Taiwan's Universal Health Insurance System:Change Trajectory,Operational Logic and Practical Dilemmas
Taiwan's universal health insurance system has gone through two stages:"the first-generation health insurance"and"the second-generation health insurance"."The first-generation health insurance"builds a single health insurance system,compels people to participate in health insurance,introduces a welfare insurance model,and creates a total payment system.Compared with"the first-generation health insurance",the current"second-generation health insurance"has wider insurance coverage,more reasonable premium payments,better insurance services,and more convenient medical treatment experience.The operational logic of promoting the innovation of"the second-generation health insurance"is the universal participation in health insurance,the"Central Health Insurance Agency"to save and control insurance resources,the rationalization of system design and medical technology specialization,and the"Health Insurance MediCloud System"to provide comprehensive information sharing."The second generation health insurance"has achieved high satisfaction of the Taiwan residents,but its positioning,premium burden,service expenditure,information storage security are also facing practical difficulties.We should advocate the concept of people-oriented values,strengthen the level of primary medical services and informatization,especially actively promote the integrated development of medical industries across the Taiwan Straits,and further improve Taiwan's universal health insurance system.
Taiwanuniversal health insurance system"Health Insurance MediCloud System"