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. 2018 Sep 28;2018(9):CD005528. doi: 10.1002/14651858.CD005528.pub3

8. Interventions targeted at healthcare organisations or facilities.

Study Intervention Details
Financial interventions targeted at healthcare professionals
Keeler 1996 Equalising physician fees for vaginal and caesarean section delivery Revision to fee schedule for obstetric and other procedures including equalising the fees for vaginal and caesarean sections.
Lo 2008
  • Increase physician fees for VBAC fee to the same level as caesarean section

  • Increase in vaginal birth physician fees to that of caesarean section

National Health Insurance Taiwan equalised the fee for VBAC to that of a caesarean in April 2003. In May 2005, the fee for vaginal birth was raised to the equivalent of that of a caesarean section.
Staffing model interventions
Rosenstein 2015 Expanded access to collaborative 24‐hour midwifery‐labourist care model Expansion of a labourist model that includes 24‐hour in‐hospital midwifery coverage to privately insured patients ('labourist', generally designates an obstetrician who provides in‐house labour and delivery coverage without competing clinical duties).
One midwife and one labourist present in‐house, 24 hours a day, working collaboratively to provide primary labour management for all private and public patients.
Srinivas 2016 Labourist model of obstetric care Labourist model of obstetric care: presence of a labour and delivery provider for a set period of time, whose sole focus is on the labour and delivery unit without other competing clinical duties. The labourist model was based on the internal medicine hospitalist model where physicians spend > 25% of their time caring for inpatients.

VBAC: vaginal birth after caesarean