Datum: 2024-01-30 Verleger: 紫鸽电气 Durchsuche: 123
Objectives: Here is the first data to examine healthcare utilization in terms of medical have fun with and you can costs from inside the indigenous dads and you can children out-of transnational family.
Methods: Taiwan Federal Medical health insurance Browse Database was used to compare the annual medical fool around with and rising cost of living-modified medical rates having ambulatory care and attention regarding 2004 in order to 2017 ranging from indigenous fathers and you will students regarding transnational and indigenous household.
Results: Local dads out-of transnational families got lower annual scientific play with (?0.23 visits) however, large overall scientific will cost you (The latest Taiwan bucks, NT$, 966), especially in dialysis and you will psychiatry, compared with those people from indigenous family members. In the place of fathers away from transnational family, its children was basically noticed to continuously possess all the way down scientific have fun with (?1.thirty five visits) and you will costs (NT$ ?636), weighed against people out of native families.
Conclusions: There is more medical have fun with and you may costs within the transnational ilies, possibly right down to enjoys in transnational ilies. These types of findings render belief to possess physical health care and attention regulations to handle different health care utilization of the examining the unmet requires and barriers per students and you may dads out-of transnational group.
– Although some degree said a diminished healthcare use rate in regards to medical expenditures or medical care usage to have certain problems in immigrants, nothing worried about dads and you may students regarding immigrant ilies.
– This is actually the basic analysis to look at scientific use and you may costs during the fathers and you can children of transnational household, and it also exhibited additional medical have fun with and you will can cost you anywhere between indigenous fathers and you will students regarding transnational household and you may local family.
– Then scientific studies are warranted to exploring if or not you can find unmet needs otherwise barriers concerning the various other healthcare use in pupils and you may dads out-of transnational parents.
As the Community Fitness Business install fitness equality since the pri (1), additional health care use is found in additional socioeconomic and you may ethnic minorities, eg people who have low socioeconomic reputation, cultural minority condition and you will immigrants (2–4). not, transnational ilies, a unique societal minority, has not acquired complete people-wider studies regarding scientific use and you can will cost you at this point. Transnational relationship brokerage (also called this new post-acquisition fiance sensation) try a great commercialized relationship compliment of in the world matrimony brokering enterprises; most frequently female away from smaller created places get married guys much more establish nations. Even though this trend occurs all over the world, it appears to be more widespread from inside the East and Southeast China (5–7). From inside the Taiwan, around the globe marriages contributed to fifteen.3 so you’re able to 23.8% out-of annual (8), and you may infants regarding in the world marriage ceremonies taken into account thirteen.dos to 6.1% of the many babies during the Taiwan away from 2004 in order to 2018 (8). Following development regarding transnational ined the medical equivalence for those Eastern otherwise The southern area of Far-eastern female matrimony immigrants (nine, 10); however, up to now, which attention possess generally become paid back to women ily participants (husbands and you may children) have received way less attract. On better of my degree, studies examining the profiles from indigenous dudes which have women relationship immigrants was basically conducted using informant actions (i.age., information gathered by the women relationship immigrants, not self-statement by the its native-born husbands) (11–13), no studies keeps myself tested their health standing and you may scientific fool around with and you may can cost you. There could be additional medical care application for those men partners and you may pupils due to the fact men whom don’t get married to help you local feminine you need global relationships brokering providers to acquire partnered instead, that can easily be caused by its socioeconomic weaknesses and you may social otherwise health conditions (5). In addition, as a consequence of the lack of company matchmaking for the commercialized marriage ceremonies and you can the difference in community and vocabulary between couples when you look at the commercial ilies have much more health issues compared to those off local family (13, 14).
Taiwan possess a legal health insurance program having obligatory national insurance, making it an advantage to understand more about medical play with and will cost you https://kissbrides.com/german-women/heidelberg/ in this unique minority category. Taiwan circulated a single-payer required registration Federal Medical health insurance Program into the 1995, that is just one-payer experience publicly funded generally thanks to payroll-dependent advanced that have copayment. The conventional advanced try computed according to research by the insured’s paycheck, and therefore are mutual because of the insured, new manager, therefore the government. Additionally, the insurance premium and you will copayment would be subsidized otherwise smaller for the fresh disadvantaged organizations (15). Taiwan’s Federal Health Search Institutes situated and you can proceeded to keep up brand new Taiwan Federal Medical insurance Look Database (TNHIRD) for public search aim. Brand new TNHIRD enjoys almost full dental coverage plans (%) from owners and you can medical facilities developed into the Taiwan, and also the medical care suggestions regarding the TNHIRD has first worry, healthcare care and attention, pharmaceutical care, home-care, and dental care and you will linkable fitness-relevant databases, such as for example delivery, death, and you may maternal and you may passions datasets (16). The entire studies to your yearly insured medical care will cost you ensure it is possible to recognize medical explore and you may will set you back across the varying socioeconomic and cultural minorities.
