Effects of global budgeting on the distribution of dentists and use of dental care in Taiwan
- PMID: 15544648
- PMCID: PMC1361116
- DOI: 10.1111/j.1475-6773.2004.00336.x
Effects of global budgeting on the distribution of dentists and use of dental care in Taiwan
Abstract
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.
Figures
Similar articles
-
Use of selected ambulatory dental services in Taiwan before and after global budgeting: a longitudinal study to identify trends in hospital and clinic-based services.BMC Health Serv Res. 2012 Sep 25;12:339. doi: 10.1186/1472-6963-12-339. BMC Health Serv Res. 2012. PMID: 23009095 Free PMC article.
-
Efficiency of resource allocation in the hospital sector after global budgeting under National Health Insurance.Chin Med J (Engl). 2013;126(15):2900-6. Chin Med J (Engl). 2013. PMID: 23924465
-
Influences of market competition on dental care utilization under the global budget payment system.Community Dent Oral Epidemiol. 2007 Dec;35(6):459-64. doi: 10.1111/j.1600-0528.2006.00355.x. Community Dent Oral Epidemiol. 2007. PMID: 18039287
-
The primary dental care workforce.J Dent Educ. 1993 Dec;57(12):863-75. J Dent Educ. 1993. PMID: 8263234 Review.
-
Utilization of dental services as a risk factor for periodontitis.J Periodontol. 1994 May;65(5 Suppl):551-63. doi: 10.1902/jop.1994.65.5s.551. J Periodontol. 1994. PMID: 8046572 Review.
Cited by
-
Trends of dental service utilization and expenditure in Taiwan from 2000 to 2020.J Dent Sci. 2024 Dec;19(Suppl 2):S164-S170. doi: 10.1016/j.jds.2024.11.001. Epub 2024 Nov 20. J Dent Sci. 2024. PMID: 39807260 Free PMC article.
-
The Response of Different-Levels Public Hospitals to Regional Global Budget with a Floating Payment System: Evidence from China.Int J Environ Res Public Health. 2022 Nov 23;19(23):15507. doi: 10.3390/ijerph192315507. Int J Environ Res Public Health. 2022. PMID: 36497582 Free PMC article.
-
Use of selected ambulatory dental services in Taiwan before and after global budgeting: a longitudinal study to identify trends in hospital and clinic-based services.BMC Health Serv Res. 2012 Sep 25;12:339. doi: 10.1186/1472-6963-12-339. BMC Health Serv Res. 2012. PMID: 23009095 Free PMC article.
-
The impact of the global budget system on dynamics of dental manpower and utilization of dental services.Dent Res J (Isfahan). 2016 Mar-Apr;13(2):132-8. doi: 10.4103/1735-3327.178198. Dent Res J (Isfahan). 2016. PMID: 27076827 Free PMC article.
-
The Impact of Cost-Containment Schemes on Outpatient Services for Schoolchildren with Refractive Errors in Taiwan-A Population-Based Study.Children (Basel). 2022 Jun 13;9(6):880. doi: 10.3390/children9060880. Children (Basel). 2022. PMID: 35740817 Free PMC article.
References
-
- Capilouto E, Ohsfeldt R. “Health Workforce Modeling: Lessons from Dentistry.”. In: Osterweis M, McLaughlin C J, Manasse H R Jr., Hopper C C, editors. The U.S. Health Workforce: Power, Politics, and Policy. Washington, DC: Association of Academic Health Centers; 1996. pp. 277–309.
-
- Carr-Hill R A. “Efficiency and Equity Implications of the Health Care Reforms.”. Social Science and Medicine. 1994;39(9):1189–201. - PubMed
-
- Chen M S. “Oral Health Status and Its Inequality among Education Groups: Comparing Seven International Study Sites.”. International Journal of Health Services. 2002;32(1):139–61. - PubMed
-
- Cheng Z M. “Taiwan's New National Health Insurance Program: Genesis and Experience So Far.”. Health Affairs. 2003;22(3):61–76. - PubMed
-
- Chu D K. “Global Budgeting of Hospitals in Hong Kong.”. Social Science and Medicine. 1992;35(7):857–68. - PubMed
MeSH terms
LinkOut - more resources
Full Text Sources
Miscellaneous