全 民 健 康 保 險 年 報
National Health Insurance In Taiwan
2013-2014
ANNUAL REPORT
登錄藥品處方及重要檢查
健保卡除有重大傷病證明的註記，也
登錄藥品處方及重要檢查項目，讓醫師在
診療時參考，如此可避免重複用藥、檢查，
避免浪費健保醫療資源，而民眾也能減少
檢驗風險及排隊候檢的時間，並提升就醫
安全性。
此外，健保卡啟用後，每次就醫紀錄
可即時傳送至健保署，每天的門診與住院
人次即可及時統計，針對某些異常就診的
行為，健保署可及早發現而加以追蹤輔導。
而且，健保卡可依衛生福利部轉送保險對
象器官捐贈或安寧緩和醫療意願之檔案，
載入健保卡資料庫，保險對象只要持健保
卡至設有讀卡機之地點更新，就可將意願
註記載入健保卡，這樣在保險對象意識不
清，無法清楚表達意願時，家屬即可以暸
解其意願。
Prescription andTest Records Stored on ICCards
The NHIA enters drug prescriptions and important
medical tests on patients’IC cards as a reference for physicians
treating the cardholder. Access to this information prevents the
waste of medical resources, such as repetitive prescriptions
or tests, and reduces examination risks and waiting times for
patients.
The adoption of the IC card has made it possible for a
record of every patient visit to be transmitted in real time to the
NHIA, enabling it to tabulate outpatient and inpatient visits on
a daily basis and spot and pursue irregularities or anomalies as
they happen.
Another feature of the IC card is that it can store
information on the patient’s willingness to donate organs or
desire not to be resuscitated or given hospice care if they lose
consciousness. For people who register their preferences on
these issues with the Ministry of Health and Welfare, that
information can be downloaded to the NHI’s IDC system,
and the patient can transfer the information to their cards
wherever a card reading machine is installed. This will give
family members and physicians a clear understanding of how
cardholders who have lost consciousness feel about end-of-life
issues.