Page 41 - 2018-19全民健康保險年報

表3-4 Table 3-4
總額部門
Sector
給付完整 就醫便利
Comprehensive Benefits and Convenient Access
2017 2018
4.711% 4.001%
3.699%
4.053% 4.800%
allocated to it as of 2014. This funding was used to encourage hospitals to hire more nursing staff, increase pay for night shifts, and subsidize extra overtime, making nurses more willing to stay on the job. Another NT$2 billion was invested in 2015 to adjust the reimbursement rates for nursing services. This measure has not only increased the payment point values for the nurses’ services, but also reduced nurses’ burdens through the linkage of payments to the nurse-patient ratio.
In addition, in conjunction with the promotion of a tiered medical system, in 2017, increased budget for the “medical service cost change index” in the hospital global budget was used to adjust payment points for acute/severe disease items (totaling NT$6 billion) and service items in remote areas (totaling NT$2.2 billion). Beginning on October 1, 2017, the payment points for 167 service items were adjusted, markups for children in 1,513 surgery items were relaxed, general principles for surgery were relaxed, and markups for ER on weekends, pediatric specialists, and raising payment points for 49 basic diagnosis and treatment in remote towns and regional hospitals. In order to strengthen
全民健保歷年各總額部門醫療費用協定成長率
Annual Negotiated Growth Rate of Global Budget
2009
2010
2011
2012
2013
2014
2015
2016
整體
Total
3.874%
3.317%
2.855%
4.314%
4.436%
3.275%
3.430%
4.912%
5.642%
牙醫門診
Dental
3.033%
2.515%
1.783%
2.264%
1.421%
1.888%
2.140%
3.463%
3.246%
中醫門診
Traditional Chinese Medicine
2.950%
2.063%
2.551%
2.856%
2.187%
2.421%
2.124%
3.927%
4.066%
西醫基層
Clinics
3.756%
2.742%
1.874%
2.986%
2.818%
2.391%
3.191%
4.274%
5.157%
醫院
Hospitals
4.887%
3.256%
3.173%
4.683%
5.587%
3.281%
3.659%
5.672%
6.021%
quality, drafted standards for professional review and case histories, established a hospital and clinic assistance system and medical services quality indicators, and maintained the transparency of quality information by posting relevant information on the NHIA website as a reference helping hospitals and clinics to continue to improve their medical quality.
Revision of the Fee-Schedule
To ensure balanced medical development and provide the public with up-to-date medical technologies, the NHIA has continued to add new treatment items reflecting technological progress and real clinical needs. As of June 2017, the fee schedule covered a total of 4,436 treatment items. The adjustment of the fee schedule was announced 85 times between 2004 and June 2017, and revisions were made to payment points for 1,989 treatment items.
To encourage hospitals to place greater emphasis on clinical nursing manpower, a program to improve the quality of nursing care was initiated in 2009, and more than NT$9.17 billion had been
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