Perceived impact of Taiwan’s national health insurance allocation strategy: Health professionals’ perspective

Patrick Opiyo Owili, Miriam Adoyo Muga, Ya Ting Yang, Yi Hsin Elsa Hsu

研究成果: 雜誌貢獻文章

1 引文 (Scopus)

摘要

Studies on health care demand have indicated high levels of public satisfaction with Taiwan’s National Health Insurance (NHI). However, the global budget allocation mechanism (GBAM) used by NHI has led to various adjustments in the providers’ way of practice, quality of care, utilization of care, and health expenditure. Studies focusing on the satisfaction of providers with health care supply, however, remain limited. We therefore explored the provider’s perceived impact of the NHI allocation plan. A cross-sectional data of 299 health professionals was collected at Taipei Medical University Hospitals in April 2012. Perceptions and attitudes were assessed using a validated 5-point Likert-type questionnaire before using a structural equation modeling technique to explore the complex interrelationships of the NHI’s perceived impact. The causal path relationships between the latent variables ‘characteristics of NHI’s allocation plan’ and ‘perceived positive effect’ (β = 0.39), ‘perceived positive effect’ and ‘satisfaction of health professionals’ (β = 0.53), and between ‘characteristics of NHI’s allocation plan’ and ‘satisfaction of health professionals’ (β = 0.30) were positively associated; while the path relationships between the latent variables ‘perceived negative effect’ and ‘satisfaction of health professionals’ (β = −0.27) and ‘characteristics of NHI’s allocation plan’ and ‘attitude toward allocation criteria’ (β = −0.22) were negatively associated. These results indicate that providers perceived a positive impact of the NHI allocation strategy. The NHI allocation plan is an important decision-making tool among policy makers since it helps optimize outcomes. Research based on its impact at both horizontal and vertical levels on the supply side may be useful towards understanding Taiwan’s GBAM. Policy-makers should therefore consider understanding the impact of GBAM at both the demand and supply side in adjusting allocation criteria.

原文英語
文章編號467
期刊International Journal of Environmental Research and Public Health
16
發行號3
DOIs
出版狀態已發佈 - 二月 1 2019

指紋

National Health Programs
Budgets
Health
Administrative Personnel
Social Adjustment
Quality of Health Care
Health Expenditures
Health Personnel
Decision Making
Delivery of Health Care
Research

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

引用此文

Perceived impact of Taiwan’s national health insurance allocation strategy : Health professionals’ perspective. / Owili, Patrick Opiyo; Muga, Miriam Adoyo; Yang, Ya Ting; Hsu, Yi Hsin Elsa.

於: International Journal of Environmental Research and Public Health, 卷 16, 編號 3, 467, 01.02.2019.

研究成果: 雜誌貢獻文章

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abstract = "Studies on health care demand have indicated high levels of public satisfaction with Taiwan’s National Health Insurance (NHI). However, the global budget allocation mechanism (GBAM) used by NHI has led to various adjustments in the providers’ way of practice, quality of care, utilization of care, and health expenditure. Studies focusing on the satisfaction of providers with health care supply, however, remain limited. We therefore explored the provider’s perceived impact of the NHI allocation plan. A cross-sectional data of 299 health professionals was collected at Taipei Medical University Hospitals in April 2012. Perceptions and attitudes were assessed using a validated 5-point Likert-type questionnaire before using a structural equation modeling technique to explore the complex interrelationships of the NHI’s perceived impact. The causal path relationships between the latent variables ‘characteristics of NHI’s allocation plan’ and ‘perceived positive effect’ (β = 0.39), ‘perceived positive effect’ and ‘satisfaction of health professionals’ (β = 0.53), and between ‘characteristics of NHI’s allocation plan’ and ‘satisfaction of health professionals’ (β = 0.30) were positively associated; while the path relationships between the latent variables ‘perceived negative effect’ and ‘satisfaction of health professionals’ (β = −0.27) and ‘characteristics of NHI’s allocation plan’ and ‘attitude toward allocation criteria’ (β = −0.22) were negatively associated. These results indicate that providers perceived a positive impact of the NHI allocation strategy. The NHI allocation plan is an important decision-making tool among policy makers since it helps optimize outcomes. Research based on its impact at both horizontal and vertical levels on the supply side may be useful towards understanding Taiwan’s GBAM. Policy-makers should therefore consider understanding the impact of GBAM at both the demand and supply side in adjusting allocation criteria.",
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