LTC 2.0

The 2017 reform of home- and community-based long-term care in Taiwan

Hui Chuan Hsu, Chen Fen Chen

研究成果: 雜誌貢獻文章

摘要

Taiwan planned to establish a social insurance-based long-term care system in 2016. However, due to the change in political parties that year, it was decided that Taiwan's long-term care policy would remain a tax-based financing scheme. The new policy focuses on providing home- and community-based service (HCBS); a three-layer HCBS service network within towns and districts was set to provide the 17 types of services in the HCBS spectrum, including preventive care. The reform was criticized as being too restrictive and lacking flexibility. However, the HCBS service spectrum has been widened, the target group has been enlarged, and thus HCBS utilization has increased. A rolling amendment has continued into 2018: the HCBS system requirement has been eased, and a new capitalized fee-for-service payment system has been launched. This paper discusses the analysis of the policy reform.

原文英語
期刊Health Policy
DOIs
出版狀態已發佈 - 一月 1 2019

指紋

Social Welfare
Long-Term Care
Taiwan
Fee-for-Service Plans
Preventive Medicine
Social Security
Policy Making
Taxes

ASJC Scopus subject areas

  • Health Policy

引用此文

LTC 2.0 : The 2017 reform of home- and community-based long-term care in Taiwan. / Hsu, Hui Chuan; Chen, Chen Fen.

於: Health Policy, 01.01.2019.

研究成果: 雜誌貢獻文章

@article{54f981b42c034e6aba6ba08eec79d229,
title = "LTC 2.0: The 2017 reform of home- and community-based long-term care in Taiwan",
abstract = "Taiwan planned to establish a social insurance-based long-term care system in 2016. However, due to the change in political parties that year, it was decided that Taiwan's long-term care policy would remain a tax-based financing scheme. The new policy focuses on providing home- and community-based service (HCBS); a three-layer HCBS service network within towns and districts was set to provide the 17 types of services in the HCBS spectrum, including preventive care. The reform was criticized as being too restrictive and lacking flexibility. However, the HCBS service spectrum has been widened, the target group has been enlarged, and thus HCBS utilization has increased. A rolling amendment has continued into 2018: the HCBS system requirement has been eased, and a new capitalized fee-for-service payment system has been launched. This paper discusses the analysis of the policy reform.",
keywords = "Home- and community-based services (HCBS), Long-term care policy, Payment system, Policy reform",
author = "Hsu, {Hui Chuan} and Chen, {Chen Fen}",
year = "2019",
month = "1",
day = "1",
doi = "10.1016/j.healthpol.2019.08.004",
language = "English",
journal = "Health Policy",
issn = "0168-8510",
publisher = "Elsevier Ireland Ltd",

}

TY - JOUR

T1 - LTC 2.0

T2 - The 2017 reform of home- and community-based long-term care in Taiwan

AU - Hsu, Hui Chuan

AU - Chen, Chen Fen

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Taiwan planned to establish a social insurance-based long-term care system in 2016. However, due to the change in political parties that year, it was decided that Taiwan's long-term care policy would remain a tax-based financing scheme. The new policy focuses on providing home- and community-based service (HCBS); a three-layer HCBS service network within towns and districts was set to provide the 17 types of services in the HCBS spectrum, including preventive care. The reform was criticized as being too restrictive and lacking flexibility. However, the HCBS service spectrum has been widened, the target group has been enlarged, and thus HCBS utilization has increased. A rolling amendment has continued into 2018: the HCBS system requirement has been eased, and a new capitalized fee-for-service payment system has been launched. This paper discusses the analysis of the policy reform.

AB - Taiwan planned to establish a social insurance-based long-term care system in 2016. However, due to the change in political parties that year, it was decided that Taiwan's long-term care policy would remain a tax-based financing scheme. The new policy focuses on providing home- and community-based service (HCBS); a three-layer HCBS service network within towns and districts was set to provide the 17 types of services in the HCBS spectrum, including preventive care. The reform was criticized as being too restrictive and lacking flexibility. However, the HCBS service spectrum has been widened, the target group has been enlarged, and thus HCBS utilization has increased. A rolling amendment has continued into 2018: the HCBS system requirement has been eased, and a new capitalized fee-for-service payment system has been launched. This paper discusses the analysis of the policy reform.

KW - Home- and community-based services (HCBS)

KW - Long-term care policy

KW - Payment system

KW - Policy reform

UR - http://www.scopus.com/inward/record.url?scp=85071140217&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85071140217&partnerID=8YFLogxK

U2 - 10.1016/j.healthpol.2019.08.004

DO - 10.1016/j.healthpol.2019.08.004

M3 - Article

JO - Health Policy

JF - Health Policy

SN - 0168-8510

ER -