TABLE 5.
Multivariate Analysis of the Factors Associated With High Payment
| Factors | Multivariate | |
|---|---|---|
| Adjusted OR (95% CI) | P | |
| Geographic region | ||
| The east of China | 1.000 | |
| The midland of China | 0.476 (0.348–0.651) | <0.001 |
| The west of China | 0.523 (0.357–0.767) | 0.001 |
| Hospital level | ||
| Private hospitals | 1.000 | |
| Primary hospitals | 1.052 (0.664–1.665) | 0.829 |
| Secondary hospitals | 0.587 (0.356–0.967) | 0.037 |
| Tertiary hospitals | 1.405 (0.866–2.280) | 0.168 |
| Liability degree of the hospital | ||
| Minor liability (≤10%) | 1.000 | |
| Secondary liability (11 ~ 49%) | 0.876 (0.346–2.216) | 0.779 |
| Equal liability (50%) | 2.178 (0.832–5.968) | 0.113 |
| Ultimate liability (51 ~ 99%) | 9.695 (4.072–23.803) | <0.001 |
| Full liability (100%) | 16.442 (6.231–43.391) | <0.001 |
| Injury outcome | ||
| Unidentified neonatal injury | 1.000 | |
| Minor neonatal injury | 0.000 (0.000–0.000) | 0.997 |
| Moderate neonatal injury | 1.863 (0.801–4.336) | 0.149 |
| Major neonatal injury | 12.326 (5.836–26.033) | <0.001 |
| Unidentified maternal injury | 0.252 (0.031–2.059) | 0.187 |
| Minor maternal injury | 0.000 (0.000–0.000) | 0.996 |
| Moderate maternal injury | 2.095 (0.799–5.492) | 0.133 |
| Major maternal injury | 20.885 (7.929–55.011) | <0.001 |
| Both maternal and neonatal injury | 4.607 (0.844–25.159) | 0.078 |
| Fetal death | 1.945 (0.642–5.895) | 0.240 |
| Neonatal death | 2.045 (0.951–4.399) | 0.067 |
| Maternal death | 18.783 (8.887–39.697) | <0.001 |
| Maternal death with child injury | 54.682 (10.900–274.319) | <0.001 |
| Maternal injury with child death | 6.935 (2.773–17.344) | <0.001 |
| Deaths of both mother and child | 12.770 (5.136–31.754) | <0.001 |
| Causative domain | ||
| Antenatal care access and management | 1.000 | |
| Diagnosis | 1.388(0.388–4.964) | 0.614 |
| Fetal surveillance | 1.720 (0.509–5.809) | 0.382 |
| Management of labor | 2.100 (0.653–6.756) | 0.213 |
| Anesthetic | 5.605 (1.347–23.320) | 0.018 |
| Forceps or ventose delivery management | 2.082 (0.585–7.414) | 0.258 |
| Cesarean section management | 1.297 (0.383–4.391) | 0.676 |
| Medication error | 0.000 (0.000–0.000) | 0.997 |
| Management of birth complications and adverse events | 1.066 (0.335–3.386) | 0.914 |
| Postnatal care | 1.759 (0.441–7.011) | 0.424 |
| Newborn care | 1.242 (0.263–5.867) | 0.784 |
| Career decision making | 1.990(0.608–6.507) | 0.255 |
| Consent and conduct | 1.499 (0.349–6.437) | 0.587 |
| Other | 1.147 (0.199–10.077) | 0.728 |