第 二 篇 經 營 成 效 與 品 質 提 升
Chapter 2 Achievements &Quality Assurance Initiatives
63
B. GettingResources toOtherRegions inNeed:
TheNHIAinvests an additional NT$500million annually
on a program for townships and villages in areas that lack
medical resources. The initiative centers around a preferential
medical reimbursement plan emphasizing “localized services”
that encourages dentists and traditional Chinese medicine and
western medicine physicians to work in resource-deprived
areas or provide health care services in such areas on a rotating
basis.
C. Upgrading Medical Services in Resource-deprived
Regions
In 2012, the NHIA launched a program to upgrade and
improve accessibility to medical services and preventive care
at the community level in remote mountainous and island
regions and other areas lacking health care resources. The
plan, which has a specific budget and guaranteed point values,
encourages hospitals in these or neighboring areas to provide
24-
hour emergency services, inpatient services and internal,
surgical, gynecological/obstetric and pediatric department
outpatient services. Sixty-six hospitals were participating in the
plan in 2013, helping deliver care at amore local level.
（
二）醫療資源不足地區改善方案：
衛生福利部對平地醫療較不足鄉鎮，
每年約額外投入
5
億元，辦理醫療資源不
足地區醫療給付改善方案，以「在地服務」
的精神鼓勵中、西、牙醫基層醫師至醫療
資源不足地區執業，或是採巡迴方式提供
醫療服務。
（
三）醫療資源不足地區之醫療服務提昇
計畫：
為加強提供離島地區、山地鄉及健保
醫療資源不足地區民眾的在地醫療服務及
社區預防保健，增進就醫可近性，
2012
年
起實施「全民健康保險醫療資源不足地區
之醫療服務提升計畫」，以專款預算、點
值保障方式，鼓勵位於上述區域或鄰近區
域的醫院，提供
24
小時急診服務，及內科、
外科、婦產科及小兒科門診及住院醫療服
務，強化民眾就醫在地化，
2013
年計有
66
家醫院參與。