監所收容人納入全民健康保險可行性之探討

Feasibility of Prisoners Enrolling in National Health Insurance

蔡文正(Wen-Chen Tsai) ； 龔佩珍(Pei-Tseng Kung) ； 廖家慧(Chia-Hui Liao) ； 張伍隆(Wu-Long Chang) ； 林正介(Cheng-Chieh Lin) ； 許南榮(Nan-Yung Hsu) ； 李奇學(Chy-Hsuei Lee)

《台灣公共衛生雜誌》 27卷3期 (2008/06) Pp. 198-213

https://doi.org/10.6288/TJPH2008-27-03-02

摘要

目標：本研究調查收容人對於本身納入全民健保之意見，及醫院對收容人提供醫療服務之意願。方法：以全國48家矯正機關收容人及全國515家醫院為對象進行問卷調查，回收有效問卷為收容人2,849份、醫院194份，同時以羅吉斯回歸分析影響收容人納保意願之因素。結果：有80.87%收容人贊同其納入全民健保，贊成之主因為可減輕醫療費用，反對之主因為必需繳交保費。若以全面納入全民健保方式，有51.10%收容人贊成加入，有40%自認有能力負擔。若只保住院險，有66.75%收容人表示贊成加入。影響收容人納保意願之相關因素包含：性別、已入監執行刑期、需定期看醫師、每月自費看病金額、健保費用合理性認知、對收容人需退保合理性認知、由保管金中扣除保費認知。醫院有76.29%願意提供門診服務，59.07%願意提供住院服務。結論：顯示收容人較希望入獄時也能加入健保，但繳保費之能力為最需解決的問題。

關鍵字

收容人 ； 全民健保 ； 健康保險 ； 受刑人

並列摘要

Objectives: This study explored inmates' attitudes toward enrolling in National Health Insurance (NHI), as well as the willingness of hospitals to provide medical care to inmates. Methods: Inmates from 48 correctional facilities and all 515 hospitals were surveyed. The effective sample sizes for inmates and hospitals were 2,849 and 194, respectively. Logistic regression analysis was performed to examine factors associated with the willingness of inmates to enroll in NHI. Results: Of the inmates surveyed, 80.87% expressed willingness to enroll in NHI during the term of imprisonment. The main reason for willingness to enroll was a desire to reduce the inmate's medical cost burden. The requirement to pay insurance premiums was the main reason for unwillingness to enroll. If enrolling in NHI, 51.10% of inmates agreed to join. Forty percent of inmates believed that they could afford the insurance premium. If inmates were insured only for inpatient care, 66.75% of inmates were willing to enroll. Factors associated with willingness to enroll in NHI included the inmate's sex, length of stay in prison, need for regular physician visits, out-of-pocket payment for physician visits, perception of reasonableness of NHI premiums, whether the inmate was qualified for NHI, and whether payments were deducted from inmates' money under custody. Of the hospitals surveyed, 76.29% were willing to provide outpatient services to inmates, whereas only 59.07% were willing to provide inpatient services. Conclusions: A high percentage of inmates expressed willingness to enroll in NHI. The ability to pay the insurance premiums was the major obstacle needing to be overcome.

並列關鍵字

Inmates ； National Health Insurance ； Health Insurance ； Prisoners

參考文獻

全民健康保險法

Stress and the elderly convict

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