Christy Pu

National Yang Ming Chiao Tung University

Christy Pu

Health economist


Countries Taiwan, RoC;
Topics Access to care; Data science; Economics of LTC; Survey measures;
Methods Analysis of administrative data; Surveys;
Role Research;
Key publications

1. CH Hou, C Pu* (2024). Long-Term Effect of Systemic Comorbidity on Glaucoma Medication Adherence. American Journal of Ophthalmology (Online)
2. SH Chen, MC Lee, C Pu* (2024). Medication Adherence in Patients With Type 2 Diabetes After Disability Onset: A Difference-in-Differences Analysis Using Nationwide Data. BMC Medicine (Online) 112-2314-B-A49 -052 -MY3
3. SH Chen, C Pu* (2024). Medical Care Use and Mortality Rate After the Onset of Disability: A 6-Year Follow-Up Study Based on National Data in Taiwan. Disability and Health Journal (Online) (NSC Grant-111-2628-B-A49 -013)
4. MC Lee, C Pu* (2024). Decomposition of health-related inequalities in out-of-pocket expenditure under universal health coverage in Taiwan. Journal of Health Services Research & Policy (accepted).
5. CH Hou, C Pu* (2024). Decomposition of socioeconomic inequalities in glaucoma knowledge in Taiwan. Epidemiology and Health. 2024:46:e2024004. doi: 10.4178/epih.e2024004. Epub 2023 Dec 5. (MOST Grant-112-2628-B-A49 -002)
6. C Pu*, HF Syu. (2023). Effects of disability on income and income composition. Plos One (online) (NSC Grant-111-2628-B-A49 -013)
7. C Pu, CH Hou* (2023). Ophthalmic Health Care Needs of Children With Disabilities. Eye (online). (NSC Grant:112-2314-B-A49 -052 -MY3)
8. CH Hou, C Pu*, (2023). Common Ocular Conditions and Related Ophthalmic Outpatient Utilization Among Children With Various Types of Disabilities: A Repeated Cross-Sectional Stud. BMJ Open (online). (NSC Grant:112-2314-B-A49 -052 -MY3)
9. C Pu*, MC Lee, TC Hsieh. (2023). Income-related inequality in out-of-pocket health-care expenditures under Taiwan’s national health insurance system: An international comparable estimation based on A System of Health Accounts. Social Science and Medicine (online) (NSC Grant-111-2628-B-A49 -013)
10. YW Chuang, CY Deng, C Pu* (2023) Medication Adherence in Chronic Prescription Policy: An Analysis of Population-Based Data. Asia Pacific Journal of Public Health. (NSC Grant-111-2628-B-A49 -013)
11. CH Hou, SF Shih, C Pu* (2023) Adherence of those with Self-reported Glaucoma in the United States to Eye Examination Visits. Journal of Glaucoma. (NSC Grant-111-2628-B-A49 -013)
12. CH Hou, C Pu* (2022) Patients’ awareness of their intraocular pressure. Clinical and Experimental Ophthalmology.2022 ;50(9):1103-1105 (MOST Grant- 110-2628-BA49A-502.)
13. CH Hou, C Pu* (2022) Association of Disability With Medication Adherence in Patients With Glaucoma-Reply. JAMA Ophthalmology. online January 2022.
14. CH Hou, C Pu* (2022) Association Between Visual Impairment and Health Care Use. American Journal of Ophthalmology, 234.166-173. 2022. (MOST Grant- 110-2628-BA49A-502.)
15. YL Chen, C Pu, KK Lin, JS Lee, L Liu,,CH Hou*(2022) A Comparison of Visual Quality and Contrast Sensitivity between Patients with Scleral-Fixated and In-Bag Intraocular Lenses. Journal of Clinical Medicine. 2022 May 22;11(10):2917. doi: 10.3390/jcm11102917.
