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LTC 2.0: The 2017 reform of home- and community-based long-term care in Taiwan

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  • Hsu, Hui-Chuan
  • Chen, Chen-Fen

Abstract

Taiwan planned to establish a social insurance-based long-term care system in 2016. However, due to the change in political parties that year, it was decided that Taiwan’s long-term care policy would remain a tax-based financing scheme. The new policy focuses on providing home- and community-based service (HCBS); a three-layer HCBS service network within towns and districts was set to provide the 17 types of services in the HCBS spectrum, including preventive care. The reform was criticized as being too restrictive and lacking flexibility. However, the HCBS service spectrum has been widened, the target group has been enlarged, and thus HCBS utilization has increased. A rolling amendment has continued into 2018: the HCBS system requirement has been eased, and a new capitalized fee-for-service payment system has been launched. This paper discusses the analysis of the policy reform.

Suggested Citation

  • Hsu, Hui-Chuan & Chen, Chen-Fen, 2019. "LTC 2.0: The 2017 reform of home- and community-based long-term care in Taiwan," Health Policy, Elsevier, vol. 123(10), pages 912-916.
    • Handle: RePEc:eee:hepoli:v:123:y:2019:i:10:p:912-916
    DOI: 10.1016/j.healthpol.2019.08.004
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    References listed on IDEAS

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    1. Maarse, J.A.M. (Hans) & Jeurissen, P.P. (Patrick), 2016. "The policy and politics of the 2015 long-term care reform in the Netherlands," Health Policy, Elsevier, vol. 120(3), pages 241-245.
    2. Rhee, Jong Chul & Done, Nicolae & Anderson, Gerard F., 2015. "Considering long-term care insurance for middle-income countries: comparing South Korea with Japan and Germany," Health Policy, Elsevier, vol. 119(10), pages 1319-1329.
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    Cited by:

    1. Song, Misook & Song, Hyunjong, 2020. "Disagreement between a public insurer’s recommendation and beneficiary’s choice of long-term care services in Korea," Health Policy, Elsevier, vol. 124(8), pages 881-887.
    2. Cutler, Henry & Gu, Yuanyuan & Bilgrami, Anam & Partington, Andrew, 2023. "The 2021 proposal to increase market forces in the Australian residential aged-care sector," Health Policy, Elsevier, vol. 127(C), pages 60-65.

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