Chen Chin-Shyan, Liu Tsai-Ching
Department of Public Finance, National Taipei University, 67, Sec. 3, Ming-Shen E. Road, Taipei 104, Taiwan.
Am J Public Health. 2005 Feb;95(2):305-11. doi: 10.2105/AJPH.2002.012567.
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).
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.
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.
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.
我们比较了台湾实施全民健康保险(NHI)前后,在医院出生的婴儿以及与全程免疫接种相关的健康婴儿护理的使用情况。
我们使用逻辑回归分析了分别来自1989年和1996年全国母婴健康调查的数据,这两次调查的对象分别是1398名和3185名1岁婴儿。
发现在全民健康保险实施之前,在医院出生的婴儿比在其他地方出生的婴儿接受的免疫接种更少,但在全民健康保险实施之后则显著更多。健康婴儿护理的使用与全民健康保险实施后儿童接受全程免疫接种的可能性密切正相关。
全民健康保险将医院列为免疫接种提供者的政策,为在这些机构出生的儿童提供了获得免疫接种服务的便利。通过全民健康保险提供免费的健康婴儿护理,卫生规划者激发了对免疫接种的需求。