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Growing concerns and controversies to Taiwan's National Health Insurance—what are the lessons from mainland China, South Korea and Singapore?

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  • Yen‐Han Lee
  • Ting Fang Alvin Ang
  • Timothy C. Chiang
  • Warren A. Kaplan

Abstract

It has been over 20 years since Taiwan's implementation of its National Health Insurance (NHI) program. Under this program, the health insurance coverage rate has reached approximately 99% of the population. Despite guaranteeing the residents of Taiwan equal access regardless of socioeconomic status and background, critical problems and controversies persist, and they continue to challenge the NHI. We analyze the primary issues facing the NHI program with emphasis on financial and consumer behavioral aspects. Furthermore, we apply models from mainland China, South Korea and Singapore to discuss what Taiwan could learn from the systems employed by these countries to modify the NHI. Targeting the needs of the NHI, we have three policy recommendations: separating the NHI scheme into different target populations, strengthening the NHI referral system and regulating the access of overseas citizens to health services while in Taiwan. After two decades in existence, problems persist and there is a continuing need to improve Taiwan's NHI. Copyright © 2016 John Wiley & Sons, Ltd.

Suggested Citation

  • Yen‐Han Lee & Ting Fang Alvin Ang & Timothy C. Chiang & Warren A. Kaplan, 2018. "Growing concerns and controversies to Taiwan's National Health Insurance—what are the lessons from mainland China, South Korea and Singapore?," International Journal of Health Planning and Management, Wiley Blackwell, vol. 33(1), pages 357-366, January.
    • Handle: RePEc:bla:ijhplm:v:33:y:2018:i:1:p:e357-e366
    DOI: 10.1002/hpm.2387
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    Cited by:

    1. Ta-Peng Wu & Cheng-Hung Tsai & Yu-Ting Su & Chu-Chiao Wang & Tzeng-Ji Chen & Ching-Mao Chang & Fang-Pey Chen, 2018. "The Evaluation of Professional Divisions of Traditional Chinese Medicine in Taiwan through Patient Visit Records of 2012," IJERPH, MDPI, vol. 15(9), pages 1-13, September.
    2. Ru-Yu Huang & Ting-Ting Lee & Yi-Hsien Lin & Chieh-Yu Liu & Hsiu-Chun Wu & Shu-He Huang, 2022. "Factors Related to Family Caregivers’ Readiness for the Hospital Discharge of Advanced Cancer Patients," IJERPH, MDPI, vol. 19(13), pages 1-14, July.
    3. Hanna Lee & Ji-Soon Kang & Jeong-Won Han, 2020. "Validity and Reliability of the Korean Version of the Anesthesia Surrendering Instrument," IJERPH, MDPI, vol. 17(9), pages 1-11, April.
    4. Hung-Yu Wang & Joh-Jong Huang & Shu-Fang Su & Sheng-Hao Hsu & Li-Shiu Chou & Frank Huang-Chih Chou, 2020. "From folk therapy to evidence-based psychiatry practice: The benefit of evidence-based psychiatry in treatment-naive psychotic patients," International Journal of Social Psychiatry, , vol. 66(6), pages 593-599, September.

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