Equalizing physician fees had little effect on cesarean rates
Equalizing physician fees had little effect on cesarean rates
复制标题
DOI：
10.1177/107755879605300405
复制
发表时间：
1996-12-01
影响因子：
2.5
通讯作者：
Fok, T
中科院分区：
文献类型：
--
作者：
Keeler, EB;Fok, T
更高的医生费用剖腹产已被假设为增加剖腹产率，但很少有出版的估计其影响。我们研究了一项保险改革的影响，这项改革使阴道分娩和剖腹产的费用相等，相对价格变动了21%。根据改革前后12个月的11,767例分娩数据，计算了调整病例组合后的剖宫产率。总体而言，改革后有0.7%的不显著下降。这一下降显然是由于医生的离开，很少有分娩由该计划支付，但剖腹产率很高。尽管对剖宫产率的影响有限，但由于两种手术的医生费用相似，因此均衡费用可能是有益的。
Higher physician fees for cesarean delivery have been hypothesized to increase cesarean rates, but there are few published estimates of their effect. We studied the impact of an insurance reform that equalized fees for vaginal and cesarean delivery, a relative price shift of 21%. After adjusting for case-mix cesarean rates were calculated from data on the 11,767 deliveries in the 12 months before and after the reform. Overall, there was a 0.7% nonsignificant drop after the reform. The drop was apparently due to the departure of physicians with few deliveries paid by the plan, but high cesarean rates. Despite the limited impact on cesarean rates, equalizing fees may be beneficial because physician costs are similar for the two procedures.