16. CH Hou, C Pu* (2021) Medication Adherence in Patients With Glaucoma and Disability. JAMA Ophthalmology. 2021 Dec 1;139(12):1292-1298. doi: 10.1001/jamaophthalmol.2021.4415. (國立陽明交通大學110年第四季重要期刊論文獎) (MOST Grant- 110-2628-B-A49A-502)
17. Some YM, C Pu, SL Huang*, (2021) Empowerment and use of modern contraceptive methods among married women in Burkina Faso: a multilevel analysis. BMC Public Health. 21, 1498 (2021)
18. CH Hou, JS Lee, KK Lin, L Liu, YS Lee, C Pu* (2021). Accuracy of perceived glaucoma risk by patients in a clinical setting. Plos One.16/2021 (MOST Grant- 109-2314-B-010 -049 -MY2)
19. O Batbold, C Pu* (2021) Crowding-Out Effect of Out-of-Pocket Health Expenditures on Consumption among Households in Mongolia. International Journal of Health Policy and Management 11(9), 1874–1882. (MOST Grant- 109-2314-B-010 -049 -MY2)
20. CH Hou, KJ Chen, JS Lee, KK Lin, C Pu* (2021) Effect of the Time Interval Between Cataract Surgery for Both Eyes on Mental Health Outcome: A cohort study of 585 422 patients. BMC Ophthalmology, 1;21(1):110. (MOST Grant- 109-2314-B-010 -049 -MY2)
21. O Batbold, C Pu* (2021) Disparities in depression status among different industries in transition economy: a cross-sectional study of Mongolia. Asia Pacific Journal of Public Health, 33(4):418-426. (MOST Grant- 109-2314-B-010 -049 -MY2)
22. YA Wong, CY Deng, C Pu* (2020) Targeting continuity of care and polypharmacy to reduce drug-drug interaction. Scientific Reports. 10(1):21279. doi: 10.1038/s41598-020-78236-y. (MOST Grant- 109-2314-B-010 -049 -MY2)
23. Ochirbat Batbold, C Pu* (2020). Willingness to pay for private health insurance among workers with mandatory social health insurance in Mongolia. International Journal for Equity in Health 6;20(1):7. doi: 10.1186/s12939-020-01343-9. (MOST Grant- 109-2314-B-010 -049 -MY2)
24. C Pu*, JY Guo, YH Yeh, P. Sankara (2020). Comparison of knowledge on stroke for stroke patients and the general population in Burkina Faso: a cross-sectional study. AIMS Public Health 7(4): 723-735. doi: 10.3934/publichealth.2020056.
25. YC Lu, C Pu, CH Hou*, (2020) The effect of continuity of care and provider volume on late presentation of glaucoma: a nested case control study. Journal of Glaucoma 1;30(2):187-191. doi: 10.1097/IJG.0000000000001695
26. CH Hou, KK Lin, JS Lee, CY Pu*(2020) Medication Adherence in Patients with Glaucoma After Cancer Diagnosis. American Journal of Ophthalmology, 213, 88-96. (MOST Grant number: 106-2314-B-010-024-MY2)
27. Javid N, CY Pu*(2020) Maternal stature, maternal education and child growth in Pakistan: a cross-sectional study. AIMS Public Health 7(2):380-392.
28. YT Chen, IJ Wang, CY Pu*(2019) perception and willingness to maintain provider care continuity for their children under universal health coverage. AIMS Public Health 2019; 6(2): 121–134. (MOST Grant number: 106-2314-B-010-024-MY2)
29. Chang CL, Tang GJ, Wu CP, CY Pu, Chen HC. (2019). The influence of nurse practitioner staffing on intensive care unit mortality. Journal of the American Association of Nurse Practitioners (epub)
30. TH Wang, YH Yeh, CY Pu* (2019) Excess mortality reduction given a “reduce patient mortality at all costs” scenario for mass burn casualties. Burns 2019 May 3. pii: S0305-4179(18)30781-2. doi: 10.1016/j.burns.2019.04.009. [Epub ahead of print]. (MOST Grant number: 106-2314-B-010-024-MY2)
31. YC Ku, YJ Chou, MC Lee, CY Pu* (2018) Effects of National Health Insurance on household out-of-pocket expenditure structure. Social Science and Medicine 2019 Feb;222:1-10. doi: 10.1016/j.socscimed.2018.12.010. Epub 2018 Dec 8. (MOST Grant number: 106-2314-B-010-024-MY2)
32. YS Huang, CY Pu* (2018). Quantifying and decomposing changes in outpatient utilization at medical institutions with different tiers in Taiwan, 2005-2015. Journal of the Formosan Medical Association,117(6) 460-461.
