The effect of Taiwan's National Health Insurance programme on hospital physicians' perceptions of their careers: A survey

Blossom Yen Ju Lin*, Shi Ping Luh, Cheng Hua Lee

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

3 Scopus citations

Abstract

This study, done on the 10th anniversary of the Taiwan National Health Insurance programme, examines five health policy and payment reforms, including ease payment, separation of drag prescription and dispensing, reasonable outpatient volumes, hospital global budgeting, and self-governing hospital budgeting. Structured questionnaires included how hospital physicians perceived the five reforms to have affected their lives regarding conflicts in values, increased pressures, changes in behaviour, quality of personal life and satisfaction. The items of hospital physicians' career satisfaction and regrets were also included. The 182 licensed hospital western medicine physicians responded the surveys in April 2005. This study found the five reforms had a negative effect on hospital physicians' perceptions of their careers. With the evidence of hospital physicians' career satisfaction was positively related to their willingness to be doctors again, more concerns should be put for the young generations' willingness to join the medical profession in the future.

Original languageEnglish
Pages (from-to)264-280
Number of pages17
JournalInternational Journal of Public Policy
Volume2
Issue number3-4
DOIs
StatePublished - 2007
Externally publishedYes

Keywords

  • Career satisfaction and regrets
  • Health policy and payment reforms
  • Hospital physician careers
  • Policy evaluation
  • Taiwan National Health Insurance

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