean section (C-section) in Iran is too high, so having a plan to control it is crucial. Since one of the most important reasons for inclination of providers to do C-section is financial issues, the purpose of this study was offering financial solutions for increasing no...
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| Main Authors: | , , , , |
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| Format: | Book |
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Tehran University of Medical Sciences,
2018-11-01T00:00:00Z.
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| Summary: | Background: The rate of caesarean section (C-section) in Iran is too high, so having a plan to control it is crucial. Since one of the most important reasons for inclination of providers to do C-section is financial issues, the purpose of this study was offering financial solutions for increasing normal vaginal delivery (NVD) and decreasing non-indicated C-section. Methods: This analytical-descriptive research, used game theory for offering financial mechanisms. The game was a dynamic one in which the backward induction was used to obtain a Nash equilibrium. Financial structure and the mean number of NVD and C-section in a certain period of time in comparison with standards were as the main influential factors on financial dimensions and were included in the model. Results: The effect of financial structure was shown through a specified insurance for childbirth, existence of a monitoring department and tariffs. Conclusion: The main solution for controlling C-section in designed game was taxes and fines for physician or hospital in non- indicated cases and giving reward otherwise. |
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| Item Description: | 2251-6085 2251-6093 |