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「數位健保卡」數位創新服務之政府數位轉型初探
An Preliminary Study of Digital Government Transformation in the Context of the 'Virtual NHI Card' Healthcare Services
摘要
2020年嚴重特殊傳染性肺炎（COVID-19）疫情爆發，不啻催化各國加速政府數位治理之腳步，更提供推動遠距醫療精進的契機。疫情期間，政府透過數位健保卡推動遠距醫療與照護，以控管疫情蔓延。鑑於數位健保卡將於智慧醫療領域扮演不可或缺的角色，本研究透過文獻探討與文件分析法，探討數位健保卡政策對醫療數位轉型的影響與挑戰。本研究試圖探究相關問題：1.）數位健保卡政策對於政府推動數位轉型之功能與影響為何？2.）數位健保卡對於政府數位治理的問題與挑戰為何？本研究結果顯示數位健保卡政策在政府推動數位轉型中具有四大主要功能和影響：1.）整合資訊驅動資料再利用；2.）提升公共服務品質與資源利用效率；3.）「以人為本」之數位科技精進；4.）促進多元跨域與跨部門之協作。最後，本研究分別於行政、法律以及科技議題提出相應的政策建議，以利日後進一步研究者可尋出相關問題之共通解決方法，以利推動數位健保卡之實施。
並列摘要
In 2020, the COVID-19 pandemic accelerated digital transformation in governance and prompted the adoption of telemedicine. The "Virtual NHI Card" facilitated medical care for quarantined individuals, aiding disease containment. The purpose of this research is to understand the implications of telemedicine, focusing on its impact and challenges to the digital transformation of healthcare services. This preliminary research employs the method of literature review and document analysis, aiming to answer three key questions: 1.) What are the impacts of the government's "Virtual NHI Card" policy on the promotion of digital transformation? 2.) What are the factors that influence the promotion of the "Virtual NHI Card"? 3.) What issues and challenges does the "Virtual NHI Card" pose to digital governance? The research results indicate that the Virtual NHI Card policy has four major functions and impacts on promoting digital transformation by the government: 1) Integrating information to drive data reuse; 2) Improving the quality of public services and the efficiency of resource utilization; 3) Advancing people-centric digital technologies; 4) Promoting diverse cross-domain and cross-agency collaboration. The factors influencing the promotion of the Virtual NHI Card policy can be broadly summarized into six categories: 1) Gaps in technological infrastructure and digital skills; 2) Regulatory environment constraints on emerging technologies; 3) Support from the healthcare system; 4) Policy marketing; 5) Users' acceptance of technology; 6) Data security and trust. Furthermore, the problems and challenges faced during the implementation of the Virtual NHI Card can be summarized into three main areas: 1) The necessity of "Virtual NHI Card"; 2) The legitimacy of "Virtual NHI Card"; 3) The trust and security of "Virtual NHI Card". Finally, this paper proposes policy recommendations to facilitate further research and identify common solutions to these issues, thereby supporting the implementation of the "Virtual NHI Card".