The influences of Taiwan's National Health Insurance on women's choice of prenatal care facility: Investigation of differences between rural and non-rural areas
2008

Impact of Taiwan's National Health Insurance on Women's Prenatal Care Choices

Sample size: 1575 publication Evidence: moderate

Author Information

Author(s): Chen Likwang, Chen Chi-Liang, Yang Wei-Chih

Primary Institution: National Health Research Institutes

Hypothesis

How has Taiwan's National Health Insurance program influenced women's choice of prenatal care facilities in rural versus non-rural areas?

Conclusion

Women in rural areas are more likely to seek prenatal care in large hospitals but do not perceive improved transportation convenience compared to women in non-rural areas.

Supporting Evidence

  • Women in rural areas were more likely to choose large hospitals for prenatal care services after the NHI was implemented.
  • The relative probability of choosing large hospitals for rural women increased significantly from the early 1990s to the late 1990s.
  • Women in non-rural areas reported improved transportation convenience for prenatal care in the late 1990s.

Takeaway

This study found that women in rural areas are choosing larger hospitals for prenatal care, but they feel that getting to these hospitals is not any easier than before.

Methodology

The study analyzed data from a national survey conducted in 2000, comparing women's choices of prenatal care facilities before and after the implementation of the NHI.

Potential Biases

Potential recall bias due to reliance on mothers' memories of past prenatal care experiences.

Limitations

The study is limited by recall bias and the inability to control for unobserved characteristics affecting women's choices.

Participant Demographics

The sample included mothers of children born between 1990 and 1999, with a focus on differences between rural and non-rural areas.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1472-6963-8-67

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