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Survival Analysis of Very Low Birth Weight Infant Mortality in Taiwan

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Abstract

This paper examines the determinants of 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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  • Chia-Lin Chang & Wei-Chen Chen & Michael McAleer, 2014. "Survival Analysis of Very Low Birth Weight Infant Mortality in Taiwan," Working Papers in Economics 14/15, University of Canterbury, Department of Economics and Finance.
    • Handle: RePEc:cbt:econwp:14/15
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    File URL: https://repec.canterbury.ac.nz/cbt/econwp/1415.pdf
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    1. Andrew Sfekas, 2009. "Learning, forgetting, and hospital quality: an empirical analysis of cardiac procedures in Maryland and Arizona," Health Economics, John Wiley & Sons, Ltd., vol. 18(6), pages 697-711, June.
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    More about this item

    Keywords

    Very low birth weight; Neonatal mortality; Physician’s infant experience; Hospital infant experience; Statistical analysis; Cox proportional hazard model; Selective referral; Taiwan National Health Insurance Scheme;
    All these keywords.

    JEL classification:

    • C41 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods: Special Topics - - - Duration Analysis; Optimal Timing Strategies
    • I10 - Health, Education, and Welfare - - Health - - - General
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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