Home > Publications . Search All . Browse All . Country . Browse PSC Pubs . PSC Report Series

PSC In The News

RSS Feed icon

Elliott co-PI on new study examining how early environment impacts children's health

Levy says ACA has helped increase rates of insured, but rates still lowest among poor

Bruch reveals key decision criteria in making first cuts on dating sites

More News

Highlights

U-M ranked #4 in USN&WR's top public universities

Frey's new report explores how the changing US electorate could shape the next 5 presidential elections, 2016 to 2032

U-M's Data Science Initiative offers expanded consulting services via CSCAR

Elizabeth Bruch promoted to Associate Professor

Next Brown Bag

Mon, Oct 3 at noon:
Longevity, Education, & Income, Hoyt Bleakley

The Impact of National Health Insurance on Treatment for High Blood Pressure among Older Taiwanese

Publication Abstract

Download PDF versionPrakash, Archana, and Mary Beth Ofstedal. 2010. "The Impact of National Health Insurance on Treatment for High Blood Pressure among Older Taiwanese." Elderly in Asia Report No. 10-64. May 2010.

In 1995, Taiwan implemented a national health insurance program (NHI) to provide equitable, affordable, and universal health care coverage to all its citizens. Prior to this, 43% of the population was uninsured and 57% was covered by one of three major insurance programs.

In this study, we examine the effect of NHI on the utilization of medical services (physician visits and medication use) for high blood pressure (HBP). We compare utilization before and after the introduction of NHI across three groups—those who were uninsured, covered by government insurance (GI), and covered by non-government insurance (NGI) prior to 1995. Analyses are based on data from the 1993 and 1999 waves of the Survey of Health and Living Status of the Middle-Aged and Elderly in Taiwan (1989-2003). The sample is restricted to persons age 70+ who have HBP. Multivariate logit regressions models are based on Andersen’s behavioral model of health services utilization.

Results suggest that before NHI, insured respondents were more likely to visit a physician and use medications for their HBP compared to their uninsured counterparts. After NHI, these differentials are reduced, except that those with NGI remain more likely than those who were uninsured prior to NHI to visit a physician. The results provide support for the effectiveness of NHI in increasing utilization of health care and reducing the gap in utilization between the previously uninsured and insured. Implications of these results provide potential guidelines in formulating health care policies in managing and reducing the adverse effects of HBP.

Country of focus: Taiwan.

Browse | Search : All Pubs | Next