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April 2004, Vol 94, No. 4 | American Journal of Public Health 562-564
© 2004 American Public Health Association

RESEARCH AND PRACTICE

The Impact of the SARS Epidemic on the Utilization of Medical Services: SARS and the Fear of SARS

Hong-Jen Chang, MD, MPH, Nicole Huang, MPH, Cheng-Hua Lee, MD, DrPH, Yea-Jen Hsu, MS, Chi-Jeng Hsieh, MS and Yiing-Jenq Chou, MD, PhD

Hong-Je Chang, Cheng-Hua Lee, and Chi-Jeng Hsieh are with the Bureau of National Health Insurance, Taipei, Taiwan. Nicole Huang is with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Md. Yea-Jen Hsu and Yiing-Jenq Chou are with the Department of Social Medicine, School of Medicine, National Yang Ming University, Taipei, Taiwan.

Correspondence: Requests for reprints should be sent to Hong-Jen Chang, 140, Sec 3, Hsin-Yi Rd, Taipei, Taiwan 106 (e-mail: hjchang{at}mail.nhi.gov.tw).

Using interrupted time-series analysis and National Health Insurance data between January 2000 and August 2003, this study assessed the impacts of the severe acute respiratory syndrome (SARS) epidemic on medical service utilization in Taiwan. At the peak of the SARS epidemic, significant reductions in ambulatory care (23.9%), inpatient care (35.2%), and dental care (16.7%) were observed. People’s fears of SARS appear to have had strong impacts on access to care. Adverse health outcomes resulting from accessibility barriers posed by the fear of SARS should not be overlooked.




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