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The soaring mechanic ventilator utilization under a universal health insurance in Taiwan

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  • Cheng, Shou-Hsia
  • Jan, I-Shiow
  • Liu, Pin-Chun

Abstract

Objectives The use of mechanic ventilators (MVs) is increasing in many countries. Taiwan's Bureau of National Health Insurance (NHI) launched a new payment program in 2000 to encourage integrated care for mechanically ventilated patients and to reduce the heavy utilization of high-cost intensive care unit. This study examines the trend in MV usage in Taiwan.Methods This study used nationally representative NHI claim data from 1997 to 2004 to examine the MV usage. Total inpatient days and MV usage days were analyzed by piece-wise regression model. We also analyzed the major diagnoses related to MV dependence.Results While the total hospital inpatient days increased only 49.41%, MV usage rose 181.75% over the 8-year study period. The increase in number of MV patient-days in ICUs has not been curbed, besides there was an increase in respiratory care center/wards. Acute respiratory failure (ARF), pneumonia and diabetes mellitus were the leading diagnoses for mechanically ventilated patients.Conclusions The new NHI insurance payment program may have helped spark the increased trend in MV usage in Taiwan. The significant impact of insurance incentive on healthcare utilization is a critical issue for policymakers in developing healthcare programs.

Suggested Citation

  • Cheng, Shou-Hsia & Jan, I-Shiow & Liu, Pin-Chun, 2008. "The soaring mechanic ventilator utilization under a universal health insurance in Taiwan," Health Policy, Elsevier, vol. 86(2-3), pages 288-294, May.
    • Handle: RePEc:eee:hepoli:v:86:y:2008:i:2-3:p:288-294
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    Cited by:

    1. Francesco Ventrella & Francesca Fortunato, 2019. "Organizzazione della Struttura Complessa di Medicina interna per intensit? di cure: l?Area critica di Medicina interna," MECOSAN, FrancoAngeli Editore, vol. 2019(112), pages 7-39.
    2. Mei-Chuan Hung & Hsin-Ming Lu & Likwang Chen & Ming-Shian Lin & Cheng-Ren Chen & Chong-Jen Yu & Jung-Der Wang, 2012. "Cost per QALY (Quality-Adjusted Life Year) and Lifetime Cost of Prolonged Mechanical Ventilation in Taiwan," PLOS ONE, Public Library of Science, vol. 7(9), pages 1-10, September.

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