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Healthcare system in taiwan

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Some brief about Taiwanese National Health Insurance!!

Some brief about Taiwanese National Health Insurance!!


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  • 1. + Healthcare system in Taiwan --National Health Insurance References : www.nhi.gov.tw
  • 2. + About Taiwan  Population: 23,234,936 (world ranking: 51), with 10.9% of people over 65 years  Government: Multiparty democracy, last presidential election:2012  Geography:  An island in eastern Asia,  On the boundary of temperateness and subtropical – Typhoons  On the boundary of Filipino plate and Eurasian plate - Earthquake
  • 3. +  History:  Before 1895: Qing dynasty  1895-1945 (end of WWII): Japanese colony  After WWII: Nationalists ruling, with the constitution found in 1947  After 1949: Gradually democratized in a peaceful pace
  • 4. + Taiwanese health situation  Life expectancy:  Total: 78.48 years  Male: 75.66 years  Female: 81.53 years  Infant mortality rate: 5.1 deaths/1,000 live births (world ranking: 179)  Male: 5.38 deaths/1,000 live births  Female: 4.8 deaths/ 1,000 live births  Total death rate: 7.12 deaths/1,000 population (world ranking: 128)  Prevalence of HIV/AIDS (2012):  HIV infection: 24,309  AIDS: 9,367
  • 5. +
  • 6. National Health Insurance (NHI) Overview Enrollment Financing  InsuredClassification  Premium Calculation  Copayment System Payment System Future challenges
  • 7. OverviewStarted on March 1, 1995Compulsory social health insurance program for all citizens from birthHealth Insurance IC CardSecond Generation National Health Insurance System
  • 8. EnrollmentTaiwan (ROC) CitizensOverseas ROC citizens  stay in Taiwan for more than 3 monthsResidents from Hong Kong, Macau, China and Other Foreigners  stay in Taiwan for more than 6 months
  • 9. FinancingPrimarily funded by the premiumsOther revenuesPremium rates:  reviewed and re-calculated every two yearsthe premium rates has only been adjusted twice in the systems 15 years of existence  4.25% (1995) → 4.55% (September 2002) → 5.17% (April 2010)
  • 10. Financing - Insured Classification
  • 11. Financing - Premium Calculation
  • 12. Financing - Copayment System
  • 13.  Copayment Exemptions  catastrophic illnesses  living in remote mountain areas or offshore islands  child birth  veterans and their dependents  low-income households  children under the age of three  registered tuberculosis patients who receive treatment at specified contracted hospitals  Patients being treated for occupational ailments who are covered by labor insurance
  • 14. Payment System Healthcare institutions signed contracts with the BNHI: 92.47% Early years : “fee-for-service” → spiraling growth of medical cost Pay-for-performance system (first introduced in 2001)  breast cancer therapy, diabetes, asthma and hypertension treatment Global Budget Payment System Taiwanese version of the Diagnosis Related Groups (Tw- DRGs)  adopted 111 DRGs into practice for the first year (2010) and would take 5 years to phase in the complete system (more than 500)
  • 15. Who is benefited? Reference: Nicole Huang, Yiing-Jeng Chou, et al. The distribution of net benefits under the National Health Insurance programme in Taiwan. Health Policy and Planning 2007:22:49-59
  • 16. Future challengesImproving Access to Quality Care in Remote RegionsExpanding Resources to Care for DisadvantagedLong-term Care InsuranceMaking both Ends Meet
  • 17. Taiwan’s public health challenges… Very low birth rate  8.81 births/ 1,000 population, world ranking: 211  Population growth rate: 0.171%, world ranking: 179 Food security:  Cloudyagents contaminated by plasticizer  Leanness-enhancing drug
  • 18. Thank you for your attention!

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