Challenges and resilience of Taiwan's oral health care system after Covid-19 pandemic

Bibliographic Details
Title: Challenges and resilience of Taiwan's oral health care system after Covid-19 pandemic
Authors: Ting-Chen Chen, Eddie Hsiang-Hua Lai, Fang-Yu Lo, Li-Jin Wang, Wender Lin
Source: Journal of the Formosan Medical Association, Vol 123, Iss , Pp S157-S162 (2024)
Publisher Information: Elsevier, 2024.
Publication Year: 2024
Collection: LCC:Medicine (General)
Subject Terms: COVID-19, Dental workforce, Oral healthcare system, Medicine (General), R5-920
More Details: This paper examines the resilience of Taiwan's oral healthcare system in response to COVID-19, focusing on pre-pandemic conditions, pandemic impacts, and policy recommendations for future resilience. In Taiwan, oral diseases were prevalent, with 80.48% of adults affected by periodontitis in 2016, and 65.43% of 5-year-old children experiencing dental caries. Taiwan's National Health Insurance (NHI) covers over 99% of the population, providing comprehensive dental care. The global budget (GB) payment system, implemented in 1998, ensured financial stability. During the pandemic, dental visits in Taiwan decreased by 5.1% in 2021 compared to 2019. Despite reduced visits, the GB system maintained financial stability, mitigating financial impacts on healthcare institutions. The pandemic generally negatively affected healthcare workers' well-being, increasing resignation intentions. However, the number of practicing dentists in Taiwan remained stable from 2016 to 2022, with slight increases. Urban-rural disparities persisted, and workplace transitions increased, indicating greater mobility among dental professionals. To enhance resilience, the following recommendations are proposed: 1. Strengthen hierarchy of oral healthcare system: Balance dental resources across regions, and improve referrals between hospital and clinics; 2. Provide integrated patient-centered care: Integrate oral health into disease prevention and offer comprehensive services across all stages of life; 3. Integrate digital technology: Promote teledentistry and leverage Taiwan's strengths in information and communication technology (ICT).
Document Type: article
File Description: electronic resource
Language: English
ISSN: 0929-6646
Relation: http://www.sciencedirect.com/science/article/pii/S0929664624004765; https://doaj.org/toc/0929-6646
DOI: 10.1016/j.jfma.2024.09.039
Access URL: https://doaj.org/article/0e3c31d39be24c3da7e3322a25c32020
Accession Number: edsdoj.0e3c31d39be24c3da7e3322a25c32020
Database: Directory of Open Access Journals
More Details
ISSN:09296646
DOI:10.1016/j.jfma.2024.09.039
Published in:Journal of the Formosan Medical Association
Language:English