33. YH Lin, Tzu-Yang Tai, CY Pu, DK Hwang, Yu-Mei Chung, and YJ Chou (2018). Epidemiology of Behcet’s Disease in Taiwan: A Population-Based Study. OPHTHALMIC EPIDEMIOLOGY, 2018 Aug;25(4):323-329
34. TS Wang, CY Pu* (2017) Response to “Towards a reliable paradigm shift in emergency medical service for improving mass burn casualty response”. Burns 43(8): 1822.
35. GY Kuo, YJ Chou, CY Pu* (2017). Effect of continuity of care on drug-drug-interaction. Medical Care. 55(8):744-751 (MOST 102-2314-B-010-015-MY3)
36. E. Chuluunbaatar, YJ Chou, CY Pu* (2017). Changes in Caregiver Burden among Informal Caregivers of Stroke Patients in Mongolia. Topics in Stroke Rehabilitation; 24(4):314-321
37. P Khumalo, YJ Chou, CY Pu*(2016). Antiretroviral treatment attrition in Swaziland: a population-based study. Epidemiology and Infection. 22:1-9.
38. TS Wang, WS C, YH Yeh, CY Pu* (2016) Experience of distributing 499 burn casualties of the June 28, 2015 Formosa Color Dust Explosion in Taiwan. Burns, 43(3): 624–631
39. YS Yeh, YJ Chou, N Huang, CY Pu*, P. Chou (2016). Seasonal variations of prescriptions for the major syndrome types and manifestations of upper respiratory tract infection in tradition Chinese medicine. Complementary Therapies in Medicine, 29:213-218.
40. YS Yeh, YJ Chou, CY Pu* (2016). The Trends of Utilization in Traditional Chinese Medicine in Taiwan from 2000 to 2010: A Population-Based Study. Medicine, 95(27):e4115.
41. CF Chang, YL Kuo, CY Pu*, YJ Chou (2016) Neck dissection and stroke in oral cavity cancer patients: A population-based cohort study. Head & Neck, 39(1):63-70.
42. CY Pu*, YJ Chou (2016) The Impact of Continuity of Care on Emergency Room Use in a Healthcare System without Referral Management: An Instrumental Variable Approach. Annals of Epidemiology;26(3): ):183-8
43. CS Hsu, YJ Chou, CY Pu* (2016). The Effect of Continuity of Care on Emergency Room Use for Diabetic Patients Varies by Disease Severity. Journal of Epidemiology, 26(8): 413–419.
44. E Chuluunbaatar, YJ Chou, CY Pu* (2015). Quality of Life of Stroke Survivors and Their Informal Caregivers: A Prospective Study. Disability and Health Journal, 9 (2):306–312.
45. Chen TY, YJ Chou, CY Pu*, P. Chou. (2015). Exploring the Role of Multiple Chronic Conditions in Traditional Chinese Medicine use and Three Types of Traditional Chinese Medicine Therapy among Adults in Taiwan. Journal of Alternative and Complementary Medicine; 21(6):350-7.
46. Chou, Y. C., Lu, Z. Y., & CY Pu (2015). Attitudes toward male and female sexuality among men and women with intellectual disabilities. Women & Health, 55(6), 663-678.
47. CY Pu*(2015)The Influence of the Common Cold on Self-Rated Health: A Population–Based Study. AIMS Public Health, 2(3): 247-255.
48. Tsai HY, YJ Chou, CY Pu* (2015) Continuity of Care Trajectories and Emergency Room Use among Patients with Diabetes. International Journal of Public Health;60(4):505-13.
49. Adams R, YJ Chou, CY Pu * (2015). Willingness to Participate and Pay for a Proposed National Health Insurance in St. Vincent and the Grenadines: A Cross-sectional Contingent Valuation Approach. BMC Health Services Research (SCI), 15:148
50. Zoungrana A, YJ Chou, CY Pu * (2014) Socioeconomic and environment determinants as Predictors of severe malaria in children under five years of age admitted in two hospitals in Koudougou district, Burkina Faso: A cross sectional study. ACTA Tropica;139:109-14.
