從國際觀點看臺灣醫療體系的績效

本研究主要透過與國際經濟合作發展組織三十個會員國之國際比較，來探討臺灣實施全民健康保險制度十年來在醫療資源、醫療財務保險和健康狀態上的績效。結果顯示台灣在醫療保健費用支出、醫療人力資源和病床分佈上，比OECD會員國呈現相對的低值；而在醫療資源的利用上卻是較高；在國民健康狀態指標上，男女平均餘命比OECD會員國家平約減少一至二歲，而65歲以上老年人口比率雖比OECD會員國家呈相對的低，但其成長率卻屬於高值，顯示人口老化將是臺灣醫療保健未來重要的議題。在各國政府為著快速上升的醫療保健費用尋求對策之時，本研究所做的國際比較結果，可提供政府在醫療保健議題上進一步探討的方向和衛生政策制定的參考。

關鍵字

醫療體系；醫療保險；績效評估；國際比較

並列摘要

This study investigate how well we perform and where we stand about Taiwan's health system under national health insurance by comparing some health parameters to those countries of Organization for Economic Cooperation and Development (OECD). Our results show Taiwan spend less money on health care in terms of both health spending per capita and national health expenditure (NHE) as share of gross domestic product (GDP) than most OECD countries. However, Taiwan also showed less medical health workforces and resource and less population of age 65 and over than OECD countries. The higher rate of utilization and lower NHE in Taiwan implicates the higher productivity of health care workforces and lower unit price of medical service comparing to that of OECD countries. Ageing population and containment of escalating health spending will be the most important issue of health care to be faced in Taiwan in the near future. To improve our medical quality and performance, establishing a long-term micro-data base to examine the health service issues in Taiwan is needed.

並列關鍵字

Heath System ； Health Insurance ； Performance Evaluation ； International Comparison

參考文獻

衛生署(2002)。中華民國90年衛生統計動向。行政院衛生署。

Google Scholar

衛生署(2005)。2003全民健康保險統計動向。中央健康保險局。

Google Scholar

李丞華(2003)。從效率面談灣健康體系的再造。台灣衛誌。22，89-96。

Anderson, G. F.,Reihardt, U.E.,Hussey, P.S.,Petrosyan, V.(2003).It`s the prices, stupid: Why the United States is so different from other countries.Health Affairs.22(3),89-105.