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    Please use this identifier to cite or link to this item: http://tkuir.lib.tku.edu.tw:8080/dspace/handle/987654321/85168

    Title: 健保十年,醫療服務產業的演化
    Other Titles: The evolution of healthcare industry within the 10-year National Health Insurance in Taiwan
    Authors: 蔡偉德;劉育昇
    Contributors: 淡江大學經濟學系
    Keywords: 全民健保;醫療服務產業;醫院;National Health Insurance;Healthcare Industry;Hospital
    Date: 2007
    Issue Date: 2013-04-08 15:25:24 (UTC+8)
    Publisher: 臺北市:行政院公平交易委員會
    Abstract: 民國84年全民健康保險實施至今已超過10年,醫療服務市場的規模不斷擴大,但
    務質量的確保產生嚴峻的挑戰。This paper investigates the evolution of Taiwams health care industry since the
    institution of National Health Insurance (NHI) in 1995. The enactment of National Health
    Insurance has boosted the general public)s utilization of health care services and, as a result,
    enlarged the market size of the health care industry. However, the expansion of market
    size has also led to a sharp decline in the number of small hospitals. By contrast, there is
    an increase in the scale and number of large hospitals. Moreover, the number of clinics
    grows stably as well. Thus, there is a polarization of the health care industry in Taiwan.
    The growth in the scale of hospitals can be attributed to (a) the design of the NHI payment
    and copayment systems, which financially favors large scale hospitals, (b) consumers)
    preference for quality of service, and (c) the tax concession of capital investment by private
    hospitals. On the other hand, the hospital market becomes more concentrated also due to the
    exit of small hospitals. In addition, the consolidation of public hospitals and size expansion
    of private hospitals has tilted Taiwams health care industry toward the private sector. To
    improve their profit margins, hospitals have increasingly introduced services not covered
    by NHI and expand vertically or horizontally by acquiring other medical organizations.
    The trend of rising market share of private hospitals and marketization of health care bring
    about new challenges to the NHl>s approach to cost containment, resource allocation, and
    assurance the quantity and quality ofNHI health care.
    Relation: 第14屆競爭政策與公平交易法學術研討會論文集,頁291-316
    Appears in Collections:[產業經濟學系暨研究所] 會議論文

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