Development Of The Chinese Medical Insurance In Taiwan


Chun-Chuan Shih, Yi-Chang Su Jaung-Geng Lin


Traditional & Complementary Medicine Exhibition 2007 (TCME 2007), Putra World Trade Centre (PWTC), Kuala Lumpur, Malaysia




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According to the medical law in Taiwan, there are three kinds of medical doctors, i.e., those practicing western medicine, Chinese medicine, and dentistry. However, the policy of medical insurance established in Taiwan obviously leans toward the western medicine. For example, the labor insurance was launched in Taiwan in 1956. At the beginning, the insurance only covered the part of western medical affairs. In 1970, the insurance coverage was extended adding the outpatient services. As for the Chinese medical affairs, they were not covered by the labor insurance until 1978, in which year the Chinese traumatology was firstly covered but only for 1 year. In 1981, this policy was resumed and in 1983 the labor insurance covered more Chinese medical affairs. In 1988, the civil servant insurance began to cover the Chinese medical affairs and in 1989, limitation of the patient referral system was cancelled. Finally, the National Health Insurance was launched in 1995, covering most of the outpatient services of Chinese medicine. Chinese Medical Doctors’ Association (CMDA) in Taiwan plays a very important role to fight for the rights, striving for a reasonable insurance policy to cover the Chinese medical affairs. To evaluate the quality of Chinese medical treatment and control a reasonable medical payment, Global Budget System (GBS) designed by the CMDA was launched in 2000. Since then, the CMDA undertook all the Chinese medical affairs. For the past 5 years, the GBS promoted many activities, such as the mobile medical program in no traditional Chinese medical areas, the program controlling the contagiousness in Chinese medical hospitals, the intensive care program for scarce diseases, the program to improve the quality of life for cancer patients, and the program to strength the combined Chinese medical treatments. According to the survey accomplished by the Bureau of National Health Insurance in Taiwan, 80% of the patients were satisfied with the Chinese medical cares. In addition, specialists and scholars all applauded for the achievements accomplished by the GBS. In conclusion, the GBS is unique and has been approved successfully used in the insurance system.