The effects of outpatient co-payment policy on healthcare usage by the elderly in Taiwan

Archives of Gerontology and Geriatrics

Volumn 43, Issue 1, 2006, Pages 101-116

  Huang, Jen Hung ^a   Tung, Cheng Mei ^a  

^a NATIONAL CHIAO TUNG UNIVERSITY   (Taiwan)

Author keywords

Co payment; National Health Insurance; Usage behavior; Visit frequency

Indexed keywords

AGED; ARTICLE; CHRONIC DISEASE; CONTROLLED STUDY; DRUG COST; FEMALE; GOVERNMENT; HEALTH CARE COST; HEALTH CARE POLICY; HEALTH CARE UTILIZATION; HEALTH INSURANCE; HOSPITAL; HUMAN; MALE; MEDICAL CARE; OUTPATIENT CARE; PRIORITY JOURNAL; TAIWAN;

AGED; AGED, 80 AND OVER; ANALYSIS OF VARIANCE; CHRONIC DISEASE; COST SHARING; FEMALE; FRAIL ELDERLY; HEALTH CARE SURVEYS; HEALTH POLICY; HEALTH SERVICES FOR THE AGED; HOSPITALS, DISTRICT; HOSPITALS, TEACHING; HUMANS; MALE; NATIONAL HEALTH PROGRAMS; OUTPATIENT CLINICS, HOSPITAL; PATIENT ACCEPTANCE OF HEALTH CARE; POPULATION DYNAMICS; TAIWAN;

EID: 33744981889     PISSN: 01674943     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.archger.2005.09.007     Document Type: Article

References (38)

