Please use this identifier to cite or link to this item: http://hdl.handle.net/10419/98870
Authors: 
Chang, Chialin
Chen, Wei-Chen
McAleer, Michael
Year of Publication: 
2014
Series/Report no.: 
Tinbergen Institute Discussion Paper 14-068/III
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.
Subjects: 
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
JEL: 
C41
I10
I13
I18
Document Type: 
Working Paper

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