荷蘭健康照護法制新趨勢

The New Trend of Health Care System in the Netherlands

周世珍(Shih-Chen Chou)

《長期照護雜誌》 10卷2期 (2006/07) Pp. 136-153

https://doi.org/10.6317/LTC.200607_10(2).0005

摘要

本文主要在介紹荷蘭健康照護相關法制之新趨勢，首先以2006年為分水嶺介紹該國健康照護新舊制度發展沿革與內容。繼則分析荷蘭新制度立法與修法的國內外背景。荷蘭國內有長達十餘年不同執政黨基於不同理念的改革；國外有歐盟法律新架構的要求。荷蘭健康照護相關法制之因應經驗可作為我國健康照護相關法制改革與面對全球化挑戰之參考。最後則針對建構整體健康照護法制、市場競爭與公權力規範之平衡、保費計算與保費補助公平性及漸進式改革模式，提出討論與建議。

關鍵字

健康照護 ； 長期照護 ； 照護保險 ； 健康保險

並列摘要

The aim of this study is to discuss the new trend of health care system of the Netherlands. The year of 2006 is a turning point for the Dutch health care system development. There are domestic and international factors influenced the development: for decades different executive party's had leaded to different policies. In the same time, the new legal framework of European Community set new requirements. The fulfillment experience of the Netherlands could be a good reference for Taiwan's health care and long-term care system to face the domestic needs and global challenge. Moreover, this study brings out the discussion and recommendation on the construction of a overall health care system, the balance between market competition and governmental regulation, the fairness of health insurance premium levy foundation and subsidy policy, the gradual revolution model as the lesson for health care and long-term care system reform in Taiwan.

並列關鍵字

health care ； long-term care ； long-term care insurance ； health insurance