全 民 健 康 保 險 年 報
National Health Insurance in Taiwan
2013-2014
ANNUAL REPORT
全民健保實施曾面臨諸多困難，從一
開始的滿意度不到
4
成
,
到目前持續成長至
8
成以上，顯見民眾十分肯定健保。其中雖
曾因
2002
年度保險費率及部分負擔調整，
導致民眾對全民健保的滿意度稍有下降，
隨後即快速回升至
7
成以上；
2010
年雖然
再次調整費率，薪資所得高者需繳更多保
險費，但是整體滿意度仍維持
8
成左右（圖
5
）
. 1995
年健保開辦之前，國人平均餘命
為
74.5
歲，自全民健保實施後，
2011
年國
人平均餘命，男性為
76
歲，女性為
83
歲，
顯著的提升了國人的平均餘命及降低了死
亡率（圖
6
），
成果深受民眾肯定。
全民健保 民眾滿意
Delivering Satisfaction
The NHI system faced considerable challenges and
resistance when it was first put in place, and public satisfaction
with the program at its inception was below 40%. Today,
the satisfaction rating is over 80%, reflecting the public’s
high degree of approval of the system. The NHI-program’s
satisfaction rating did take a plunge in 2002 when premiums
and co-payments were increased, but it quickly recovered to
higher than 70% a year later, and it remained steady at around
80%
throughout 2010 even as premium rates were again
increased and individuals with higher incomes were asked to
pay more (Chart 5). The strong support for the system reflects
in part the positive outcomes it has produced. Life expectancy
in Taiwan has risen from 74.5 years in 1995, the year the
program was introduced, to 76 years for men and 83 years for
women in 2011, and the standardized mortality rate has fallen
considerably (Chart 6).