Achieving and Sustaining Universal Health Coverage: Fiscal Reform of the National Health Insurance in Taiwan

Lan, Jesse Yu-Chen

doi:10.1007/s40258-016-0286-6

Cited by 13 publications

(8 citation statements)

References 14 publications

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“…All analyses were performed in HWDSC, and only summarized results could be released, as per regulation of the local government to protect the privacy of study participants. The NHI covered greater than 96% of the Taiwanese population in 2001, and 100% by 2010 [34]. Participants were followed-up until the date of gout diagnosis, death of any cause, cessation of enrollment in the NHI program, or the end of the study period (December 31st, 2014), whichever came first.…”

Section: Cohort Follow-up and Gout Cases Ascertainmentmentioning

confidence: 99%

Vegetarian diet and risk of gout in two separate prospective cohort studies

et al. 2020

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Backgrounds & aims: Plant-based diets may target multiple pathways in gout pathogenesis (uric acid reduction and anti-inflammation) while improving gout associated cardiometabolic comorbidities. We aim to prospectively examine the relationship between a vegetarian diet and gout, and to explore if this relationship is independent of hyperuricemia. Methods: We followed 4903 participants in the Tzu Chi Health Study (Cohort1, recruited in 2007e2009) and 9032 participants in the Tzu Chi Vegetarian Study (Cohort2, recruited in 2005) until end of 2014. Baseline serum uric acid was measured in Cohort1. Vegetarian status was assessed through a diet questionnaire that includes dietary habits and a food frequency questionnaire. Incidence of gout was ascertained by linkage to the National Health Insurance Database. Hazard Ratio of gout in vegetarians versus nonvegetarians was assessed by Cox regression, adjusted for age, sex, lifestyle and metabolic risk factors. Hyperuricemia was additionally adjusted in Cohort1. Results: In Cohort1, lacto-ovo vegetarians had the lowest uric acid concentration, followed by vegans, then nonvegetarians (men: 6.05, 6.19, 6.32 mg/dL, respectively; women: 4.92, 4.96, 5.11 mg/dL, respectively); 65 gout cases occurred in the 29,673 person-years of follow-up; vegetarians experienced a lower risk of gout (without adjustment for hyperuricemia: HR: 0.33; 95% CI: 0.14, 0.79; with adjustment for hyperuricemia: HR: 0.40; 95% CI: 0.17, 0.97). In Cohort2, 161 gout cases occurred in the 83,019 personyears follow-up, and vegetarians also experienced a lower risk of gout (HR: 0.61; 95% CI: 0.41, 0.88). Conclusion: Taiwanese vegetarian diet is associated with lower risk of gout. This protective association may be independent of baseline hyperuricemia.

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Section: Cohort Follow-up and Gout Cases Ascertainmentmentioning

confidence: 99%

Vegetarian diet and risk of gout in two separate prospective cohort studies

et al. 2020

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“…The National Health Insurance (NHI) in Taiwan, a mandatory social health insurance system, was established in 1995 and now covers over 99% of the population 13. IBD is classified as a catastrophic illness under NHI, allowing patients with UC to receive treatments that are reimbursed by NHI without copayment.…”

Section: Introductionmentioning

confidence: 99%

“…The National Health Insurance (NHI) in Taiwan, a mandatory social health insurance system, was established in 1995 and now covers over 99% of the population. 13 IBD is classified as a catastrophic illness under NHI, allowing patients with UC to receive treatments that are reimbursed by NHI without copayment. As aspects of the medical environment in Taiwan may be quite different from those of other countries, guidelines for the management of UC that are specific to Taiwan are warranted.…”

Section: Introductionmentioning

confidence: 99%

Management of ulcerative colitis in Taiwan: consensus guideline of the Taiwan Society of Inflammatory Bowel Disease

et al. 2017

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Ulcerative colitis (UC) is an inflammatory bowel disease characterized by chronic mucosal inflammation of the colon, and the prevalence and incidence of UC have been steadily increasing in Taiwan. A steering committee was established by the Taiwan Society of Inflammatory Bowel Disease to formulate statements on the diagnosis and management of UC taking into account currently available evidence and the expert opinion of the committee. Accurate diagnosis of UC requires thorough clinical, endoscopic, and histological assessment and careful exclusion of differential diagnoses, particularly infectious colitis. The goals of UC therapy are to induce and maintain remission, reduce the risk of complications, and improve quality of life. As outlined in the recommended treatment algorithm, choice of treatment is dictated by severity, extent, and course of disease. Patients should be evaluated for hepatitis B virus and tuberculosis infection prior to immunosuppressive treatment, especially with steroids and biologic agents, and should be regularly monitored for reactivation of latent infection. These consensus statements are also based on current local evidence with consideration of factors, and could be serve as concise and practical guidelines for supporting clinicians in the management of UC in Taiwan.

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“…The National Health Insurance (NHI) is a mandatory social health insurance system established in 1995, which now covers over 99% of Taiwan's population 16. IBD is classified as a catastrophic illness under NHI, allowing CD patients to receive treatments that are reimbursed by NHI without copayment.…”

Section: Introductionmentioning

confidence: 99%

“…The National Health Insurance (NHI) is a mandatory social health insurance system established in 1995, which now covers over 99% of Taiwan's population. 16 IBD is classified as a catastrophic illness under NHI, allowing CD patients to receive treatments that are reimbursed by NHI without copayment. Owing to the differences in the medical environment between Taiwan and other countries, guidelines for the management of CD that are specific to Taiwan are warranted.…”

Section: Introductionmentioning

confidence: 99%

Management of Crohn's disease in Taiwan: consensus guideline of the Taiwan Society of Inflammatory Bowel Disease

et al. 2017

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Crohn's disease (CD) is a chronic relapsing and remitting inflammatory disease of the gastrointestinal tract. CD is rare in Taiwan and other Asian countries, but its prevalence and incidence have been steadily increasing. A steering committee was established by the Taiwan Society of Inflammatory Bowel Disease to formulate statements on the diagnosis and management of CD taking into account currently available evidence and the expert opinion of the committee. Thorough clinical, endoscopic, and histological assessments are required for accurate diagnosis of CD. Computed tomography and magnetic resonance imaging are complementary to endoscopic evaluation for disease staging and detecting complications. The goals of CD management are to induce and maintain remission, reduce the risk of complications, and improve quality of life. Corticosteroids are the mainstay for inducing re-mission. Immunomodulating and biologic therapies should be used to maintain remission. Patients should be evaluated for hepatitis B virus and tuberculosis infection prior to treatment and receive regular surveillance for cancer. These consensus statements are based on current local evidence with consideration of factors, and could be serve as concise and practical guidelines for supporting clinicians in the management of patients with CD in Taiwan.

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Achieving and Sustaining Universal Health Coverage: Fiscal Reform of the National Health Insurance in Taiwan

Cited by 13 publications

References 14 publications

Vegetarian diet and risk of gout in two separate prospective cohort studies

Vegetarian diet and risk of gout in two separate prospective cohort studies

Management of ulcerative colitis in Taiwan: consensus guideline of the Taiwan Society of Inflammatory Bowel Disease

Management of Crohn's disease in Taiwan: consensus guideline of the Taiwan Society of Inflammatory Bowel Disease

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