Page 107 - 2023 Taiwan Health and Welfare Report

National Health Insurance and National Pension 08

To protect people against financial hardships due In 2022, the total number of outpatient visits was
to birth, old age, illness, death, injury, disability and 338.44 million; the total number of hospitalizations was
unemployment; a sound social security system has been 3.12 million. While the average number of outpatient
established under the principles of mutual assistance and visits per person per year was 14.26 (combining Western
risk sharing. medicine, Chinese medicine and dental clinics), the
number of hospitalizations per person per year was 0.13.
Chapter 1 National Health Insurance The average length of hospital stay was 1.24 days.
By the end of 2022, the number of health facilities
Section 1 Current Status of National Health
having contracts with NHI reached 30,325, of which
Insurance 21,860 were contracted hospitals and clinics that
Taiwan's National Health Insurance (NHI) has accounted for 92% of the total medical institutions
attracted worldwide attention for its "universality, nationwide.
affordability, convenience and high satisfaction." The The tiered medical system has been reinforced
satisfaction rate reached 90% in 2022. (Figure 8-1) since 2017, the NHIA has implemented six major
By the end of 2022, the total number of insured strategies and related measures to encourage people
individuals under the NHI reached 23.78 million, achieving to seek medical treatment in primary care facilities. If the
the coverage rate of 99.9%. physician deems it medically necessary for the patient to
The funding of NHI mainly comes from insurance see a specialist, the patient will be referred accordingly
premiums paid by insured individuals, the employers and for continuous and appropriate care. This allows medical
the government. A small portion comes from external centers and regional hospitals to focus on intensive care
financial resources, such as Public Welfare Lottery and medical research, and for primary clinics and district
Surpluses and Welfare Surcharge on Tobacco Products. hospitals to serve as the gatekeepers for public's health.
The proportion of outpatient showed a gradually rising
Section 2 Universal Coverage and Easy
trend for primary care facilities since 2017, and a slight
Access to Healthcare
decline for large medical institutions. (Figure 8-2)

Figure 8-1 Trends in Satisfaction with National Health Insurance

Ĉ Satisfied Dissatisfied
100
91.0
90.2
90 85.8
85.2 83.1 89.7 91.6
81.0 86.5
80 78.5 78.6 77.5 82.9 78.6
72.3 79.3 80.4 79.4 80.0 79.8
70 65.4 73.9
65.6
70.9
61.0 67.6
60 63.3 63.8 64.3
59.7
50 47.0 Copayment Implementation of
Premium & adjustment Second Generation NHI
Copayment adjustment
40
34.1
39.0
29.6
30 25.9 28.1
27.0 20.6 22.1
20 22.5 24.5 22.1 15.9 17.3 22.0 18.2 16.9
20.1 19.4 14.1
12.5
15.8 15.7
10 13.6 13.4 8.1 8.4 7.3 6.8
11.6 11.3 10.8
0
1995 1996 1998 1999 2000 2001 2002-1 2002-2 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013/3 2013/5 2013/7 2013/10 2014 2015 2016 2017 2018 2019 2020 2021 2022 Year
Source: National Health Insurance Administration, MOHW (NHIA)
Note: landline and mobile dual frame phone survey has been adopted since 2021.

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