The impact of universal National Health Insurance on population health: the experience of Taiwan

Lee, Yue Chune; Huang, Yaw‐Bin; Tsai, Yi Wen; Huang, Shiuh Ming; Kuo, Ken N.; McKee, Martin; Nolte, Ellen

doi:10.1186/1472-6963-10-225

Cited by 139 publications

(109 citation statements)

References 31 publications

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“…The higher admission rate in our study might be due to the implementation of NHI which covers the hospital cost 27 28…”

Section: Discussionmentioning

confidence: 79%

Effectiveness of a five-level Paediatric Triage System: an analysis of resource utilisation in the emergency department in Taiwan

Chang

et al. 2012

Emerg Med J

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ObjectivesTo examine the effectiveness of a five-level Paediatric Triage and Acuity System (Ped-TTAS) by comparing the reliability of patient prioritisation and resource utilisation with the four-level Paediatric Taiwan Triage System (Ped-TTS) among non-trauma paediatric patients in the emergency department (ED).MethodsThe study design used was a retrospective longitudinal analysis based on medical chart review and a computer database. Except for a shorter list of complaints and some abnormal vital sign criteria modifications, the structure and triage process for applying Ped-TTAS was similar to that of the Paediatric Canadian Emergency Triage and Acuity Scale. Non-trauma paediatric patients presenting to the ED were triaged by well-trained triage nurses using the four-level Ped-TTS in 2008 and five-level Ped-TTAS in 2010. Hospitalisation rates and medical resource utilisation were analysed by acuity levels between the contrasting study groups.ResultsThere was a significant difference in patient prioritisation between the four-level Ped-TTS and five-level Ped-TTAS. Improved differentiation was observed with the five-level Ped-TTAS in predicting hospitalisation rates and medical costs.ConclusionsThe five-level Ped-TTAS is better able to discriminate paediatric patients by triage acuity in the ED and is also more precise in predicting resource utilisation. The introduction of a more accurate acuity and triage system for use in paediatric emergency care should provide greater patient safety and more timely utilisation of appropriate ED resources.

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“…The higher admission rate in our study might be due to the implementation of NHI which covers the hospital cost 27 28…”

Section: Discussionmentioning

confidence: 79%

Effectiveness of a five-level Paediatric Triage System: an analysis of resource utilisation in the emergency department in Taiwan

Chang

et al. 2012

Emerg Med J

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“…5,7 In Taiwan, healthcare expenditure on CAM services and products are reimbursable under the National Health Insurance program which has an extensive coverage of more than 98% of Taiwan's population. 12 This is not the case in Singapore where patients have to pay out-of-pocket for CAM. The United States survey used a nationally representative sample of the civilian non-institutionalized household population of the United States.…”

Section: Discussionmentioning

confidence: 97%

Use of complementary and alternative medicine among dermatology outpatients in Singapore

See

Teo

Kwan

et al. 2010

Australasian Journal of Dermatology

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“…Lee et al, 2010), the link between health insurance and health outcomes is sometimes challenged in the literature (e.g. Levy and Meltzer, 2008).…”

Section: Background: the Universal Health Coverage In Thailandmentioning

confidence: 99%

The impact of Universal Health Coverage on health care consumption and risky behaviours: evidence from Thailand

Ghislandi

Manachotphong

Perego

2014

HEPL

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Thailand is among one of the first non OECD countries to have successfully introduced a form of Universal Health Coverage (UHC) in 2002. This policy defines a natural experiment for the evaluation of the effects of public health insurance on health behaviours. In the present paper, we look at the impact of the Thai UHC on preventive activities, risky behaviours and healthcare consumption using data from the 1996, 2001 and 2003 Health and Welfare Survey of Thailand. We use double robust estimators combining propensity scores and linear regressions to estimate Difference-in-Differences (DD) and Difference in DD (DDD) models. Results offer important insights. First, previously uninsured men and women increased their preventive activities (check-ups) more than any other groups. At the same time, there is no evidence of either an increase in risky behaviours or a reduction of preventive efforts by the newly insured population. In other words, we find no evidence of ex ante moral hazard. Regarding healthcare consumption, we see that hospital admissions increased by 2% and outpatient visits increased by 13% due to the UHC. Overall, these findings imply positive health impacts among the Thai population who entered in the UHC.

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The impact of universal National Health Insurance on population health: the experience of Taiwan

Cited by 139 publications

References 31 publications

Effectiveness of a five-level Paediatric Triage System: an analysis of resource utilisation in the emergency department in Taiwan

Effectiveness of a five-level Paediatric Triage System: an analysis of resource utilisation in the emergency department in Taiwan

Use of complementary and alternative medicine among dermatology outpatients in Singapore

The impact of Universal Health Coverage on health care consumption and risky behaviours: evidence from Thailand

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