alexa Abstract | Survival Analysis of Hospitalized Very Low Birth Weight Infant Mortality in Taiwan

Journal of Health & Medical Economics
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Abstract

This paper examines the determinants of hospitalized very low birth weight infant (or neonatal) mortality using the Taiwan National Health Insurance Research database from 1997 to 2009. After infants are discharged from hospital, it is not possible to track their mortality, so the Cox proportional hazard model is used to analyze the very low birth weight infant mortality rate. In order to clarify treatment responsibility and to avoid selective referral effects, we use the number of infants treated in the preceding five years to observe the effect of a physician’s and hospital’s medical experience on the mortality rate of hospitalized minimal birth weight infants. The empirical results show that, given disease control variables, a higher infant weight, higher quality hospitals, increased hospital medical experience, and higher investment in pediatrics can reduce the mortality rate significantly. However, an increased physician’s medical experience does not seem to influence significantly the very low birth weight infant mortality rate.

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Author(s): Chialin Chang WeiChen Chen and Michael McAleer

Keywords

Very low birth weight, Neonatal mortality, Statistical analysis, Cox proportional hazard model, Selective referral, Taiwan National Health Insurance Scheme, Behavioral Economics, Burden of Disease, Cost Benefits, Demand and Supply, Disease Management, Health Consumerism, Risk management, Health Economics, Health insurance, Medical Debt, Pharmacoeconomics, , Prescription Costs, Pharmacoepidemiology, Outcomes and Clinical Trials Data

 
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