The impact of National Health Insurance on the volume and severity of emergency department use

The American Journal of Emergency Medicine
Y L LinY Z Tseng

Abstract

National Health Insurance (NHI) was introduced in Taiwan on March 1, 1995. To evaluate the Influence of NHI on the volume and severity of emergency department (ED) visits, a retrospective analysis was conducted. The results showed that NHI did not result in a substantial increase in ED volume (P > .05), but the severity as measured by triage nurses did increase (P < .01). There was no change in the number of admissions to the intensive care units of patients transferred from smaller hospitals, but its percentage significantly decreased (P < .05), which may be a result of the significant increase in the total number of interhospital transfers. It was hypothesized that the universal coverage and a copayment contributed to these changes.

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Citations

Oct 12, 2000·Diabetes Research and Clinical Practice·T Tai
Oct 3, 2001·Diabetes Research and Clinical Practice·T LinT Y Tai
Aug 29, 2006·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Chih-Hsien Chi, Chen-Mao Huang
May 1, 2010·American Journal of Respiratory and Critical Care Medicine·Robert A FowlerUNKNOWN American Thoracic Society Disparities in Healthcare Group
Dec 4, 2010·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Chip-Jin NgJih-Chang Chen
Jul 21, 2009·Journal of Digital Imaging·Deepa Sankar, Tessamma Thomas
Mar 19, 2013·Journal of the Chinese Medical Association : JCMA·Yi-Chun ChenShinn-Jang Hwang
Apr 9, 2021·Emergency Medicine Journal : EMJ·Qing-Qing ChenRong-Fang Hu

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