歷史/時代
2024 實體出版
回顧全民健保推行當時,因為整合了多元分岐的體制,提升了公平與效率;也因為單一體制實施總額支付制度,控制醫療費用的上漲,開辦以來只上調過兩次保險費率,可說是傲視全球的台灣奇蹟。我們寄望未來如果能調整長照服務的支應方式,並整合健康保險與長照保險,加速落實以「人」為中心的整合照護,必能創造下一個奇蹟。 台灣自1995年開始推行全民健保,至今已近30個年頭。面對人口老齡化、少子化之下社區發展的困境,本書以既有的健保體制,來構思未來社區中應有照護服務的想像,探討社區中應有照護服務所耗費的資金與人力,也聚焦討論糖尿病等慢性病的社區管理、慢性精神病人照顧者服務及長期照顧,並以德國與日本長照保險的經驗為他山之石,總結實踐社區照護服務的建議策略。
When the National Health Insurance (NHI) was implemented in Taiwan, it successfully integrated a diverse and fragmented system, improving both fairness and efficiency. Moreover, the single-payer system, which adopted a global budget payment method, effectively controlled the rise in healthcare costs. Since its launch, the premium rate has only been adjusted twice, making it a global success story often referred to as the "Taiwan Miracle." Looking ahead, we hope that by adjusting the funding mechanism for long-term care services and integrating health insurance with long-term care insurance, Taiwan can accelerate the realization of person-centered integrated care, creating the next miracle.
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回顧全民健保推行當時,因為整合了多元分岐的體制,提升了公平與效率;也因為單一體制實施總額支付制度,控制醫療費用的上漲,開辦以來只上調過兩次保險費率,可說是傲視全球的台灣奇蹟。我們寄望未來如果能調整長照服務的支應方式,並整合健康保險與長照保險,加速落實以「人」為中心的整合照護,必能創造下一個奇蹟。 台灣自1995年開始推行全民健保,至今已近30個年頭。面對人口老齡化、少子化之下社區發展的困境,本書以既有的健保體制,來構思未來社區中應有照護服務的想像,探討社區中應有照護服務所耗費的資金與人力,也聚焦討論糖尿病等慢性病的社區管理、慢性精神病人照顧者服務及長期照顧,並以德國與日本長照保險的經驗為他山之石,總結實踐社區照護服務的建議策略。
When the National Health Insurance (NHI) was implemented in Taiwan, it successfully integrated a diverse and fragmented system, improving both fairness and efficiency. Moreover, the single-payer system, which adopted a global budget payment method, effectively controlled the rise in healthcare costs. Since its launch, the premium rate has only been adjusted twice, making it a global success story often referred to as the "Taiwan Miracle." Looking ahead, we hope that by adjusting the funding mechanism for long-term care services and integrating health insurance with long-term care insurance, Taiwan can accelerate the realization of person-centered integrated care, creating the next miracle.