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The demand for preventive care services and its relationship with inpatient services

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  • Tian, Wei-Hua
  • Chen, Chin-Shyan
  • Liu, Tsai-Ching
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    Abstract

    Objective To examine not only the relationship between the utilization of preventive health care services and inpatient services, but to also investigate the factors affecting the utilization of such services by the middle-aged and elderly.Method We use data obtained from the 2003 Survey of Health and Living Status of the Elderly in Taiwan (SHLSE), hypothesizing that preventive health care services can be regarded as an appropriate substitute for subsequent medical services such as inpatient services; a recursive simultaneous model is used to avoid the problems of endogeneity.Results The main results of this study indicate that the utilization of preventive health care services has the effect of reducing the probability of the utilization of inpatient services.Conclusion The utilization of preventive care services can help to promote healthier lifestyles, provide early detection of illnesses, and reduce the need for subsequent inpatient care services amongst individuals. We suggest that effective outreach strategies to promote the utilization of preventive care services are essential.

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    File URL: http://www.sciencedirect.com/science/article/B6V8X-4XHC68H-2/2/c4a325330410e89bec68519967ae2eed
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    Bibliographic Info

    Article provided by Elsevier in its journal Health Policy.

    Volume (Year): 94 (2010)
    Issue (Month): 2 (February)
    Pages: 164-174

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    Handle: RePEc:eee:hepoli:v:94:y:2010:i:2:p:164-174

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    Web page: http://www.elsevier.com/locate/healthpol

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    Keywords: Preventive care services Inpatient services National Health Insurance (NHI) Taiwan;

    References

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    1. Partha Deb, 2001. "A discrete random effects probit model with application to the demand for preventive care," Health Economics, John Wiley & Sons, Ltd., vol. 10(5), pages 371-383.
    2. Chen, Chin-Shyan & Liu, Tsai-Ching & Chen, Li-Mei, 2003. "National Health Insurance and the antenatal care use: a case in Taiwan," Health Policy, Elsevier, vol. 64(1), pages 99-112, April.
    3. Sindelar, Jody L, 1982. "Differential Use of Medical Care by Sex," Journal of Political Economy, University of Chicago Press, vol. 90(5), pages 1003-19, October.
    4. Wu, Stephen, 2003. "Sickness and preventive medical behavior," Journal of Health Economics, Elsevier, vol. 22(4), pages 675-689, July.
    5. Chee-Ruey Hsieh & Shin-Jong Lin, 1997. "Health Information and the Demand for Preventive Care among the Elderly in Taiwan," Journal of Human Resources, University of Wisconsin Press, vol. 32(2), pages 303-333.
    6. Stephen T. Parente & David S. Salkever & Joan DaVanzo, 2005. "The role of consumer knowledge of insurance benefits in the demand for preventive health care among the elderly," Health Economics, John Wiley & Sons, Ltd., vol. 14(1), pages 25-38.
    7. Beckett, Megan & Goldman, Noreen & Weinstein, Maxine & Lin, I-Fen & Chuang, Yi-Li, 2002. "Social environment, life challenge, and health among the elderly in Taiwan," Social Science & Medicine, Elsevier, vol. 55(2), pages 191-209, July.
    8. Chen, Chin-Shyan & Liu, Tsai-Ching & Lin, Herng-Ching & Tian, Wei-Hua, 2007. "The effect of Taiwan's National Health Insurance on infants' preventive care use and inpatient care use," Health Policy, Elsevier, vol. 80(3), pages 432-443, March.
    9. Kenkel, Don, 1990. "Consumer Health Information and the Demand for Medical Care," The Review of Economics and Statistics, MIT Press, vol. 72(4), pages 587-95, November.
    10. Cropper, M L, 1977. "Health, Investment in Health, and Occupational Choice," Journal of Political Economy, University of Chicago Press, vol. 85(6), pages 1273-94, December.
    11. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-55, March-Apr.
    12. Zachary Zimmer & Xian Liu & Albert Hermalin & Yi-Li Chuang, 1998. "Educational attainment and transitions in functional status among older Taiwanese," Demography, Springer, vol. 35(3), pages 361-375, August.
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    Cited by:
    1. Chun-Chih Chen & Yen-Ju Lin & Ying-Tzu Lin, 2013. "Awareness and utilization of preventive care services among the elderly under National Health Insurance," International Journal of Health Care Finance and Economics, Springer, vol. 13(3), pages 247-260, December.
    2. Tian, Wei-Hua & Liu, Tsai-Ching & Chen, Chin-Shyan & Liu, Li-Fan & Tien, Joseph J., 2012. "The relationship between depressive symptoms and health service utilization for elderly people in Taiwan," Health Policy, Elsevier, vol. 108(2), pages 256-267.

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