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Iranian Journal of Public Health، جلد ۴۷، شماره ۱۱، صفحات ۱۷۰۹-۱۷۱۶
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عنوان انگلیسی Caesarean Section versus Normal Vaginal Delivery: A Game Theory Discussion in Reimbursement Interventions
چکیده انگلیسی مقاله 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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نویسندگان مقاله | 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
نشانی اینترنتی http://ijph.tums.ac.ir/index.php/ijph/article/view/15160
فایل مقاله اشکال در دسترسی به فایل - ./files/site1/rds_journals/86/article-86-1354125.pdf
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