title: [Reflections on the development of maternal and child health in public health nursing in Taiwan].
abstract: Continued global economic difficulties and Taiwan's health insurance scheme have focused the domestic healthcare system excessively on medical treatments and made this system overly market-oriented. The NHI (national health insurance) Reimbursement Policy lacks adequate flexibility to adjust to current health needs. The situation constrains the medical service budget and causes nursing shortages in hospitals, which in turn marginalizes the public health nurses working at health centers. It is important for the government and professional associations to establish a public healthcare model that adequately meets the needs of the community. In addition to strengthening the role and function of public health nurses, a service model must be developed and piloted. This paper analyzes the situation and problem of maternal and child healthcare in Taiwan, studies the successful experiences of maternal and child healthcare from other counties, and then provides recommendations for the future development of public health nursing in Taiwan.
authors.affiliation: Department of Nursing and Health Care, Ministry of Health and Welfare, Taiwan, ROC. cmiaoching@gmail.com.
authors.forename: Miao-Ching
authors.initials: MC
authors.lastname: Chen
mesh_terms: D002648:Child; D002662:Child Health Services; D006801:Humans; D008427:Maternal Health Services; D011637:Public Health Nursing; D013624:Taiwan
keywords: maternal and child health; public health nursing