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    政大機構典藏 > 創新國際學院 > 期刊論文 >  Item 140.119/159671


    Please use this identifier to cite or link to this item: https://nccur.lib.nccu.edu.tw/handle/140.119/159671


    Title: Measuring voluntary responses in healthcare utilization during the COVID-19 pandemic: Evidence from Taiwan
    Authors: 蔡咏諭
    Tsai, Yung-Yu;Yang, Tzu-Ting
    Contributors: 創新國際學院
    Date: 2022-12
    Issue Date: 2025-09-24 09:55:05 (UTC+8)
    Abstract: Healthcare has been one of the most affected sectors during the coronavirus disease 2019 (COVID-19) pandemic. The utilization of related services for non-COVID-19 diseases fell dramatically following the point at which the virus broke out; however, little is known about whether this observed decline in healthcare use was due to voluntary behaviors or enforced measures. This paper quantifies the spontaneous change in healthcare utilization during the pandemic. We utilize a county-by-week-level dataset from Taiwan’s National Health Insurance (NHI) record, covering the entire Taiwanese population, and a difference-in-differences design. Our results indicate that even if there were no human mobility restrictions or supply-side constraints, people voluntarily reduced their demand for healthcare, due to fears of contagion, or COVID-related precautionary behaviors. We find that the number of outpatient visits (inpatient admissions) decreased by 19% (10%) during the pandemic period (February to May 2020). Furthermore, the demand response of healthcare for Influenza-like illness (ILI) was much greater and more persistent than for non-ILI, thereby suggesting that the substantial decline in accessing healthcare was induced by positive public health externality of prevention measures for COVID-19. Finally, we find that the demand for healthcare services did not get back to the pre-pandemic baseline, even when there were no local coronavirus cases for 253 consecutive days (mid-April to December 2020) in Taiwan.
    Relation: PLoS One, Vol.17, No.12, e0271810
    Data Type: article
    DOI 連結: https://doi.org/10.1371/journal.pone.0271810
    DOI: 10.1371/journal.pone.0271810
    Appears in Collections:[創新國際學院] 期刊論文

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