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The effectiveness of preventive care at reducing curative care risk for the Taiwanese elderly under National Health Insurance

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  • Chen, Chin-Shyan
  • Peng, Yu-I
  • Lee, Ping-Chang
  • Liu, Tsai-Ching

Abstract

Whether provision of free preventive care for the elderly under National Health Insurance has reduced the risk for curative care use raises much concern in Taiwan. This study analyzes the relationship by examining the impact of health examination utilization on the utilizations of outpatient care and inpatient care. Data come from the 2005 National Health Interview Survey and National Health Insurance Research Database. A two-stage method is used in the estimation. We found a negative relationship between the utilization of preventive care and hospitalization care in terms of length of stay and medical expenditures. On average, the elderly people who used preventive care tended to have 16 shorter hospitalization stays and NTD64,220 lower hospitalization expenditures than their counterparts. In order to improve the health of the elderly and reduce the escalation of medical expenditures due to aging, including preventive care in the health insurance is a very effective strategy.

Suggested Citation

  • Chen, Chin-Shyan & Peng, Yu-I & Lee, Ping-Chang & Liu, Tsai-Ching, 2015. "The effectiveness of preventive care at reducing curative care risk for the Taiwanese elderly under National Health Insurance," Health Policy, Elsevier, vol. 119(6), pages 787-793.
    • Handle: RePEc:eee:hepoli:v:119:y:2015:i:6:p:787-793
    DOI: 10.1016/j.healthpol.2015.01.004
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    References listed on IDEAS

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    1. Burton, L.C. & Steinwachs, D.M. & German, P.S. & Shapiro, S. & Brant, L.J. & Richards, T.M. & Clark, R.D., 1995. "Preventive services for the elderly: Would coverage affect utilization and costs under Medicare?," American Journal of Public Health, American Public Health Association, vol. 85(3), pages 387-391.
    2. Nakanishi, Noriyuki & Tatara, Kozo & Fujiwara, Hitoshi, 1996. "Do preventive health services reduce eventual demand for medical care?," Social Science & Medicine, Elsevier, vol. 43(6), pages 999-1005, September.
    3. Tian, Wei-Hua & Chen, Chin-Shyan & Liu, Tsai-Ching, 2010. "The demand for preventive care services and its relationship with inpatient services," Health Policy, Elsevier, vol. 94(2), pages 164-174, February.
    4. German, P.S. & Burton, L.C. & Shapiro, S. & Steinwachs, D.M. & Tsuji, I. & Paglia, M.J. & Damiano, A.M., 1995. "Extended coverage for preventive services for the elderly: Response and results in a demonstration population," American Journal of Public Health, American Public Health Association, vol. 85(3), pages 379-386.
    5. Powell-Griner, E. & Bolen, J. & Bland, S., 1999. "Health care coverage and use of preventive services among the near elderly in the United States," American Journal of Public Health, American Public Health Association, vol. 89(6), pages 882-886.
    6. Jenkins, Christopher N. H. & Le, Thao & McPhee, Stephen J. & Stewart, Susan & Ha, Ngoc The, 1996. "Health care access and preventive care among Vietnamese immigrants: Do traditional beliefs and practices pose barriers?," Social Science & Medicine, Elsevier, vol. 43(7), pages 1049-1056, October.
    7. Wu, Stephen, 2003. "Sickness and preventive medical behavior," Journal of Health Economics, Elsevier, vol. 22(4), pages 675-689, July.
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    Cited by:

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