ArticleInternational journal for equity in health2013
Redistributive effects of the National Health Insurance on physicians in Taiwan: a natural experiment time series study.
Article in International journal for equity in health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Interventions for enhancing the distribution of dental professionals: a concise systematic review.International dental journal · 2017Pooled it
- Interventions for increasing the proportion of health professionals practising in rural and other underserved areas.The Cochrane database of systematic reviews · 2015Pooled it
- Identifying the strengths, weaknesses, opportunities and threats (SWOT) of return-of-service bursary schemes for health workforce capacity: a qualitative study of Botswana, Lesotho and Eswatini.BMJ public health · 2023Article
- Indicators of integrating oral health care within universal health coverage and general health care in low-, middle-, and high-income countries: a scoping review.BMC oral health · 2023Article
- Association between local spatial accessibility of dental care services and dental care quality.BMC oral health · 2021Article
- Factors Associated With Working in Remote Indonesia: A National Cross-Sectional Study of Early-Career Doctors.Frontiers in medicine · 2021Article
- An investigation of the use of acupuncture in stroke patients in Taiwan: a national cohort study.BMC complementary and alternative medicine · 2016Article
- The utilization and barriers of Pap smear among women with visual impairment.International journal for equity in health · 2016Article
- Health examination utilization in the visually disabled population in Taiwan: a nationwide population-based study.BMC health services research · 2013Article
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Authors and funding
3 authors.
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Abstract
backgroundPrevious studies have evaluated the effects of various health manpower policies but did not include full consideration of the effect of universal health insurance on physician re-distribution. This study examines the effects of implementing National Health Insurance (NHI) on the problem of geographic mal-distribution of health providers in Taiwan.
methodsData on health providers and population between 1971 and 2001 are obtained from relevant governmental publications in Taiwan. Gini coefficients derived from the Lorenz curve are used under a spline regression model to examine the impact of the NHI on the geographic distribution of health providers.
resultsThe geographic distribution equality of the three key health providers has improved significantly after the implementation of NHI program. After accounting for the influences of other confounding factors, Gini coefficients of the three key providers have a net reduction of 1.248% for dentists, 0.365% for western medicine physicians, and 0.311% for Chinese medicine physicians. Overall, the absolute values of the three key providers' Gini coefficients also become close to one another.
conclusionsThis study found that NHI's offering universal health coverage to all citizens and with proper financial incentives have resulted in more equal geographic distributions among the key health care providers in Taiwan.
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