Is Taiwan's National Health Insurance a perfect system? Problems related to health care utilization of the aboriginal population in rural townships

2018 ◽  
Vol 34 (1) ◽  
Author(s):  
Yi‐Ting Lee ◽  
Yen‐Han Lee ◽  
Warren A. Kaplan
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Care Utilization ◽  
National Health Insurance ◽  
National Health ◽  
Care Utilization ◽  
Aboriginal Population ◽  
Perfect System

scholarly journals Ambulatory health care utilization of the older people under the National Health Insurance in Taiwan

2011 ◽  
Vol 2 (2) ◽  
pp. 53-57 ◽  
Author(s):  
Yi-Tsong Lin ◽  
Shinn-Jang Hwang ◽  
Liang-Kung Chen ◽  
Tzeng-Ji Chen ◽  
I-Hsuan Hwang
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Care Utilization ◽  
Older People ◽  
National Health Insurance ◽  
National Health ◽  
Care Utilization ◽  
Ambulatory Health Care

scholarly journals The effect of shifting medical coverage from National Health Insurance to Medical Aid type I and type II on health care utilization and out-of-pocket spending in South Korea

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Doo Woong Lee ◽  
Jieun Jang ◽  
Dong-Woo Choi ◽  
Sung-In Jang ◽  
Eun-Cheol Park
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Care Utilization ◽  
National Health Insurance ◽  
National Health ◽  
Care Utilization ◽  
Type I ◽  
Type Ii ◽  
Medical Aid ◽  
Outpatient Visits

Abstract Background This study examines the effects of a shift in medical coverage, from National Health Insurance (NHI) to Medical Aid (MA), on health care utilization (measured by the number of outpatient visits and length of stay; LOS) and out-of-pocket medical expenses. Methods Data were collected from the Korean Welfare Panel Study (2010–2016). A total of 888 MA Type I beneficiaries and 221 MA Type II beneficiaries who shifted from the NHI were included as the case group and 2664 and 663 consecutive NHI holders (1:3 propensity score-matched) were included as the control group, respectively. We used the ‘difference-in-differences’ (DiD) analysis approach to assess changes in health care utilization and medical spending by the group members. Results Differential average changes in outpatient visits in the MA Type I panel between the pre- and post-shift periods were significant, but differential changes in LOS were not found. Those who shifted from NHI to MA Type I had increased number of outpatient visits without changes in out-of-pocket spending, compared to consecutive NHI holder who had similar characteristics. However, this was not found for MA Type II beneficiaries. Conclusion Our research provides evidence that the shift in medical coverage from NHI to MA Type I increased the number of outpatient visits without increasing the out-of-pocket spending. Considering the problem of excess medical utilization by Korean MA Type I beneficiaries, further researches are required to have in-depth discussions on the appropriateness of the current cost-sharing level on MA beneficiaries.

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