The Impact of NHI Co-payment Increase on Patients' Choice of Hospital Levels
| Autor: | Hui-Ping Huang, 黃惠萍 |
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| Rok vydání: | 2007 |
| Druh dokumentu: | 學位論文 ; thesis |
| Popis: | 95 On July 15, 2005, the Bureau of National Health Insurance raised the co-payment requirement for physician visit to promote the referral system and family doctor system. Patients seeking for medical service in district hospital, regional hospital and medical center were charged higher co-payment for 30~150 NTD. The purpose of this study was to examine the impact of NHI co-payment increase on patients’ choice among various levels of hospitals. The data source of this study included the National Health Insurance Research Database and a national survey. The results revealed that: after controlling for related patient and hospital characteristics, the percentage of A-type diseases (mainly treated in clinic and district hospital) had significant decreased in medical center and regional hospital after the new co-payment program. The higher co-payment amount had limited patients’ visits to medical center and regional hospital for miner conditions. In terms of choosing hospitals, the new co-payment program reduced the use of hospital out patient visits and forced some patients to community clinics for medical service; however the impact was not as obvious as expected. Young and low-income persons were more likely to be affected by the co-payment increase. The percentage of “big-hospital preference” were decreased by the new co-payment program among the general public. When controlling health care expenditure, the government should also pay attention to the impact of increased co-payment to the accessibility and utilization of health care services by those disadvantaged persons who are sensitive to the price changes. |
| Databáze: | Networked Digital Library of Theses & Dissertations |
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