Page 77 - 2018-19全民健康保險年報

Integrated Delivery System (IDS)
Due to their isolated geographical environment and inconvenient transportation, Taiwan’s mountain areas and offshore islands are universally lacking in medical resources. As a consequence, the NHIA has drafted plans to induce willing and capable hospitals and clinics to send adequate medical manpower to these underserved areas. Introduced in November 1999, the Integrated Delivery System (IDS) encourages large hospitals to provide specialized medical service, emergency services, and overnight care in mountain areas and on offshore islands at fixed locations or through roving services.
At present, there are 50 townships in the outskirts of the country. A total of 26 contract institutions have undertaken 30 projects, serving more than 460,000 people, with the average satisfaction of the local people reaching 95%.
Improvement Plan for Medically Underserved Areas
The IDS program currently covers 50 townships in mountain areas and on offshore islands. A total of 26 contracted hospitals and clinics are implementing 30 projects to support local medical service in these areas.
照顧弱勢 守護偏鄉
Caring for the Needy and Safeguarding Remote Areas
The NHIA devotes an additional NT$640 million annually to towns and townships with insufficient medical resources, and is implementing the Improvement Plan for Medically Underserved Areas to encourage dentists, physicians, and Chinese medicine physicians to work in underserved areas in the spirit of “local service,” or provide healthcare services in such areas on a roving basis. In 2017, 541 contract institutions have conducted tours in areas deficient of medical resources, serving more than 609,000 people.
Upgrading Medical Services in Underserved Areas
The NHIA introduced the Medical Service Improvement Program for Underserved Areas in 2012 in order to strengthen medical services and preventive healthcare at the community level on offshore islands, in mountainous areas, and other areas lacking in medical resources. This program, which has an earmarked budget and guaranteed point values, encourages hospitals in the foregoing areas or nearby to provide 24- hour emergency services, and internal medicine, surgical, gynecological/obstetric, and pediatric outpatient and inpatient services. Ninety hospitals were participating in 2017, helping to improve the provision of convenient services at a more local level.
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