第 二 篇 經 營 成 效 與 品 質 提 升
Chapter 2 Achievements &Quality Assurance Initiatives
65
（
二）重大傷病患者：
1.
現行衛生福利部公告的重大傷病範
圍有
30
類，包括癌症、慢性精神
病、洗腎及先天性疾病等，這些疾
病醫療花費極高，凡領有重大傷病
證明的保險對象，因重大傷病就醫
便可免除該項疾病就醫之部分負擔
費用。
2.
截至
2012
年
12
月底，重大傷病證
明有效領證數約有
96
萬餘張（人數
為
89
萬餘人，約占總保險對象的
3.86
％），
而
2012
年全年重大傷病
醫療費用約
1,558
億餘元（占全年
總醫療支出的
27.56
％），
健保藥品
費用中，每年約有
4
百億元（近
3
成）用於重大傷病。顯示重大傷病
的醫療費用支出比重高，全民健保
的確為他們提供實質的協助。
B. People with catastrophic illnesses:
1.
The 30 catastrophic illnesses recognized by the Ministry
of Health and Welfare, including cancer, chronic mental
disorders, chronic renal failure requiring kidney dialysis
and congenital conditions, are all very costly to treat.
Insured individuals with a catastrophic-disease card are
exempt fromco-payments for treatment of their disease.
2.
As of the end of December 2012, just over 890,000
people (or about 3.86%of all those insured) were holding
960,000
valid catastrophic illness cards. The treatment
they received in 2012 cost NT$155.8 billion, or 27.56%
of all NHI expenditures. Roughly NT$40 billion a year
is spent on medication for patients with catastrophic
illnesses, nearly 30%of the total amount the NHI system
spends on drugs. These spending levels are an indication
of the system’s commitment to helping those with major
ailments.