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

  • Marita MOHAMMADSHAHI Dept. of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  • Hasan HEMATYAR Dept. of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  • Masoumeh NAJAFI Dept. of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  • Minoo ALIPOURI SAKHA Dept. of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  • Abolghasem POURREZA Dept. of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
Keywords: Caesarian section, Normal vaginal delivery, Game theory, Insurance

Abstract

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.  

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Published
2018-11-01
How to Cite
1.
MOHAMMADSHAHI M, HEMATYAR H, NAJAFI M, ALIPOURI SAKHA M, POURREZA A. Caesarean Section versus Normal Vaginal Delivery: A Game Theory Discussion in Reimbursement Interventions. IJPH. 47(11):1709-16.
Section
Original Article(s)