篇名

全民健康保險納入新醫療科技決策之程序與透明度   免費試閱

並列篇名

The Procedure and the Transparency of the Incorperation of New Health Technology Decision into National Health Insurance Taiwan

中文摘要

中央健康保險署為實現作好新醫療科技納入全民健康保險給付決策的目標,自2013年9月起組成全民健康保險醫療服務給付項目及支付標準專家諮詢會議平臺,經由醫療專業協助提供是否納入健保給付之建議及其相關內容,再提全民健康保險醫療服務給付項目及支付標準共同擬訂會議平臺代表全民健康保險給付決策之擴大參與,其相關會議資料及會議紀錄均公開置於中央健康保險署全球資訊網,以符合決策之過程資訊透明及程序正義;又為秉持辦理全民健康保險之精神及滿足民眾對新醫療科技之需求,對符合醫療需要之醫療服務與藥物,歷年來均在財源合理下逐步將其納入健保給付。然觀察國外新醫療器材之開發,雖然功能日益精進、發展快速,但價格亦隨之高漲,對該新醫療科技是否納入健保給付之決策產生影響。如何使得醫療科技項目更符合成本效益,全民健康保險能亦於有效、合理醫療成本情況下提升購買力,使全體民眾受益,這會是臺灣未來將新醫療科技納入健保給付之發展方向。

英文摘要

In order to realize the aim that New Health Technology Decision is incorporated into National Health Insurance Taiwan, National Health Insurance Administration has since September 2013 organized a platform conferences for specialists as consults for the medical payments of National Health Insurance and its standards. After providing a suggestion by the medical profession whether the payment would be included into the payment of Health Insurance, the hole policy that the payment and the standard of National Health Insurance would as the increasing the participation be discussed. Moreover, the materials and the records of the conference would be published on the website of National Health Insurance Administration, so that the policy could be transparent and parallel with the procedural justice. In addition, the medical treatments and medicine due to the medical necessity would be incorporated into the payment of Health Insurance, not only according to the aim of public Health Insurance, but also on the purpose of satisficing the requirement of the new medical technologies. Meanwhile, observing the developments of new medical equipment abroad, their functions progressed and were fast developed, the prices were raised at the same time. It leads the concern, whether new medical technologies could be included by National Health Insurance. How to make programs of medical technologies to conform the Cost-effectiveness, Health Insurance to still works, enhance the purchasing power under a rational cost and the people be benefited in the future, would be a new direction of development that a new medical technology could be included in the payment of Health Insurance.

起訖頁

054-065

出版單位
DOI

10.3966/241553062018010015004  複製DOI  DOI查詢

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