Lessons from the MOHW compensation pilot program on birth incidents: First step and looking forward

Wang, Tsung-Hsi; Lin, Shu-Fen; Tsai, Kun-Tong; Liu, Yufu

doi:10.1016/j.tjog.2017.04.010

Cited by 7 publications

(3 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In 2014, Hsiung C. designed a questionnaire for surveying the factors that influence the choice of major medical specialty among postgraduate year (PGY) students. 18 The questionnaire had 17 items that inquired into whether the following were relevant to the respondent's choice (or not) of OB/GYN 1 : interest in OB/GYN clinical expertise, 2 medical litigation reduction because of ADR, 3 sense of accomplishment from saving lives, 4 quality of life, 5 lower workload than other specialists, 6 better salary than other specialists, 7 more opportunities to obtain new techniques and equipment, 8 ease in becoming a medical practitioner, 9 higher demand for OB/GYN, 10 more opportunities for academic research, 11 ease of obtaining specialist certification, 12 shorter residency training course, 13 more opportunities for promotion, 14 higher reputation as an OB/GYN practitioner, 15 support from parents and family members, 16 safe working environment, and 17 other factors. The first 16 statements were rated on a five-point Likert scale ranging from 1 = strongly disagree to 5 = strongly agree.…”

Section: Methodsmentioning

confidence: 99%

“…The Taiwan Ministry of Health and Welfare (MOHW) launched a childbirth accident compensation pilot program in 2012. This program successfully reduced the number of medical lawsuits by 70% and increased the number of doctors willing to pursue OB/GYN specialization 14 . Taiwan implemented the Childbirth Accident Emergency Relief Act (CAERA) in June 2016, which provides for compensation for outcomes including maternal death and disability, neonatal death and disability, fetal death, and peripartum hysterectomy.…”

Section: Introductionmentioning

confidence: 99%

“…This program successfully reduced the number of medical lawsuits by 70% and increased the number of doctors willing to pursue OB/GYN specialization. 14 Taiwan implemented the Childbirth Accident Emergency Relief Act (CAERA) in June 2016, which provides for compensation for outcomes including maternal death and disability, neonatal death and disability, fetal death, and peripartum hysterectomy. From June 2016 to June 2021, 1258 of 1340 applications (93.8%) were approved to receive compensation.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A survey of specialty choice among obstetrics and gynecology residents in Japan, Korea, and Taiwan

Lin

Huang

Fujii

et al. 2022

J of Obstet and Gynaecol

View full text Add to dashboard Cite

Aim The percentage of medicine graduates opting for residency in obstetrics and gynecology (OB/GYN) has been decreasing in developed countries, including in Taiwan, Japan, and Korea. This multicountry study surveyed the OB/GYN residents affiliated with the Taiwan Association of Obstetrics and Gynecology (TAOG), the Japanese Society of Obstetrics and Gynecology (JSOG), and the Korean Society of Obstetrics and Gynecology (KSOG) to evaluate the factors affecting the choice of pursing OB/GYN. Methods A 17‐item questionnaire surveying the factors influencing the choice of pursuing a major medical specialty was translated into Japanese, Korean, and Chinese and administered to postgraduate OB/GYN residents between July 1, 2020, and August 31, 2020. Data on the participants' sex, age, and level of residency were collected. Responses were compared between countries and sexes. Results Residents of all three countries chose OB/GYN based on personal interest, and a sense of accomplishment in saving people's life. Other positive factors include improved quality of life; higher salaries; and more opportunity for new techniques, research, and promotion. The negative factors included medical litigations, longer work hours, and unsafe working environments. Korean residents had lower ratings in several items, including “support from family,” “safety of working environment,” and “effectiveness of the alternative dispute resolution system,” which, unlike Japan and Taiwan, is not a no‐fault compensation system for childbirth accidents. Conclusions The study findings can guide strategy making, such as decreasing workload and yet maintain training quality, to increase the number of medical students pursuing OB/GYN residency.

show abstract