51. Chou YC*, Lu ZY, CY Pu (2014) Attitudes towards male and female sexuality among men and women with intellectual disabilities. Women and Health, 55(6):663-78.
52. Hwang DK, ; JL Liu, MD; CY Pu, YJ Chou, P Chou (2014) Persistence of Topical Glaucoma Medication: A Nationwide Population-Based Cohort Study in Taiwan. JAMA Ophthalmology, 132(12):1446-52
53. Chou, Y.C.*, Kröger T. CY Pu, (2014) Universal breadwinner vs. universal caregiver model: fathers’ involvement in caregiving and well-being of mothers of offspring with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities,29(1):34-45.
54. Fang, YT, LK Chen, CY Liu e, YJ Chou, CY Pu *, PJ Lin, HY Hu, N. Huang , P Chou (2013). Prescription of atropine eye drops among children diagnosed with myopia in Taiwan from 2000 to 2007: a nationwide study. Eye 27(3):418-24.
55. DR Huang, YJ Chou, CY Pu*, P Chou. (2013) Risk Factors for Developing Glaucoma among Patients with Uveitis – a Nationwide Study in Taiwan. Journal of Glaucoma. 24(3):219-224
56. Chou, Y.C.*, Lu,ZY Jane & CY Pu (2013). Menopause experiences and attitudes in women with intellectual disabilities and in their family carers. Journal of Intellectual and Developmental Disability, 38(2):114-23.
57. CY Pu, GJ Tang, YT Fang, YJ Chou* (2012). Which domain of self-rated health better predicts medical care utilization for general adults? Journal of Epidemiology, 5;22(5):417-24.
58. CY Pu, YM Bai, YJ Chou* (2012). The impact of self-rated health on medical care utilization for elderly with depressive symptoms. International Journal of Geriatric Psychiatry 28(5):479-86.
59. DG Huang, YJ Chou, CY Pu*, P. Chou. (2012) Epidemiology of Uveitis among the Chinese population in Taiwan – A Population-Based Study. Ophthalmology 119(11):2371-6.
60. Fang, YT, YJ Chou, CY Pu *, PJ Lin, HY Hu, N. Huang , P Chou (2012). Factors associated with subsequent eye care for children in Taiwan: A population based historical cohort study. Ophthalmic Epidemiology 19(6):350-7.
61. Fang, YT, LK Chen, CY Liu e, YJ Chou, CY Pu *, PJ Lin, HY Hu, N. Huang , P Chou (2012). The Association between Physical Disability and Eye Care Utilization among Elderly Population in Taiwan: a Nationwide Cohort Study. Archives of Gerontology and Geriatrics 54(2):181-186.
62. Chou, Y. C., Fu, L. CY Pu, J. Y., & Chang, H. H. (2012). Difficulties of work-care reconciliation: Employed and non-employed mothers of children with intellectual disabilities. Journal of Intellectual and Developmental Disability 37(3):260-8.
63. Kuo, PL, CY Pu * (2011). The contribution of depression to mortality among elderly with self-reported hypertension: analysis using a national representative longitudinal survey. Journal of Hypertension, 29(11):2084-90.
64. CY Pu G.J. Tang, N. Huang, Y.J. Chou* (2011). The predictive power of self-rated health for subsequent mortality risk at old age: An analysis using a national representative survey of the elderly in Taiwan. Journal of Epidemiology, 5;21(4):278-84
65. CY Pu, N. Huang G.J., Tang, Y.J. Chou* (2011). When does poor subjective financial position hurt the elderly? Testing the interaction with educational attainment using a national representative longitudinal survey. BMC Public Health,11:166.
66. CY Pu, N. Huang, Y.J. Chou* (2011). Do agreements between adolescent and parent reports on family socioeconomic status vary with household economic stress? A cross-sectional analysis in Taiwan. BMC Medical Research Methodology, 11: 50.
