Project Details
Abstract
In 2015, UN has proposed 17 Sustainable Development Goals (covering 169
targets) to be accomplished by 2030. Among which, Universal Health Coverage
(UHC) is explicitly listed as the 8th target under Goal 3. With the arduous efforts by
the international organizations, UHC is globally promoted as an important policy
target. WHO has also emphasized the important of tracking UHC and monitoring
the implementation progress in two main aspects, health services (prevention and
treatment) and financial risk protection (medical impoverishment and incidence of
catastrophic payment).
It has been 20 years since Taiwan achieved UHC through introducing National
Health Insurance scheme. Taiwan NHI not only covers the entire population, but
also provides comprehensive benefit coverage; hence, very few researches have
touched upon the issue of service effective coverage. Given finite resources under
NHI, effective coverage has become a crucial topic for system performance
assessment.
WHO defines effective coverage as “the fraction of maximum possible health
gains, an individual with a health-care need can expect to receive from the health
system”. The WHO definition essentially unites intervention need, use and quality
into one single summary measure. The focus of effective coverage assessment
varies by the level of UHC achieved among countries. For developing countries,
more emphasis is placed on maternal and child health and treatment for infectious
disease. In contrast, for high-income economies, which already achieved UHC via
social insurance or national health services, care for chronic disease is the focus of
effective coverage assessment. The proposed three-year study, along the line of the
comparative health system research theme, will exploit National Health Interview
Survey data along with NHI claim data to assess the effective coverage of diabetes
and hypertension treatment and to also explore the issue of avoidable hospitalization.
Project IDs
Project ID:PF10601-0847
External Project ID:MOST105-2410-H182-017-MY2
External Project ID:MOST105-2410-H182-017-MY2
Status | Finished |
---|---|
Effective start/end date | 01/08/17 → 31/07/18 |
Keywords
- effective coverage
- avoidable hospitalization
- diabetes
- hypertension
- National Health Insurance
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