Family physician integrated health care plan and payment system in Taiwan Province
10.3969/j.issn.1674-2982.2015.07.005
- VernacularTitle:家庭医师整合型服务及其医保支付制度：台湾地区的经验与启示
- Author:
Li KUANG
;
Yixin ZENG
;
Luwen ZHANG
;
Tianlong MA
- Publication Type:Journal Article
- Keywords:
Family physician;
Integrated care;
Healthcare system;
Payment system
- From:
Chinese Journal of Health Policy
2015;(7):26-35
- CountryChina
- Language:Chinese
-
Abstract:
Under National Health Insurance system ( NHI) , Taiwan implemented “Family Physician Integrat-ed Health care Plan” by focusing on the key functions of primary medical institutions and family physicians. This plan had continuously strengthened the family physician system and the quality of integrated health care provision. Taiwan’s achievements and experiences were valuable for Mainland China. This paper first introduced the health sys-tem and health care provision system of primary medical institutions in Taiwan from the aspects of financing, pay-ment, health care delivery system structure, and market-capture institutions. Then, we made a comprehensive intro-duction on the policy objectives, organization structures, operation system, service schemes and health insurance pay-ment system of this plan. Finally we proposed the suggestion for integrated health care provision system in Mainland China. It is of vital importance that government should design the integrated service provision system by focusing on the key functions of family physicians. It is also of equal significance that the health administrative departments should cooperate with health insurance administrative departments to gain sufficient policy and funding resources for the plan’s successful implementation.
