Effects of global budgeting on the distribution of dentists and use of dental care in Taiwan

被引:22
作者
Hsueh, YSA
Lee, SYD
Huang, YTA
机构
[1] Natl Taiwan Univ, Coll Publ Hlth, Grad Inst Hlth Care Org Adm, Taipei 10764, Taiwan
[2] Univ N Carolina, Dept Hlth Policy & Adm, Chapel Hill, NC USA
[3] Natl Yang Ming Univ, Sch Med, Inst Publ Hlth, Taipei 112, Taiwan
关键词
dental global budgeting; dental care; distribution of dentists; utilization; costs;
D O I
10.1111/j.1475-6773.2004.00336.x
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objective. To examine the effects of global budgeting on the distribution of dentists and the use and cost of dental care in Taiwan. Data Sources. (1) Monthly dental claim data from January 1996 to December 2001 for the entire insured population in Taiwan. (2) The 1996-2001 population information for the cities, counties and townships in Taiwan, abstracted from the Taiwan-Fukien Demographic Fact Book. Study Design. Longitudinal, using the autocorrelation model. Principal Findings. Results indicated decline in dental care utilization, particularly after the implementation of dental global budgeting. With few exceptions, dental global budgeting did not improve the distribution of dental care and dentist supply. Conclusions. The experience of the dental global budget program in Taiwan suggested that dental global budgeting might contain dental care utilization and that several conditions might have to be met in order for the reimbursement system to have effective redistributive impact on dental care and dentist supply.
引用
收藏
页码:2135 / 2153
页数:19
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