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Patients' attitudes vs. physicians' determination: implications for cesarean sections

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  • Lo, Joan C.

Abstract

Most research studies identifying non-clinical factors that influence the choice of Cesarean Section as a method of obstetric delivery assume that the physician makes the decision. This paper arguably shows the role played by the mother. Owing to the fact that Chinese people generally believe that choosing the right days for certain life events, such as marriage, can change a person's fate into a better one, the hypothesis is tested that the probability of Cesarean Sections being performed is significantly higher on auspicious days and significantly lower on inauspicious days. By employing a logistic model and utilizing 1998 birth certificate data for Taiwan, we are able to show that the hypothesis is accepted.

Suggested Citation

  • Lo, Joan C., 2003. "Patients' attitudes vs. physicians' determination: implications for cesarean sections," Social Science & Medicine, Elsevier, vol. 57(1), pages 91-96, July.
    • Handle: RePEc:eee:socmed:v:57:y:2003:i:1:p:91-96
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    Citations

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    Cited by:

    1. Martin Halla & Chia-Lun Liu & Jin-Tan Liu, 2019. "The Effect of Superstition on Health: Evidence from the Taiwanese Ghost Month," Economics working papers 2019-01, Department of Economics, Johannes Kepler University Linz, Austria.
    2. Alejandro Arrieta & Ariadna García Prado, 2016. "Non-elective C-sections in public hospitals: capacity constraints and doctor incentives," Applied Economics, Taylor & Francis Journals, vol. 48(49), pages 4719-4731, October.
    3. Cheng Huang & Xiaojing Ma & Shiying Zhang & Qingguo Zhao, 2020. "Numerological preferences, timing of births and the long-term effect on schooling," Journal of Population Economics, Springer;European Society for Population Economics, vol. 33(2), pages 531-554, April.
    4. Lo, Joan C., 2008. "Financial incentives do not always work--An example of cesarean sections in Taiwan," Health Policy, Elsevier, vol. 88(1), pages 121-129, October.
    5. Almond, Douglas & Chee, Christine Pal & Sviatschi, Maria Micaela & Zhong, Nan, 2015. "Auspicious birth dates among Chinese in California," Economics & Human Biology, Elsevier, vol. 18(C), pages 153-159.
    6. Daniele Fabbri & Chiara Monfardini, 2008. "Style of practice and assortative mating: a recursive probit analysis of Caesarean section scheduling in Italy," Applied Economics, Taylor & Francis Journals, vol. 40(11), pages 1411-1423.
    7. Gans, Joshua S. & Leigh, Andrew, 2009. "Born on the first of July: An (un)natural experiment in birth timing," Journal of Public Economics, Elsevier, vol. 93(1-2), pages 246-263, February.
    8. Gans, Joshua S. & Leigh, Andrew & Varganova, Elena, 2007. "Minding the shop: The case of obstetrics conferences," Social Science & Medicine, Elsevier, vol. 65(7), pages 1458-1465, October.
    9. Nicolas Moreau, 2021. "The Zero Effect of Income Tax on the Timing of Birth: Some Evidence on French Data," TEPP Working Paper 2021-03, TEPP.
    10. Guccio, C. & Lisi, D., 2014. "Social interactions in inappropriate behavior for childbirth services: Theory and evidence from the Italian hospital sector," Health, Econometrics and Data Group (HEDG) Working Papers 14/28, HEDG, c/o Department of Economics, University of York.
    11. Nicolas Moreau, 2021. "The Zero Effect of Income Tax on the Timing of Birth: Some Evidence on French Data," Working Papers hal-03157256, HAL.
    12. Guccio, Calogero & Lisi, Domenico, 2016. "Thus do all. Social interactions in inappropriate behavior for childbirth services in a highly decentralized healthcare system," Regional Science and Urban Economics, Elsevier, vol. 61(C), pages 1-17.
    13. Jimena Soledad Ferraro & Alan Acosta & Khare Shagun, 2021. "Physician convenience and cesarean section delivery," Asociación Argentina de Economía Política: Working Papers 4469, Asociación Argentina de Economía Política.
    14. Sara LaLumia & James M. Sallee & Nicholas Turner, 2015. "New Evidence on Taxes and the Timing of Birth," American Economic Journal: Economic Policy, American Economic Association, vol. 7(2), pages 258-293, May.
    15. Levy, Becca R. & Chung, Pil H. & Slade, Martin D., 2011. "Influence of Valentine’s Day and Halloween on Birth Timing," Social Science & Medicine, Elsevier, vol. 73(8), pages 1246-1248.
    16. Carolina Melo & Naercio Menezes‐Filho, 2024. "The effect of birth timing manipulation around carnival on birth indicators in Brazil," Health Economics, John Wiley & Sons, Ltd., vol. 33(9), pages 2013-2058, September.
    17. Aleksandr Proshin & Alexandre Cazenave-Lacroutz & Zeynep Or & Lise Rochaix, 2018. "Impact of Diagnosis Related Group Refinement on the Choice Between Scheduled Caesarean Section and Normal Delivery: Recent Evidence from France," Working Papers halshs-01812107, HAL.
    18. Nicolas Moreau, 2023. "The zero effect of income tax on the timing of birth: some evidence on French data," International Tax and Public Finance, Springer;International Institute of Public Finance, vol. 30(3), pages 757-783, June.
    19. Schulkind, Lisa & Shapiro, Teny Maghakian, 2014. "What a difference a day makes: Quantifying the effects of birth timing manipulation on infant health," Journal of Health Economics, Elsevier, vol. 33(C), pages 139-158.
    20. Fabbri, Daniele & Monfardini, Chiara & Castaldini, Ilaria & Protonotari, Adalgisa, 2016. "Cesarean section and the manipulation of exact delivery time," Health Policy, Elsevier, vol. 120(7), pages 780-789.
    21. Enzo Bivona & Federico Cosenz, 2017. "L?analisi delle politiche di riduzione dei cesarei attraverso il Dynamic Performance Management: la valutazione del percorso nascita in un?azienda sanitaria," MECOSAN, FrancoAngeli Editore, vol. 2017(102), pages 85-104.
    22. Leone, Tiziana & Padmadas, Sabu S. & Matthews, Zoë, 2008. "Community factors affecting rising caesarean section rates in developing countries: An analysis of six countries," Social Science & Medicine, Elsevier, vol. 67(8), pages 1236-1246, October.
    23. Chich‐Hsiu Hung & Ching‐Yun Yu & Chu‐Chun Ou & Wei‐Wen Liang, 2010. "Taiwanese maternal health in the postpartum nursing centre," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(7‐8), pages 1094-1101, April.

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