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    Please use this identifier to cite or link to this item: http://tkuir.lib.tku.edu.tw:8080/dspace/handle/987654321/74367

    Title: 全民健康保險監理委員會之監督機制探討
    Other Titles: The study of oversight mechanism of national health insurance supervisory committee
    Authors: 江盈儀;Chiang, Ying-Yi
    Contributors: 淡江大學公共行政學系公共政策碩士班
    Keywords: 全民健保;全民健康保險監理委員會;行政課責;監督機制;national health insurance;National Health Insurance Supervisory Committee;Administrative Accountability;Oversight Mechanism
    Date: 2011
    Issue Date: 2011-12-28 18:25:22 (UTC+8)
    Abstract: 全民健保是國人引以為傲之制度,卻於實施三年後,陸續浮現相關問題,尤其是在監理會監督健保局的業務權責上,只能僅做表面上的監督,無法針對健保局所負責的業務進行實質的約束力。除此之外,未來監理會與費協會合併為「全民健康保險會」後,各方紛紛都認為可建立起更好的權責相符之全民健保決策機制,但健保會之委員的組成、委員的代表性、主任委員的遴選等問題,在相關文獻中,僅大略地點出問題所在,無明確說明,基於此,這些問題都有待研究與探討。
     It is widely believed that National Health Insurance is a prominent scheme due to the fundamental concept of mutual assistance but It can be argued that there are many problem turn up ever since the establishment of the NHI in 1995 . It can be ascertained that NHI Insurance Supervisory Committee can not provide efficiently supervision towards to Bureau of National Health Insurance. Furthermore, there are a significant numbers of people believed that it is exceedingly to establish a more appropriately decision making mechanism for National Health Insurance after the integration between NHI Supervisory Committee and NHI Medical Expenditure Negotiation Committee into NHI Committee . However, there are a lot of problem did not mentioned clearly enough from the others related literature, such as the representatives and the representations issues for NHI Committee, from this standing, it can be ascertained that issues mentioned above are worthwhile to explore.
      According to the judiciary point of view, the power of NHI Supervisory Committee is subsidiary from the current structure of NHI Supervisory Committee, in other words, NHI Medical Expenditure Negotiation Committee has predominant power compared with NHI Supervisory Committee from the overall distribution of power. Furthermore, Bureau of National Health Insurance and NHI Supervisory Committee are parallel and equal footing units, on the other hand, NHI Supervisory Committee has the obligation to supervise Bureau of National Health Insurance, it can be doubted whether NHI Supervisory Committee can achieve the goal and legality or not.
      There are many suspects on the meaning of the existing NHI Supervisory Committee, therefore the research goals of this literature are three. There are firstly fully understanding the role of NHI Supervisory Committee playing in NHI scheme. Secondly analyzing the supervision mechanism of NHI Supervisory Committee, from tool to the aim of prospective. Thirdly, establishing a more appropriately NHI Supervisory mechanism and how.
      This research uses the study methods of "documental analysis" and the "in-depth discussion" to find out its theoretical basis, analyze and conclusion to sort out the findings and recommendations to its purpose.
      The results and analysis of this research are based on theories and individual cases by adopting both Documentary Analysis and In-Depth Interview, therefore this paper may provide some possible solutions for the future development of Bureau of National Health Insurance.
    There are enhancing the function and responsibilities of administrative body, reducing the information asymmetry among representative groups, establishing a better screening mechanism, and last enhancing the communication and professional skills.
    Appears in Collections:[公共行政學系暨研究所] 學位論文

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