The Taiwan National Health Insurance Program and Full Infant Immunization Coverage

Chin‐Shyan Chen · Tsai‐Ching Liu

21 citations0/0 files storedAmerican Journal of Public Health

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Vaccine Coverage and Hesitancy Global Maternal and Child Health Child and Adolescent Health

Abstract

OBJECTIVES: We compared hospital-born infants and well-baby care use associated with complete immunizations in Taiwan before and after institution of National Health Insurance (NHI). METHODS: We used logistic regression to analyze data from 1989 and 1996 National Maternal and Infant Health Surveys of 1398 and 3185 1-year-old infants, respectively. RESULTS: Infants born in hospitals were found to receive fewer immunizations than those born elsewhere before NHI but significantly more after NHI. Use of well-baby care correlates strongly and positively with the probability that a child will receive a full course of immunization after NHI. CONCLUSIONS: The NHI policy of including hospitals as immunization providers facilitates access to immunization services for children born in those facilities. Through NHI provision of free well-baby care, health planners have stimulated the demand for immunization.

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References

1996Health Insurance Eligibility, Utilization of Medical Care, and Child Health 1998Health Insurance and Access to Primary Care for Children 1998Immunization status and sociodemographic characteristics: the mediating role of beliefs, attitudes, and perceived control.1995The Effect of Gaps in Health Insurance on Continuity of a Regular Source of Care Among Preschool-aged Children in the United States 1998Impact of a Children's Health Insurance Program on Newly Enrolled Children 1994Health Insurance Status and Ambulatory Care for Children 1999The Immunization Programme in Bangladesh: Impressive Gains in Coverage, But Gaps Remain 1999Predictors of childhood immunization completion in a rural population

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