Does a National Health Insurance System Enhance Quality of Care and Contain Cost?-An Empirical Investigation of the National Health Insurance System in Taiwan

Li Chang () and Chi-Ping Hou ()
Additional contact information
Li Chang: Department of Business Administration, Shih Hsin University, TAIWAN
Chi-Ping Hou: Department of Accounting, China University of Technology, TAIWAN

Review of Economics & Finance, 2011, vol. 1, 32-42

Abstract: The main purpose of this study is to examine: (1) The dynamic changes in cost containment and quality that have occurred under the National Health Insurance (NHI) program in Taiwan; (2) The trade-off effect relationship between cost and quality. This paper uses an empirical model to look at data from hospitals in Taipei between 1989 and 2004. The findings indicate that the NHI has led to poor cost containment and unimproved quality of care. In addition, it is to found that, after the NHI, there has been no trade-off between cost containment and quality. This suggests that a lack of market competition and an ineffective monitoring system have led to poor cost containment and quality. However, the negative relationship between cost and quality shows that the payment system should be link between cost and quality.

Keywords: National Health Insurance; Cost containment; Quality (search for similar items in EconPapers)
JEL-codes: C23 H51 I14 I18 (search for similar items in EconPapers)
Date: 2011
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
http://www.bapress.ca/Journal-5/Does%20a%20Nationa ... e%20National%20H.pdf (application/pdf)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:bap:journl:110503

Ordering information: This journal article can be ordered from
17 Alton Towers Circle, Unit 101 Toronto, ON, M1V3L8, Canada

Access Statistics for this article

Review of Economics & Finance is currently edited by H. Carlson

More articles in Review of Economics & Finance from Better Advances Press, Canada 17 Alton Towers Circle, Unit 101 Toronto, ON, M1V3L8, Canada.
Bibliographic data for series maintained by Carlson ( this e-mail address is bad, please contact ).