During July 2002 to December 2003, there were 1618 eligible pregnant women attending to delivery at National Hospital for Obstetric and Gynecology recruited for the study. The rate of CS was 32.4% (16.5% elective CS and 15.8% emergency CS). There is an increase in the rate of having minor wound infection and higher in emergency CS (9.4%). The rate of maternal death was also higher in the group of emergency CS of 3.9/1000, while those rates in elective CS and vaginal were zero. No significant difference of neonatal complications was found among three groups (p>0.08). Medical cost occupied a large part of total bill spent for a delivery (78.1%)
Delivery, Obstetric

In March 2011, after a series of discussions, the Korean government released a basic plan for functional reestablishment of medical institutions. However, the policy has ended up reestablishing the functions and roles of medical institutions without considering the advance of medical technologies and the emergence of new forms of providers. The advances of the medical knowledge and technologies enable the provision of lower-cost, higher-quality, more accessible healthcare services. Therefore, the reestablishment of medical institutions' functions needs to be done on the basis of medical technology advancement. In this article, policy suggestions and managerial implications for healthcare service providers are discussed based on disruptive innovation. It is expected to contribute to the discussions on the healthcare delivery system of Korea.
Delivery of Health Care ; Korea

No abstract available.
Delivery of Health Care* ; Humans

No abstract available.
*Delivery of Health Care ; Humans

No abstract available.
Delivery of Health Care*

The study is a survey on oro-dental diseases in 1132 children who were over 6 years old and living in the North Central Coastal and South Central Coastal areas. The subjects were divided into 4 age groups: 6-8, 9-11, 12-14 and 15-17. Results: The percentage of children 6-8 years old with caries in the primary dentition was high, from 83.7% to 91.6%. The percentage of children who had caries in the permanent dentition increased across the age groups. The percentage of children who had not caries was much more lower than WHO’s standard. In all age groups, the percentage of children in the South Central Coast who had dental caries was higher than children in the North Central Coast. The percentage of children 6-14 years old with gingivitis in the South Central Coast was higher than in the North Central Coast
Child ; Delivery of Health Care

The clearing procedure of health care insurance cost in Viet Nam is actually basing on ceiling-limited service cost. Many limitations are shown in this clearing procedure. Moreover, the hospital cost frame which was promulgated according to the interministerial circular N0 14/TTLB between the Ministry of Health and the Ministry of Finance is not appropriate. Items of health expenditure are increasing. In this article, some solutions for improving the clearing procedure are presented such as replacing this clearing procedure by predetermined portions or diagnosis groups. However, it is necessary to implement short-term and long-term solutions for improving the clearing procedure of health care insurance cost by service
Delivery of Health Care ; Insurance

No abstract available.
Delivery of Health Care* ; Germany*

No abstract available.
Delivery of Health Care*

No abstract available.
Delivery of Health Care*