全 民 健 康 保 險 年 報
National Health Insurance In Taiwan
2013-2014
ANNUAL REPORT
Providing Care in Remote Areas
Lacking Medical Resources
A. IDS: Bringing care to Remote Mountain Areas and
Islands
1.
Taiwan has a number of sparsely populated mountainous
areas and islands that lack medical resources because
of their locations and relative inaccessibility. To address
the gap in care, the NHIAdevised a plan to have willing
and capable hospitals send health care workers into
those areas. Initiated in November 1999, the Integrated
Delivery System (IDS) encourages major hospitals to
offer outpatient care, emergency services, and overnight
care either on-site or on a rotating basis.
2.
The IDS program covers all 48 mountainous and
island townships in the country. They are served by
25
contracted hospitals running 29 separate projects to
supplement local medical services.
對山地離島、偏鄉及醫療資源
缺乏地區族群的照護
（
一）全民健康保險山地離島地區醫療效益
提昇計畫：
1.
山地離島地區因地理環境及交通
不便，醫療資源普遍不足；因此
健保署規劃由有能力、有意願之
醫療院所以較充足的醫療人力送
至山地離島地區，自
1999
年
11
月起，陸續在山地離島地區實施
「
全民健康保險山地離島地區醫
療給付效益提昇計畫（簡稱
IDS
計畫）」，鼓勵大型醫院至該地
區提供專科診療、急診、夜診等
定點或巡迴醫療服務。
2.
目前全國公告之離島鄉皆已納入
IDS
計畫，計有
48
鄉，共
25
家
特約院所承作
29
項計畫，支援當
地醫療服務。