Since National Health Insurance (NHI) was practiced in 1995,its public satisfaction was nearly 70% in the first year while the financial status got worse and worse years by years (15.3 billion of deficit in 1999,27.8 B deficits in Y2000, and around 37.7 B in Y2001). Therefore, Bureau of National Health Insurance (BNHI) had to not only care about cost saving, social fairness but also maintain medical care quality. In order to balance the worse finance, BNHI enforced many strategies, such as case payment (1997), outpatient and inpatient co-payment, high rejection rate of requested medical cases, global budget (Dental clinic in 1998, Chinese ambulatory in 2000, primary-cared clinics in 2001/07, hospital in 2002/07), drug price reduction from November of 1996 to December of 2002 to save about 14.65 billion, rationalization of OPD service, increase insurer fee (2002/09)¡K.etc.
Those implemented strategies incurred the impacts on patients, medical provider, pharmaceutical industry, and government. Therefore, the aims of this study is to explore balancing strategic variables for finding out optimal solutions among heavy financial loading from insurers, profit loss and arguments of so-called ¡§Drug price Black-Hole¡¨ from pharmaceutical industry, and quality of medical care from hospitals.
This study was through the ways of two-phase interview. The first one phase is to have in-depth interview with legislators, MNHI ministers, hospital administratives, scholars who are specialized at public health, and managers of consumer society; this phase was aimed at validity for all variables that were identified from the study. Until the second phase, we would focus on validated variables from phase one to design questionnaires for telephone interviewing with all stakeholders such as common people, phsicians from hospitals, managers from pharmaceutical industry, officials from BNHI.
The study will try to reveal the strategic variables from different dimensions to find out concrete balancing strategies and suggestions to stakeholders in order for coping with the inevitable impacts under system thinkings in the future.
| Identifer | oai:union.ndltd.org:NSYSU/oai:NSYSU:etd-0723103-111141 |
| Date | 23 July 2003 |
| Creators | Huang, Ming-Ching |
| Contributors | Hsien-Tang Tsai, James C. T.Lee, Cher-Min, Fong |
| Publisher | NSYSU |
| Source Sets | NSYSU Electronic Thesis and Dissertation Archive |
| Language | English |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://etd.lib.nsysu.edu.tw/ETD-db/ETD-search/view_etd?URN=etd-0723103-111141 |
| Rights | unrestricted, Copyright information available at source archive |
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