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Utilization of health care services by elderly people with National Health Insurance in Taiwan: The heterogeneous health profile approach

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  • Liu, Li-Fan
  • Tian, Wei-Hua
  • Yao, Hui-Ping

Abstract

Taiwan is now facing an increased prevalence of aging related diseases and escalating healthcare costs. Within the context of the health care system and NHI in Taiwan, the aim of this study was to examine the health profiles of elderly people by using Latent Class Analysis to determine the effects of different health profiles on the health care services utilization and expenditures, and to examine the factors associated with by controlling for the health profiles of elderly people.

Suggested Citation

  • Liu, Li-Fan & Tian, Wei-Hua & Yao, Hui-Ping, 2012. "Utilization of health care services by elderly people with National Health Insurance in Taiwan: The heterogeneous health profile approach," Health Policy, Elsevier, vol. 108(2), pages 246-255.
  • Handle: RePEc:eee:hepoli:v:108:y:2012:i:2:p:246-255
    DOI: 10.1016/j.healthpol.2012.08.022
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    1. Shih, Shu-Fang & Lew-Ting, Chih-Yin & Chang, Hsing-Yi & Kuo, Ken N., 2008. "Insurance covered and non-covered complementary and alternative medicine utilisation among adults in Taiwan," Social Science & Medicine, Elsevier, vol. 67(7), pages 1183-1189, October.
    2. Andreas Werblow & Stefan Felder & Peter Zweifel, 2007. "Population ageing and health care expenditure: a school of ‘red herrings’?," Health Economics, John Wiley & Sons, Ltd., vol. 16(10), pages 1109-1126, October.
    3. Office of Health Economics, 2007. "The Economics of Health Care," For School 001490, Office of Health Economics.
    4. de Meijer, Claudine & Koopmanschap, Marc & d' Uva, Teresa Bago & van Doorslaer, Eddy, 2011. "Determinants of long-term care spending: Age, time to death or disability?," Journal of Health Economics, Elsevier, vol. 30(2), pages 425-438, March.
    5. Zhou Yang & Edward C. Norton & Sally C. Stearns, 2003. "Longevity and Health Care Expenditures," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 58(1), pages 2-10.
    6. Martin Schellhorn & Andreas E. Stuck & Christoph E. Minder & John C. Beck, 2000. "Health services utilization of elderly Swiss: evidence from panel data," Health Economics, John Wiley & Sons, Ltd., vol. 9(6), pages 533-545, September.
    7. Fernandez-Olano, C. & Hidalgo, J.D. Lopez-Torres & Cerda-Diaz, R. & Requena-Gallego, M. & Sanchez-Castano, C. & Urbistondo-Cascales, L. & Otero-Puime, A., 2006. "Factors associated with health care utilization by the elderly in a public health care system," Health Policy, Elsevier, vol. 75(2), pages 131-139, January.
    8. Paul McNamee, 2004. "A comparison of the grade of membership measure with alternative health indicators in explaining costs for older people," Health Economics, John Wiley & Sons, Ltd., vol. 13(4), pages 379-395, April.
    9. Likwang Chen & Winnie Yip & Ming‐Cheng Chang & Hui‐Sheng Lin & Shyh‐Dye Lee & Ya‐Ling Chiu & Yu‐Hsuan Lin, 2007. "The effects of Taiwan's National Health Insurance on access and health status of the elderly," Health Economics, John Wiley & Sons, Ltd., vol. 16(3), pages 223-242, March.
    10. Manning, Willard G. & Mullahy, John, 2001. "Estimating log models: to transform or not to transform?," Journal of Health Economics, Elsevier, vol. 20(4), pages 461-494, July.
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    Cited by:

    1. Linglong Ye & Jiecheng Luo & Ben-Chang Shia & Ya Fang, 2019. "Multidimensional Health Groups and Healthcare Utilization Among Elderly Chinese: Based on the 2014 CLHLS Dataset," IJERPH, MDPI, vol. 16(20), pages 1-13, October.
    2. Man Jiang & Guang Yang & Lvying Fang & Jin Wan & Yinghua Yang & Ying Wang, 2018. "Factors associated with healthcare utilization among community-dwelling elderly in Shanghai, China," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-22, December.
    3. Tao Zhang & Chaojie Liu & Ziling Ni, 2019. "Association of Access to Healthcare with Self-Assessed Health and Quality of Life among Old Adults with Chronic Disease in China: Urban Versus Rural Populations," IJERPH, MDPI, vol. 16(14), pages 1-14, July.
    4. Winter, Vera & Thomsen, Mette Kjærgaard & Schreyögg, Jonas & Blankart, Katharina & Duminy, Lize & Schoenenberger, Lukas & Ansah, John P. & Matchar, David & Blankart, Carl Rudolf & Oppel, Eva & Jensen,, 2019. "Improving Service Provision - The Health Care Services' Perspective," SMR - Journal of Service Management Research, Nomos Verlagsgesellschaft mbH & Co. KG, vol. 3(4), pages 163-183.
    5. Ravensbergen, W.M. & Drewes, Y.M. & Hilderink, H.B.M. & Verschuuren, M. & Gussekloo, J. & Vonk, R.A.A., 2019. "Combined impact of future trends on healthcare utilisation of older people: A Delphi study," Health Policy, Elsevier, vol. 123(10), pages 947-954.
    6. Yu-Chieh Ko & De-Kuang Hwang & Wei-Ta Chen & Ching-Chih Lee & Catherine J Liu, 2016. "Impact of Socioeconomic Status on the Diagnosis of Primary Open-Angle Glaucoma and Primary Angle Closure Glaucoma: A Nationwide Population-Based Study in Taiwan," PLOS ONE, Public Library of Science, vol. 11(2), pages 1-10, February.
    7. Li-Fan Liu, 2014. "The Health Heterogeneity of and Health Care Utilization by the Elderly in Taiwan," IJERPH, MDPI, vol. 11(2), pages 1-14, January.
    8. Rowan G M Smeets & Arianne M J Elissen & Mariëlle E A L Kroese & Niels Hameleers & Dirk Ruwaard, 2020. "Identifying subgroups of high-need, high-cost, chronically ill patients in primary care: A latent class analysis," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-16, January.

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