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

The Party and Government interested in health care for poor ethinic people, therefore ensure equitableness and equality in all aspects for ethnics of Vietnam. The poor ethnic people still have many difficulties in term of accessibility to health care services, especially to hospital. The major causes were uncomfortable traffic, lack of budget for moving, low education and awareness of people, less accessibility to communication and information means. Health facilities in the mountainous and remote areas had not met the need in health care services of the people due to poor infrastructure, old equipment, inadaquate drugs, lack human and financial resources
Delivery of Health Care ; Poverty

The cross - sectional survey on 500 private medical units at Ha Noi (300) and Da Nang (200) in 2003 showed that the average amount of times providing with health care by unit is 1095; the private medical installation having greatest times providing with heath care have realized 11.650 times/year. Each unit has in average 1139 times for medical consult, the case of emergency is 5.023 times, in average is 61 times by unit; each gyneco–obstetrical clinic has in average consult with pregnant women in 361 cases, the ultrasonic service is 1.118-1.200 times by unit and in average 855 times for biological examine by unit
Delivery of Health Care ; Health

Study on 1801 households with the population of 8418 persons at 30 communes which were chosen by some steps of random method from 3 districts in Can Tho province (Chau Thanh A, Thot Not, Phung Hiep). The results showed that: with regard to the approach of medical units and medical insurance, the more poor people, the more lower they had medical insurance, especially the required medical insurance. With regard to the use of services of health care: the households approached the services of public health (medical stations and hospitals) relative equivalently. When being ill, the poor group went to hospital more frequently than the rich people.
Delivery of Health Care

No abstract available.
Delivery of Health Care*

No abstract available.
Delivery of Health Care*

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

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* ; Germany*

OBJECTIVE: This study attempted to analyze and to give a concrete form of u-Health concept which has very broad and diverse definitions until now, because of the newness of the concept. METHOD: Q method was adopted to unravel the concept, and 50 Q-statements were selected and rated by 48 P-samples, and the resulting data were analyzed by factor analysis of SPSS. RESULT: Six factors were drawn as to Potentiality, Functionality, Technology, Integrity, Futuristic and Consumer-centered. The concept u-Health was defined as "Futuristic functional healthcare service which is consumer-centered and has enormous potentiality utilizing technology". CONCLUSION: Based on the definition, u-Health should be expanded and extended crossover the boundaries of disciplines and professionals to make it the real fruition of "Consilience".
Delivery of Health Care