ArticleRisk management and healthcare policy2020
Mapping Regional Well-Being in the Universal Health Coverage System in Taiwan.
Article in Risk management and healthcare policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Corporate Social Responsibility and Social Needs in Health Care Sectors-A Critical Analysis of Social Innovation in the Health Sector in Taiwan.Healthcare (Basel, Switzerland) · 2024Review
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeRegarding the universal health coverage (UHC) goal of eliminating health disparity, this study seeks to examine whether this objective has actually been achieved and whether residence affects health and well-being inequality.
methodsBased on Taiwan's experience with its UHC system, this research quantifies health and well-being indicators, including quality-adjusted life expectancy (QALE), consumption, and utility-adjusted life expectancy (UALE), and uses the geographic information system (GIS) to map regional well-being throughout Taiwan. Using spatial lag regressions, this study estimates how residence and socio-economic factors affect population's well-being.
resultsEstimation results indicate a 1‰ increase in the mortality rate reduces the population's UALE by 0.4131 utility-adjusted life-years (UALYs). The differences in health and well-being indicators between urban and rural residents were 6.49 quality-adjusted life-years (QALYs) and 3.84 UALYs. Residents living in Taipei City had the highest level of QALE, consumption, and well-being, and those in Taitung County had the lowest level of QALE and well-being. The regional spatial autocorrelation results show that a population's health status and well-being are connected to residence.
conclusionOur estimation results show that risk of higher mortality rates in disadvantaged areas appears to be associated with well-being inequality, even with universal healthcare coverage. We suspect that related health intervention efforts, such as preventive and curative medical devotion, in Taiwan might not have effectively reached more rural residents, and thus recommend more work be undertaken to reduce mortality rates in these communities.
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