The impact on neonatal mortality of shifting childbirth services among levels of hospitals: Taiwan's experience |
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| Authors: | Shi-Yi Wang Sylvia H Hsu and Li-Kuei Chen |
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| Institution: | (1) Health Policy and Management, School of Public Health, University of Minnesota, 420 Delaware Street, S.E., 55414 Minneapolis, MN, USA;(2) Ton-Yen General Hospital, 69 XianZheng 2nd Street, Chu-Pei City, Hsin-Chu County, Taiwan;(3) Schulich School of Business, York University, 4700 Keele Street, M3J 1P3 Toronto, ON, Canada;(4) Department of Anesthesiology, National Taiwan University Hospital, No.7, Chung-Shan S. Road, 100 Taipei, Taiwan |
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| Abstract: | Background There is considerable discussion surrounding whether advanced hospitals provide better childbirth care than local community
hospitals. This study examines the effect of shifting childbirth services from advanced hospitals (i.e., medical centers and
regional hospitals) to local community hospitals (i.e., clinics and district hospitals). The sample population was tracked
over a seven-year period, which includes the four months of the 2003 severe acute respiratory syndrome (SARS) epidemic in
Taiwan. During the SARS epidemic, pregnant women avoided using maternity services in advanced hospitals. Concerns have been
raised about maintaining the quality of maternity care with increased demands on childbirth services in local community hospitals.
In this study, we analyzed the impact of shifting maternity services among hospitals of different levels on neonatal mortality
and maternal deaths. |
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