The role of Taiwan's National Health Insurance program in influencing adequate prenatal care

The International Journal of Health Planning and Management
Tsai-Ching Liu, Chin-Shyan Chen

Abstract

This paper reviews achievements in the utilization of prenatal care by pregnant women in Taiwan by analysing the 1989 and 1996 National Maternal and Infant Health Survey data. More precisely, it identifies and examines the programmatic and non-programmatic factors that influence prenatal care utilization, thus determining the areas that require further attention from the programe. Logistic regression results show that the adequacy of prenatal care use was significantly associated with the implementation of the National Health Insurance (NHI). A higher likelihood of adequate care utilization was found among women who were married or employed, had a higher level of education, had more experience with regard to pregnancy and were at higher risk in terms of obstetrics. The effect of facility choice showed variations after the implementation of the NHI programme. Prior to NHI, no differences were noted between the use of clinics and hospitals. After the implementation of NHI, on the other hand, women who received most of their care from clinics had a higher likelihood of receiving more adequate prenatal care than those who received care from hospitals. Regional differences in seeking adequate prenatal care were also evident. Mothers...Continue Reading

Citations

Jan 23, 2013·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·I-Kuan WangDonald E Morisky
Jul 21, 2015·Health Policy·Tsai-Ching LiuChin-Shyan Chen
Mar 1, 2014·Pharmacoepidemiology and Drug Safety·Li-Ting KaoShiu-Dong Chung
Feb 28, 2019·The International Journal of Health Planning and Management·Chung Jen YangJoseph J Tien
Aug 22, 2014·International Journal of Health Care Finance and Economics·Stephen O AbrokwahEdward C Norton
Jan 19, 2021·Gastroenterology Research and Practice·Jia-Lun HuangHong-Mo Shih

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