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The Taiwan National Health Insurance program and full infant immunization coverage

Chin-Shyan Chen1, Tsai-Ching Liu

  • 1Department of Public Finance, National Taipei University, 67, Sec. 3, Ming-Shen E. Road, Taipei 104, Taiwan.

American Journal of Public Health
|January 27, 2005
PubMed

Insights

Taiwan's National Health Insurance (NHI) improved immunization rates for hospital-born infants. Post-NHI, well-baby care significantly increased full immunization probability, highlighting effective public health strategies.

Area of Science:

  • Public Health
  • Health Policy
  • Pediatrics

Background:

  • Complete immunizations are crucial for infant health.
  • Access to healthcare services can influence vaccination rates.
  • Taiwan implemented National Health Insurance (NHI) to expand healthcare coverage.

Purpose of the Study:

  • To compare immunization rates of hospital-born infants before and after Taiwan's National Health Insurance (NHI) implementation.
  • To assess the association between well-baby care and complete immunizations in infants.

Main Methods:

  • Logistic regression analysis of data from the 1989 and 1996 National Maternal and Infant Health Surveys.
  • Inclusion of 1398 infants in 1989 and 3185 infants in 1996.

Main Results:

  • Hospital-born infants received fewer immunizations than non-hospital-born infants before NHI.
  • After NHI implementation, hospital-born infants showed significantly higher immunization rates.
  • Utilization of well-baby care strongly correlated with higher likelihood of complete immunization post-NHI.

Conclusions:

  • Taiwan's NHI policy effectively integrated hospitals as immunization providers, improving access for hospital-born infants.
  • NHI's provision of free well-baby care stimulated demand for immunizations, enhancing public health outcomes.
Abstract

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