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The Impact of Family Structure on Utilization of Preventive Care Services among Children under National Health Insurance in Taiwan

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  • Yen-ju Lin
  • Bradley Chen
  • Tsai-Ching Liu
  • Chin-Shyan Chen

Abstract

This study investigates the role of family structure in children’s access to preventive services in the context of a National Health Insurance (NHI) system. We analyzed the 2005 National Health Interview Survey in Taiwan to evaluate the impact of family structure on the utilization of preventive services, including well-child visits and non-free vaccinations. The extended family and single-father family were found to have a significant impact on care use in the unadjusted model even under NHI. However, after controlling for various health, demographic and socio-economic factors, our findings suggest that family structure does not influence the non-free use of vaccines, and financial constraints, instead, play an important role in making parents decide to have non-free vaccines. To further enhance the health and welfare of the children, our findings suggest that the NHI coverage of children’s vaccines might not be adequate and that non-free vaccines should be provided free to those families who cannot afford them. Copyright Springer Science+Business Media, LLC 2012

Suggested Citation

  • Yen-ju Lin & Bradley Chen & Tsai-Ching Liu & Chin-Shyan Chen, 2012. "The Impact of Family Structure on Utilization of Preventive Care Services among Children under National Health Insurance in Taiwan," Journal of Family and Economic Issues, Springer, vol. 33(4), pages 453-463, December.
  • Handle: RePEc:kap:jfamec:v:33:y:2012:i:4:p:453-463
    DOI: 10.1007/s10834-012-9301-8
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    References listed on IDEAS

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    1. Anoshua Chaudhuri, 2021. "Health Research in JFEI Over a Decade: 2009–2019," Journal of Family and Economic Issues, Springer, vol. 42(1), pages 142-153, July.
    2. Intisar Turki Al-darabah & Reham Al-Mouhtadi & Khaled Mohamad Hamaden, 2019. "Family Adherence on Children¡¯s Preventive Measures on the Protection of Children," International Journal of Learning and Development, Macrothink Institute, vol. 9(2), pages 166-186, June.

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