Pediatricians' role in caring for preschool children in Taiwan under the national health insurance program

Journal of the Formosan Medical Association = Taiwan Yi Zhi
Ming-Chih Lin, Mei-Su Lai

Abstract

The National Health Insurance (NHI) covers more than 98% of the 22 million people in Taiwan. Referral is not mandated, therefore, competition among specialties exists in caring for preschool children. The aim of this study was to analyze the utility of outpatient services among preschool children to investigate the pediatricians role in their care. We also analyzed how the density of specialists induces demand by using the NHI database. We used the systematic sampling file, CD20040, from the bureau of NHI, Taiwan, as the data source for our analysis. We linked the file to the registries for medical personnel and the board-certified specialists to analyze the specialty distribution. We also linked to the registry for contracted medical facilities to analyze the distribution in different levels of hospitals. In total, 56,144 outpatient visits for preschool children were analyzed. Among these, 59.1% of outpatient services for preschool children were provided by pediatric specialists, 20.7% by otolaryngologists, 13.5% by family medicine specialists, and the other 6.7% by general practitioners. Most of the visits occurred in a primary care setting (84.1%). As children grew older, a significant decline in the pediatric specialists vi...Continue Reading

References

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Citations

Mar 19, 2013·BMC International Health and Human Rights·Yi-Hsuan LinShinn-Jang Hwang
Nov 6, 2015·International Journal of Environmental Research and Public Health·Ling-Yu YangTzeng-Ji Chen
Dec 24, 2014·Pediatrics and Neonatology·Chieh-Mao ChuangMei-Jy Jeng
Jan 21, 2015·Cancer Epidemiology·Yen-Lin LiuMei-Shu Lai
Sep 24, 2010·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·S KennellyS Sugrue
Apr 6, 2019·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Yi-Jen WangMing-Hwai Lin
Jun 1, 2021·Frontiers in Pediatrics·Hsiao-Wen ChuYa-Chi Hsu
Oct 26, 2011·Pediatrics·Jui-Ju TsengYun-Ching Fu

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