VALUE, OBJECTIVES, AND MANIPULATION METHODS OF THE NATIONAL HEALTH INSURANCE IN TAIWAN
Miao Sheng Chen
Department of Business Administration, Nanhua University, Chiayi County, Taiwan, R.O.C.
Chi Wen Tseng*
Department of Internal Medicine, Christian Hospital, Chiayi City, Taiwan R.O.C.
*Corresponding author: This email address is being protected from spambots. You need JavaScript enabled to view it.
Yi Fan Chen
Department of Fuyu Chinese Medicine Clinic in Taipei County, Taiwan R.O.C.
Abstract
The National Health Insurance (NHI) of Taiwan should create benefits for society by maintaining the national health status at a high level. The country has an annual objective of achieving a specific value of the national health index. Taiwan should promote the NHI through health insurance taxation, creating easy access to medical resources, and manipulating medical resources to ensure they are used effectively. Methods are currently subordinate to objectives in hospitals, which can be shown using a Chinese character 正 (pronounced “jheng”), which comprises two other characters,一 and 止 (pronounced “yi” and “jhih”). The character 一 denotes integrate , and is used to leadership citizens; 止 denotes the implementation of the NHI. The core problem of the NHI’s implementation is how to design a management mechanism that achieves a natural operation and a balance between income and expenditure and in the doctor–patient relationship. On the basis of pictograms and knowing, this problem can be depicted using the Chinese character 道(pronounced “dao”) that means road. First, the two upper right marks in 道 can depict the relationship between the income and expenditure of the NHI or between the effectiveness and efficiency of diagnosis and treatments (an opposite and integrated relationship). Second, the horizontal line under the two marks in 道 indicates that balance must be achieved. Third, the 自 (pronounced “zih”) on the lower right of 道 denotes nature, and the辵 (“chuo”) on the left side of 道 denotes operation; the combination of these two characters illustrates a mechanism of natural operation. Accordingly, 正 and 道 indicate the NHI’s self-balance and operation. This paper focuses on the self-balanced and operational mechanism of the NHI, uses analyses of the shapes of 正 and 道 to explain the current management of Taiwan’s NHI, and proposes practical recommendations. ( Figure 1.) ( Figure 2.)
Keywords: National Health Insurance (NHI), Second Generation Health Insurance, Global Budget System (GBS), Financial Management
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