第 一 篇 全 民 健 保 組 織 與 制 度
Chapter 1 NHI Administrative Framework
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For certain diseases that are expensive to treat, relatively
prevalent and could benefit from improved care models, the
“
pay-for-performance” system has been introduced to tie
payments to clinical outcomes. Doctors can rely on treatment
guidelines to help patients get better care, and the management
professional in charge of each case can track a patient’s
condition and ensure that the patient receives complete and
continuous attention and that the disease is under control.
Unlike the “fee-for-service” system, which offers no financial
incentives to improve quality, the “pay-for-performance”
system creates payment incentives for different diseases based
on how patients are treated that not only enhance efficiency
and quality but also restrain costs, fulfilling a core mission of
the NHI system.