Caesarean Section Vs. Normal Vaginal Delivery: A Game Theory Discussion in Reimbursement Interventions

Overview

Journal Iran J Public Health

Date 2018 Dec 25

PMID 30581788

Citations 3

Authors

Marita Mohammadshahi

Hasan Hematyar

Masoumeh Najafi

Minoo Alipouri Sakha

Abolghasem Pourreza

Affiliations

Soon will be listed here.

Abstract

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.

Citing Articles

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Investigating the Effect of Hyoscine and Dexamethasone on Cervical Preparation in Primigravid Women with Term Pregnancy: A Double-blind Randomized Clinical Trial.

Shabanian S, Danesh A, Najafi S J Res Pharm Pract. 2024; 12(4):130-134.

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