The Regulatory Carrots and Sticks of the Referral System under the National Health Insurance
After the implementation of the National Health Insurance (NHI), the spirit of referral and levels of care has been included in the NHI Act. But the results have not been satisfactory. Patients regardless of severity swarm to medical centers, which causes waste of medical resources and crowdedness of the emergency rooms. When regulatory control framework is used to guide the general public’s healthcare seeking behaviors, the tools are either incentives or punishment, which are as in English expression carrots and sticks. This article aimed at exploring whether there are regulatory mechanisms internationally that the NHI is still lacking from the perspectives of the insured and medical institutions separately.