Page 85 - 2018-19全民健康保險年報

健保醫療資源利用情形
NHI Medical Resource Utilization Status
類別
Category Medical expenses(points) Equivalency
民眾滿意 國際肯定
Public Satisfactions and International Recognition
表7-1 Table 7-1
全國每人平均
National average
每一重大傷病患者
Average catastrophic illness patient
每一癌症患者
Average cancer patient
每一罕病患者
Average rare diseases patient
每一洗腎患者
Average kidney dialysis patient
每一呼吸器患者
Average patient on mechanical ventilation
每一血友病患者
Average hemophilia patient
註:以2017年重大傷病年度統計資料為例。
Note: The above figures are based on 2017 catastrophic illness statistics.
醫療費用(點)
平均值倍數
29,378
203,360
165,927
678,998
607,451
737,274
3,014,347
1.0 6.9 5.6 23.1 20.7 25.1 102.6
Delivering Satisfaction
The NHI system has faced many difficulties, and the public’s satisfaction with the system was below 40% in the early days. Today, public satisfaction is over 80%, making it clear that the system enjoys a high level of public approval. Although the system’s satisfaction rating fell following increases in premiums and copayments in 2002 and in the wake of some fine-tuning of the system in 2005, it quickly rebounded to over 70% in the wake of these changes. The 2nd Generation NHI system has been implemented since January 2013, and supplementary premium was imposed on high-income households. The satisfaction that had at one point dropped climbed back to around 80%. In 2017, the general public’s satisfaction towards the NHI even peaked at 85.8% (Chart 7-1). Due to the implementation of NHI in Taiwan, comprehensive medical protection can be better provided to the needs of disadvantaged people.
Harnessing the Power of Mutual Assistance
The core value of the NHI system is its reliance on mutual assistance to have all of society share the financial risk of caring for those who get sick through a social insurance mechanism. Although patients with catastrophic illnesses account for 3.77% of all persons enrolled in the system, they also account for as much as 27.3% of all health insurance medical expenditures. Among these catastrophic illnesses, the average medical expenses of persons with cancer, kidney disease requiring dialysis, and hemophilia are from 5.7 to 102.6 times those of the general public. This situation manifested NHI’s role as a social insurance system, and ensured that patients with catastrophic illnesses are not driven into poverty by medical bills (Table 7-1).
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Chapter