ArticleInternational journal of environmental research and public health2021
The Impact of Global Budgeting on the Efficiency of Healthcare under a Single-Payer System in Taiwan.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 9 citations in OpenAlex.
- The impact of the global budget payment on healthcare fund expenditure in integrated delivery systems: evidence from China's county-level medical alliance reform.Frontiers in public health · 2026Article
- Pathways to promote the performance of healthcare financial expenditure from an audit perspective: Evidence from Hunan Province.PloS one · 2026Article
- The effect of hospital budgeting system on physician-executives' budget cognitive consciousness and medical decision making.Cost effectiveness and resource allocation : C/E · 2025Article
- The prospects and limitations of liquid biopsy utilization for clinical practice in Taiwan.The journal of liquid biopsy · 2025Article
- Evaluation of healthcare-related factors influencing mental health of Taiwanese citizens among different age groups.Scientific reports · 2024Article
- The efficiency evaluation of traditional Chinese medicine hospitals by data envelopment analysis in Zhengzhou, China.Frontiers in public health · 2024Article
- The Core of Healthcare Efficiency: A Comprehensive Bibliometric Review on Frontier Analysis of Hospitals.Healthcare (Basel, Switzerland) · 2022Review
- Enhancing self-care implementation and reducing marker detachment rates in cancer radiotherapy patients through diverse nursing care strategies.Tzu chi medical journalArticle
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Since 1995, a national health insurance (NHI) program has been in operation in Taiwan, which provides uniform comprehensive coverage. Forced by severe financial deficit, global budgeting reimbursement was adopted in the healthcare sector to control healthcare expenditures in 2002. A two-stage data envelopment analysis (DEA) approach was used to measure the efficiency of hospital resource allocation among stakeholders in Taiwan's NHI system, and to further explore the changes in resource allocation after the introduction of a global budgeting payment scheme. The dataset was collected from the annual statistical reports of Taiwan's Ministry of Health and Welfare (MOHW) and was used to estimate the efficiency of resource allocation in hospital-based healthcare services under global budgeting. In terms of efficiency during the period from 2003 to 2009, one-third of decision-making units (DMUs) improved their productivity in stage I, and seven out of the total of eighteen DMUs saw falls in financial efficiency in stage II. After global budgeting was implemented, there were significant positive impacts on the efficiency of hospital resource allocation in Taiwan. The two-stage DEA model for analyzing the effects of the global budgeting reimbursement system on productivity and financial efficiency represents a key decision-making tool for hospital administrators and policymakers.
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