我国台湾地区医疗保险与支付制度改革经验及启示  

Experience and enlightenment of reform of health insurance and payment system in Chinese Taiwan

作　　者：徐嘉婕 吕大伟 金春林[1] XU Jiajie;LYU Daweir;JIN Chunlin(Shanghai Health Development Research Center(Shanghai Medical Information Center),Shanghai 200040,China;Shanghai Healthcare Security Administration,Shanghai 200125,China)

机构地区：[1]上海市卫生和健康发展研究中心(上海市医学科学技术情报研究所),上海200040 [2]上海市医疗保障局,上海200125

出　　处：《世界临床药物》2023年第9期1001-1005,共5页World Clinical Drug

基　　金：上海市卫生健康委“典型国家和地区卫生体系和筹资框架研究”(2023003C)。

摘　　要：从我国台湾地区医疗保险制度、健保支付制度等方面,介绍制度设计和改革经验。在此基础上为我国内地的医药卫生体制改革提供参考和借鉴,包括构建多渠道的筹资体系、持续推进医保支付方式改革、引入第三方机构制定预算与支付标准,以及加强医疗服务监管与信息标准化建设等。This paper reviewed the system design and reform experience of health insurance and payment system in Chinese Taiwan from the aspects of the health insurance system and health insurance payment system,also provided references for the reform of medical and health system in Chinese mainland,including building a multi-channel financing system,continuously promoting the reform of medical insurance payment methods,introducing third-party institutions to formulate budget and payment standards,and strengthening medical service supervision and construction of information standardization.

关 键 词：中国台湾 健康保险 支付制度改革 医药卫生体制改革 

分 类 号：F842[经济管理—保险] R197.1[医药卫生—卫生事业管理]