Hot News
中文篇名 |
臺灣的公民社會與醫療改革 免費試閱 | |
---|---|---|
英文篇名 |
Taiwan’s Civil Society and Health Care Reform | |
作者 | ||
中文摘要 |
享譽國際的臺灣健保制度,的確終結了臺灣家庭因病而貧的悲劇,幾近百分之百的覆蓋率,低廉的保費,以及包山包海的醫療服務,使得健保成為臺灣引以為傲的社會保險制度。但這個臺灣之光背後,卻也掩藏不住二、三十年來臺灣醫療生態所經歷的極大變化,例如:醫療產業成了資本競逐的商品市場,醫療院所趨向大型化致使地區醫院急速萎縮,健保論量計酬的支付制度造成不同專科領域消長以致出現「五大皆空」的危機,健保財政頻亮紅燈,這種種結構性問題均使得臺灣醫療環境面臨難以永續的挑戰,改革成為迫在眉睫的當務之急。 | |
英文摘要 |
The internationally renowned Taiwan health insurance helps families to be able to receive medical care without falling into poverty. With its 100% coverage rate, low premium and free access to all kinds of medical service, Taiwan health insurance is a glory of this nation and has won high esteem from the international society. However, there are major structural changes that jeopardize our health care environment. For instance, medical service has been commodified in pursuit of profits; medical organizations are expanding to gain better market share and receive higher insurance payment; ‘fee for service’ payment leads to the shrinkage of certain medical professions that used to be honored by medical professionals; frequent budgetary deficits put health insurance in crisis. Those structural problems expose Taiwan health care environment to sustainability crisis. | |
關鍵詞 |
公開透明、健康保險、責信、醫療改革、transparency、health care reform、accountability、national health insurance | |
刊名 | ||
期數 | ||
起訖頁 |
051-059 | |
出版單位 |
第三部門學刊編輯委員會 | |
上一篇 |