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KMID : 0387319980080010232
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Korean Journal of Health Policy and Administration
1998 Volume.8 No. 1 p.232 ~ p.265
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Tawian´s Health Care Reform and Its Lessons
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Lee Kyu-Sik
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Abstract
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Taiwan has experienced rapid economic growth during the past two decades. As a result, the demand for health care in Taiwan has increased rapidly. To meet the rising demand, Taiwan implemented a National Health Insurance (NHI) program on March 1, 1995. This program now covers more than 96 percent of Taiwan´s citizens. Implementation of the NHI in 1995 represents fulfillment of a primary social and health policy goals of Taiwan. The goals of the NHI program is to eliminate financial barriers of health care for the citizens, to accomplish universal coverage in a sound financial structure, to provide equal access, and to improve the quality of care. To achieve these goals, the NHI was designed on the following principles: 1. All Taiwan citizens are compulsory joined the NHI program by law; 2. The NHI program provides comprehensive services; 3. The NHI is run by one single govt´ agency; 4. The NHI is financed by premium of insured and employed, and govt´ subsidy; 5. The NHI adopt fee-for-services scheme to pay medical expenses and copayment to avoid abuse of medical services. However, the scheme did not bring in the efficient use of health care resources and in the equity of financing among the insured. Taiwan´s health care reform has unfinished agenda.
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KEYWORD
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Health care reform, Taiwan´s Health Insurance System
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