https://scholars.lib.ntu.edu.tw/handle/123456789/426549
標題: | Geographical allocation of the healthcare budget in the national health insurance program: What can we learn from other countries? | 作者: | Chen, Pei Ching MING-CHIN YANG Chen, Wan Chi Raymond N. Kuo |
關鍵字: | Global budget | Health inequity | Resource allocation | Resource allocation | Risk adjustment;Global budget; Health inequity; Resource allocation; Resource allocation; Risk adjustment | 公開日期: | 1-八月-2019 | 卷: | 38 | 期: | 4 | 起(迄)頁: | 355 | 來源出版物: | Taiwan Journal of Public Health | 摘要: | © 2019 Chinese Public Health Association of Taiwan. All rights reserved. In 1998, the National Health Insurance program of Taiwan implemented a global budget payment system for dental outpatient services, followed by traditional Chinese medicine, primary care, and hospitals. Under this scheme, the annual healthcare budget is distributed among six regional service areas for enhancing self-management within each area. However, the formulas used in the allocation of the annual budgets differ across sectors. This situation has drawn criticism from healthcare providers, and stakeholders have yet to reach a consensus regarding the types of revisions that should be implemented. For the formulation of healthcare budgets, many medical professionals and researchers are demanding the inclusion of factors such as the variations in healthcare needs, personal risk factors, costs involved in the healthcare service provision, and distribution of healthcare providers in the region. In this study, we review the methods employed in other countries for the distribution of budgets as well as the factors included in their formulas, trends in the development of the budget allocation systems, and their experiences following implementation. Our literature review revealed that the United Kingdom, Australia, and New Zealand allocate healthcare funds according to population-based (also referred to as "needs-based") distribution formulas. These formulas include factors pertaining to age and gender, morbidity, and socioeconomic status. Some of these formulas also account for differences in the supply-side costs and "unmet needs" in the healthcare provision. The methods in question are ostensibly highly effective in accounting for regional healthcare variations and also aim to reduce inequity in healthcare resource distribution. We suggest that morbidity and socioeconomic status should be included in the resource allocation formula in the future. According to the literature review findings, the government should develop localized measures of socioeconomic status that can be applied across Taiwan. The government should also investigate the status quo in relation to "unmet needs" in Taiwan. |
URI: | https://www2.scopus.com/inward/record.uri?eid=2-s2.0-85072774849&doi=10.6288%2fTJPH201908_38%284%29.107094&partnerID=40&md5=7b35525bb2233583bdd3d28e3929963c https://scholars.lib.ntu.edu.tw/handle/123456789/426549 |
ISSN: | 10232141 | DOI: | 10.6288/TJPH201908_38(4).107094 https://api.elsevier.com/content/abstract/scopus_id/85072774849 |
SDG/關鍵字: | age; Australia and New Zealand; budget; consensus; female; gender; government; health care need; health care personnel; human; human experiment; male; morbidity; national health insurance; resource allocation; review; risk assessment; risk factor; social status; Taiwan; United Kingdom |
顯示於: | 健康政策與管理研究所 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。