台湾医疗服务与全民健康保险体制分析

Analysis on medical service and universal coverage of health insurance system in Taiwan

台湾医疗服务体系具有多元化、多样性的特点。强制性的单一保险人的全民健康保险制度的实施对促进台湾医疗服务的全行业管理、减轻病人负担发挥了重要作用,同时也对医疗服务结构质量产生了负面影响。由于健保作用和社会资本进入医疗服务市场,近年来台湾医疗服务业出现了产业企业化、品质精致化、集团集约化、医院社会化、功能延展与异质经营等新趋势。这些为大陆的医疗卫生体制改革、医院建设及医疗卫生服务的宏观管理、精细化管理、人才管理等方面工作提供了值得借鉴的经验、教训。

Taiwan medical service system is multi-ownership and multiformity.Single payer and compulsive universal covered health insurance system played important roles on promoting medical industry wide management and reducing patient＇s disease burden but also gave side effects on medical service structure and medical quality.Because of health insurance system and social capital,medical service in Taiwan has showed the trends of industrialization,refinement,centralization,socialization and functional extension in recent years.This can give reference for health system reform,hospital building and health system macro management,lean management and human resources management in China's Mainland.