健 保 新 紀 元
7
A New National Health Insurance
Era-Second-generation
National Health Insurance
及偏遠地區民眾的醫療照護服務內涵，也
促成醫療院所公開醫療品質及財務報表資
訊。另考量矯正機關收容人的健康權，亦將
其納入健保。透過二代健保的實施，以「提
升品質、關懷弱勢、健保永續、國際標竿」
為願景，持續提供全體國民健全的醫療服
務，並落實「人人有保，就醫公平」的目標。
回顧
1995
年
3
月
1
日全民健保開辦實
施，
18
年來納保率已達
99.9%
，
醫療院所
特約率亦高達
93%
，
民眾就醫非常方便；
而對於弱勢族群的照護，政府除每年編列
260
億元之保費補助、欠費協助、醫療保障
等多項措施，協助
300
萬人以上的弱勢族
群就醫無障礙之外，也在
2012
年投入
4.22
億元經費，對
42
萬多人的偏遠地區民眾，
持續提供提升品質的醫療服務。此外，民
眾繳交的每
100
元健保費中，就有
27
元是
作為幫助重大傷病患者的醫療。
sustainability. It also strengthens the medical services available
to disadvantaged groups and residents of remote areas of the
country. As for information transparency, the new system
encourages health care institutions to release information on
medical quality and their financial statements to the public.
Another of the reforms is to grant the right to health care of
inmates at correctional facilities and cover themunder the NHI
program.
The second-generation reform, which aspires to
“
improve quality, care for the disadvantaged, ensure the health
insurance system’s sustainability, and set an international
benchmark,” will continue to provide Taiwan’s residents with
comprehensivemedical services and equal access to care.
In the 18 years since the NHI system was founded on
March 1, 1995, the coverage rate has reached 99.9%, and 93%
of all health care facilities are now NHI-contracted, making
access to medical care convenient. The system subsidizes
NT$26 billion in premiums a year to help those who cannot
pay their bills and provide them medical security. These
and other measures assist more than 3 million people get
unobstructed access to the health care system. The NHI also
invested NT$4.22 million in 2012 to continue to provide and
upgrade medical services for the 420,000 residents of remote
parts of the country, and of every NT$100 spent on medical
care nationwide,, NT$27 went to the treatment of people with
catastrophic illnesses.
Through these efforts, average life expectancy in Taiwan
has increased from 74.5 years in 1994 to 79.15 years in 2011
(
with life expectancies of 76 years for men and 83 years for
women), and satisfaction in the NHI program has consistently