Degrees of shortage and uncovered ratios for long-term care in Taiwan’s regions: Evidence from dynamic dea

Kuo Feng Wu, Jin Li Hu*, Hawjeng Chiou

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

10 Citations (Scopus)


The government is facing the country’s aging population and low birth rate have led to a severe shortage of its healthcare workforce in Taiwan after 2003. In order to explore the status of the country’s degree of long-term care shortage and uncovered ratio, this research uses the Push-Pull-Mooring (PPM) theory to explain long-term care efficiency during 2010–2019 in each city and county. We collect longitudinal-sectional data for 2010–2019 from the Ministry of Health and Welfare’s Department of Statistics for 22 administrative regions in Taiwan in each year and employ dynamic data envelopment analysis (DEA) to evaluate the overall technical efficiency and the disaggregate output insufficiency to explain the research results. The main findings are as follows: (1) Cities near the capital Taipei have the highest degree of shortages in long-term caregivers and high uncovered ratios of people who need long-term care. (2) Presently, there is no demand to increase the number of long-term care institutions in Taiwan. (3) The government should introduce new long-term care certificates through national examinations in order to develop a stronger professional workforce in this field.

Original languageEnglish
Article number605
Pages (from-to)1-18
Number of pages18
JournalInternational journal of environmental research and public health
Issue number2
Publication statusPublished - 2021 Jan 2


  • Data envelopment analysis
  • Degree of shortage
  • Long-term care
  • Uncovered ratio

ASJC Scopus subject areas

  • Pollution
  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis


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