67. Chou, Y.C.*, CY Pu, Kröger T. WP Lee & SC Chang. (2011). Outcomes of a New Residential Scheme for Adults with Intellectual Disabilities in Taiwan: A Two-Year Follow-up. Journal of Intellectual Disability Research (JIDR) 55(9):823-31
68. Wu, C.Y., Hu, H.Y., CY Pu, Huang, N., Shen, H.C., Li, C.P., Chou, Y.J.* (2011) Aerodigestive tract, lung and hematologic cancers are risk factors for tuberculosis: an 8 year population-based study. International Journal of Tuberculosis and Lung Disease. 15(1):125-130 (SCI)
69. Wu, C.Y., Hu, H.Y., CY Pu, Huang, N., Shen, H.C., Li, C.P., Chou, Y.J.* (2011) Pulmonary Tuberculosis Increases the Risk of Lung Cancer: a Population-Based Cohort Study. Cancer. 117(3):618-624.
70. CY Pu * Chou, Y.J. (2010). Health ratings for underweight, overweight and obese adolescents: Disparities between adolescent’s own report and the parent’s report. Asia Pacific Journal of Clinical Nutrition 19(2):180-187.
71. Wang, P.J., Chou, Y.J., Lee, C.H., CY Pu *(2010) Diffusion of new medication across different income groups under a universal health insurance program – An example of newly enlisted NSAIDs for elderly osteoarthritis patients. International Journal of Public Health, 55(5):497-506 (SCI)
72. Chou, Y.C.*, CY Pu, Fu, L.Y. & Kröger T. (2010). Depression among Older Female Carers of Adults with Intellectual Disabilities. Journal of Intellectual Disability Research (JIDR), 54(12):1031-44.
73. Wu, C.Y., Hu, H.Y., Huang, N., CY Pu, Shen, H.C., Chou, Y.J.* (2010) Do the health care workers gain protected against herpes zoster infection? A 6-year population-based study in Taiwan. The Journal of Dermatology. 37(5):463-470.
74. Chou, Y.C.*, CY Pu Kröger, T & Fu, LY (2010). Caring, employment and quality of life: a comparison of employed and non-employed mothers of adults with ID. American Journal on Mental Retardation. 115(5): 406-420.
75. Chou, Y.C.*, CY Pu Lee, YC, Lin LC & Kröger, T (2009). Effect of perceived stigmatization on the quality of life among ageing female family carers: A comparison of carers of adults with intellectual disability and carers of adults with mental illness. Journal of Intellectual Disability Research(JIDR), 53: 654-664.
76. Chou, Y.C.*, Lu, Z.Y. Jane, CY Pu (2009). Prevalence and Severity of Menstrual Symptoms among Institutionalized Women with an Intellectual Disability. Journal of Intellectual & Developmental Disability, 34(1) 36-44.
77. CY Pu, Lan, V.M., Chou, Y.J., Lan, C.F.* (2008). The crowding-out effects of tobacco and alcohol where expenditure shares are low: Analyzing expenditure data for Taiwan. Social Science & Medicine, 66 , 1979-1989.
78. CY Pu, Lan, V.M, Lan, C.F.* & Lang, H.C. (2008). The determinants of traditional Chinese medicine and acupuncture utilization for cancer patients with simultaneous conventional treatment. European Journal of Cancer Care. 17(4) 340-349.(SCI)
79. Chou, Y.C.*, Lu, Z.Y., CY Pu, Lan, C.F. (2008). Predictors of Female Worker Attitudes towards Menstruation and the Provision of Help to Institutionalized Women with Intellectual Disabilities in Taiwan. Social Science & Medicine 67(4):540-545.
80. Chou, Y.C.*, Lin, L.C. CY Pu, Lee, W.P., Chang, S.C. (2008). Outcomes and Costs of Residential Services for Adults with Intellectual Disabilities in Taiwan: A Comparative Evaluation. Journal of Applied Research in Intellectual Disabilities. 21(2), 114-125.
81. Chou, Y.C*, Tzou, P.Y, CY Pu, Kröger, T., Lee, W.P. (2008). Respite care as community care Service: Factors associated with the effects on family carers of adults with intellectual disabilities in Taiwan. Journal of Intellectual & Developmental Disability, 3(1),12-21.