评价台湾全民健康保险下的医疗保健。

Valuing healthcare under Taiwan's national health insurance.

机构信息

Department of Leisure Business Management, NanKai University of Technology, 568 Chung Cheng Road, Tsao Tun, Nan Tou County 542, Taiwan.

出版信息

Expert Rev Pharmacoecon Outcomes Res. 2008 Oct;8(5):501-8. doi: 10.1586/14737167.8.5.501.

DOI:10.1586/14737167.8.5.501

PMID:20528335

Abstract

This paper provides a new assessment of the most recent premium policy - the second-generation National Health Insurance (NHI) policy under Taiwan's NHI system. The willingness to pay (WTP) value for a universal coverage NHI plan is NT$201 per month and NT$940 per month for an individual level and for a household level, respectively. We find that the WTP rate is approximately 3.89% of monthly household income, consistent with the range of the new premium rate (2.5-4% of monthly household income) proposed by Taiwan's government. However, the regressive effect of the new premium policy is significant, suggesting that policy makers may consider other policy alternatives such as subsidy to the lower income for healthcare to eliminate the possible regressive effect of the second-generation-NHI premium policy.

摘要

本文对最新的保费政策——台湾全民健康保险制度下的第二代全民健康保险政策进行了新的评估。对全民健康保险计划的支付意愿（WTP）值分别为每月 201 新台币和每月 940 新台币，分别为个人和家庭水平。我们发现，WTP 率约为家庭月收入的 3.89%，与台湾政府提出的新保费率（家庭月收入的 2.5-4%）范围一致。然而，新保费政策的逆向效果非常显著，这表明决策者可能需要考虑其他政策选择，如为低收入者提供医疗保健补贴，以消除第二代全民健康保险保费政策可能产生的逆向效果。