1. AHRQ, 2001. Improving the Health Care of Older Americans. Retrieved June 21, 2004 from http://www.ahrq.gov/research/olderam/.
2. Allert G., Sponholz G., and Baitsch H. Chronic disease and the meaning of old age. The Hasting Center Report 24 (1994) 11-13
3. AMA, 2004. Health Care Expenditures. Retrieved August 16, 2004 from http://www.ama-assn.org/ama1/pub/upload/mm/41/ea06.pdf.
4. CDC, 2004. Chronic Disease Overview. Retrieved November 21, 2004 from http://www.cdc.gov/nccdphp/overview.htm.
5. Christensen R. Analysis of Variance Design and Regression: Applied Statistical Methods (1996), Chapman & Hall, London
6. Cohen P.R. Empirical Methods for Artificial Intelligence (1995), MIT Press, Cambridge, MA
7. Council for Economic Planning and Development, 2004. Taiwan Statistical Data Book. Retrieved September 15, 2004 from http://www.cepd.gov.tw/english/e_development.cfm?id=3.
8. Directorate General of Budget, Accounting and Statistics, Executive Yuan, ROC, 2005. Statistical Yearbook. Retrieved June 27, 2005 from http://eng.dgbas.gov.tw/public/data/dgbas03/bs2/yearbook_eng/y010.pdf.
9. DOH, 2004a. Health and National Health Insurance Annual Statistics Services 2001. Retrieved August 1, 2004 from http://www.doh.gov.tw/statistic/data/{A figure is presented}/1.xls (in Chinese).
10. DOH, 2004b. Insurance Acceptance Affairs. Retrieved November 28, 2004 from http://www.doh.gov.tw/EN/Webpage/List.aspx?Lmenu=Lmenu6&Rmenu=&show=show&goon=1.
11. DOH, 2004c. National Health Insurance Annual Statistical Report 2002: Detailed Ambulatory Care Expenses by Level of Sex and Age.Retrieved November 24, 2004 from http://www.doh.gov.tw/EN/Webpage/list.aspx?dept=L&class_no=258&level_no=1&show=show&Lmenu=Lmenu6&Rmenu=.
12. EUROPA, 2004. The Future of Health Care and Care for the Elderly: Guaranteeing Accessibility, Quality and Financial Viability. Retrieved June 30, 2005 from http://europa.eu.int/scadplus/leg/en/cha/c11310.htm.
13. Families USA, 2000. Cost Overdose: Growth in Drug Spending for the Elderly 1992-2010. Retrieved June 21, 2004 from http://www.familiesusa.org/site/DocServer/drugod.pdf?docID=726.
14. Global Action on Aging, 2003. EU Life Expectancy Increases, Says Survey. Retrieved July 27, 2005 from http://www.globalaging.org/health/world/expectancy.htm.
15. Horgan C.M. The demand for ambulatory mental health services from specialty provides. Health Serv. Res. 21 (1986) 291-320
16. Hwang W., Weller W., Ireys H., and Anderson G. Out-of-pocket medical spending for care of chronic conditions. Health Aff. 20 (2001) 267-278
17. Kane R.L., and Matthias R. From hospital to nursing home: the long-term care connection. Gerontologist 24 (1984) 604-609
18. Kim E.Y., and Yang B.M. Cost-effectiveness of long-term care services in South Korea. Arch. Gerontol. Geriatr. 40 (2005) 73-83
19. Liu S.Z., and Romeis J.C. Assessing the effect of Taiwan's outpatient description drug copayment policy in the elderly. Med. Care 41 (2003) 1331-1342
20. Lu J.F., and Hsiao W.C. Does universal health insurance make health care unaffordable? Lessons from Taiwan. Health Aff. 22 (2003) 77-88
21. Magid D.J., Koepsell T.D., Every N.R., Martin J.S., Siscovick D.S., Wagner E.H., and Weaver W.D. Absence of association between copayments and delays in seeking emergency care among patients with myocardial infarction. N. Engl. J. Med. 336 (1997) 1722-1729
22. NHIB, 1996. The Categories of Chronic Disease of NHI {A figure is presented}. Retrieved July 15, 2004 from http://www.nhi.gov.tw/webdata/AttachFiles/Attach_173_1_a03.doc (in Chinese).
23. NHIB, 2002. The National Health Insurance Statistics 2001. Retrieved July 15, 2004 from http://www.nhi.gov.tw/00english/e_index.htm.
24. NHIB, 2003. National Health Insurance Act. Retrieved August 15, 2004 from http://www.nhi.gov.tw/00english/e_index.htm.
25. NHRI, 2001. National Health Interview Survey. Retrieved June 4, 2004 from http://nhis.nhri.org.tw/EXEC/1/8CAA8F18DB8BB7DF73A8E240.
26. OECD, 2001. Health Data 2000. Retrieved August 1, 2004 from http://www1.oecd.org/publications/figures/.
27. Ong M., Catalano R., and Hartig T. A time-series analysis of the effect of increased copayments on the prescription of antidepressants, anxiolytics, and sedatives in Sweden from 1990 to 1999. Clin. Ther. 25 (2003) 1262-1275
28. Peabody J.W., Rahman M.O., Gertler P.J., Mann J., and Farley D.O. In: Luck J. (Ed). Policy and Health: Implications for Development in Asia (Rand Studies in Policy Analysis) (1999), Cambridge University Press, Cambridge, U.K.
29. Pilote L., Beck C., Richard H., and Eisenberg M.J. The effects of cost-sharing on essential drug prescriptions, utilization of medical care and outcomes after acute myocardial infarction in elderly patients. Can. Med. Assoc. J. 167 (2002) 246-252
30. RAND, 2004. Preparing for an Aging World. Retrieved July 27, 2004 from http://www.rand.org/publications/RB/RB5058/.
31. Rubenstein L.Z., Josephson K.R., Wieland G.D., and Kane R.L. Differential prognosis and utilization patterns among clinical subgroups of hospitalized geriatric patients. Health Serv. Res. 20 (1986) 881-895
32. Selby J.V., Fireman B.H., and Swain B.E. Effect of co-payment on use of the emergency department in a health maintenance organization. N. Engl. J. Med. 334 (1996) 635-641
33. Simon G.E., Grothaus L., Durham M.L., Vonkorff M., and Pabiniak C. Impact of visit co-payments on outpatient mental health utilization by members of a Health Maintenance Organization. Am. J. Psychiatry 153 (1996) 331-338
34. Tamblyn R., Laprise R., Hanley J.A., Abrahamowicz M., Scott S., Mayo N., Hurley J., Grad R., Latimer E., Perreault R., McLeod P., Huang A., Larochelle P., and Mallet L. Adverse events associated with prescription drug cost-sharing among poor and elderly persons. J. Am. Med. Assoc. 285 (2001) 421-429
35. US Census Bureau, 2002. Summary Population and Housing Characteristics. United States: 2000. Retrieved July 26, 2005 from http://www.census.gov/prod/cen2000/phc-1-1-pt1.pdf.
36. Wang G., and Friedlob A. Impact of income and payment sources on consumer medical expenditure. Consum. Interests Annu. 42 (1996) 105-112
37. Wu, S.C., Chang, M.C., (Eds.), 1997. Health Care for the Elderly in Taiwan: A Fact Book, 1993-1994. Health Policy Research Center, College of Public Health, National Taiwan University and Taiwan Provincial Institute of Family Planning, Taichung, Taiwan.
38. Zazove, P., Mehr, D.R., Ruffin, M.T., Klinkman, M.S., Peggs, J.F., Davies, T.C., 1992. A geriatric health maintenance program-A criterion-based review of preventive health care in the elderly, Part 2-clinical review. J. Fam. Pract. Retrieved August 7, 2004 from http://www.findarticles.com/p/articles/mi_m0689/is_n3_v34/ai_12029940.