Abstract：
:Objective: This study investigated the impacts of the hierarchical medical system under the national health insurance program on residents' healthcare-seeking behavior in Taiwan. Background: Healthcare authorities in Taiwan initiated an allowance reduction for outpatient visits at regional hospitals and higher hierarchical hospitals in 2018. The ultimate goal is to implement a hierarchical medical system to provide residents accessible as well as consistent medical services. Methods: This research was conducted through a questionnaire survey, and data were collected between August and December 2018 from the records of subjects who had recently sought medical attention. A total of 1340 valid questionnaires were returned. Results: A principal finding was that there were significant differences in the knowledge of new policies by age, marital status, annual income, education level, and occupation (p < 0.001). Regarding the effects on healthcare-seeking behavior, there were significant differences from persons aged 40-49 years (p < 0.1), in junior high school (p < 0.05), not aware of the policy (p < 0.001), and awareness of both the hierarchical medical system and the policy to reduce outpatient visits to large hospitals (p < 0.001). Conclusion: The health administration authorities should devote more effort into promoting knowledge of the policy in order to better inform the public about the hierarchical medical system.
journal_name
Int J Environ Res Public Healthauthors
Yan YH,Kung CM,Yeh HMdoi
10.3390/ijerph16173167subject
Has Abstractpub_date
2019-08-30 00:00:00issue
17eissn
1661-7827issn
1660-4601pii
ijerph16173167journal_volume
16pub_type
杂志文章abstract：:Swimming exercise at sea level causes a transient decrease in lung diffusing capacity for carbon monoxide (DLCO). The exposure to hypobaric hypoxia can affect lung gas exchange, and hypoxic pulmonary vasoconstriction may elicit pulmonary oedema. The purpose of this study is to evaluate whether there are changes in DLC...
journal_title：International journal of environmental research and public health
pub_type： 杂志文章
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更新日期：2020-05-17 00:00:00
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journal_title：International journal of environmental research and public health
pub_type： 杂志文章
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journal_title：International journal of environmental research and public health
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journal_title：International journal of environmental research and public health
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journal_title：International journal of environmental research and public health
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journal_title：International journal of environmental research and public health
pub_type： 杂志文章,随机对照试验
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更新日期：2019-02-20 00:00:00
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pub_type： 杂志文章
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更新日期：2019-12-16 00:00:00
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pub_type： 杂志文章
doi：10.3390/ijerph17072385
更新日期：2020-03-31 00:00:00
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journal_title：International journal of environmental research and public health
pub_type：
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更新日期：2019-06-16 00:00:00
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journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph15102112
更新日期：2018-09-26 00:00:00
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journal_title：International journal of environmental research and public health
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更新日期：2020-03-19 00:00:00
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journal_title：International journal of environmental research and public health
pub_type： 杂志文章,随机对照试验
doi：10.3390/ijerph15040752
更新日期：2018-04-14 00:00:00
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pub_type： 杂志文章
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更新日期：2020-09-16 00:00:00
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journal_title：International journal of environmental research and public health
pub_type： 杂志文章
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更新日期：2015-09-11 00:00:00
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pub_type： 杂志文章,评审
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pub_type： 杂志文章,随机对照试验
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更新日期：2020-08-19 00:00:00
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journal_title：International journal of environmental research and public health
pub_type： 杂志文章
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更新日期：2018-07-23 00:00:00
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journal_title：International journal of environmental research and public health
pub_type： 杂志文章,评审
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更新日期：2019-06-13 00:00:00
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journal_title：International journal of environmental research and public health
pub_type： 杂志文章
doi：10.3390/ijerph13020244
更新日期：2016-02-22 00:00:00
