A 10-Year Experience with Universal Health Insurance in Taiwan: Measuring Changes in Health and Health Disparity

  1. Chi Pang Wen, MD, DrPH;
  2. Shan Pou Tsai, PhD; and
  3. Wen-Shen Isabella Chung, MSc
  1. From Center for Health Policy Research and Development, National Health Research Institutes, Zhunan, Taiwan, and University of Texas School of Public Health, Houston, Texas.
    1. Appendix Figure.
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        Appendix Figure. Secular trends of life expectancy at birth for the 10 health class groups (HCGs), 1982–1984 to 2002–2004.
      • Figure 1.
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          Figure 1. Gain in life expectancy during the period before (1982–1984 to 1992–1994) and after (1992–1994 to 2002–2004) the introduction of national health insurance (NHI).

          *Increase in life expectancy during the period before NHI (from 1982–1984 to 1992–1994). †Increase in life expectancy during the period after NHI (from 1992–1994 to 2002–2004).

        • Figure 2.
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            Figure 2. Difference between changes in life expectancy at birth before and after the introduction of national health insurance (NHI).

            Pre-NHI was 1982–1984 to 1992–1994, and post-NHI was 1992–1994 to 2002–2004. Error bars represent 95% CIs.

          • Figure 3.
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              Figure 3. Gaps in life expectancy for health class groups 2 to 10 versus health class group 1.
            • Figure 4.
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                Figure 4. Cause-specific contribution to gain in life expectancy during the period before and after the introduction of national health insurance (NHI).

                HCG = health class group. Results are based on a modified cause–deletion life-table method, which assumes independence for each cause of death. Not all possible causes of death are included. Bars extending below the horizontal axis indicate that deaths from those causes contributed to reduced life expectancy, whereas bars extending above the horizontal axis contributed to improved life expectancy.

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