Page 112 - 2023 Taiwan Health and Welfare Report
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08    2023 Taiwan Health and Welfare Report                                                                                                                                                                                         08





           Section 7  Apply Technology to Improve            mask purchase record in 2020. In 2021, a new function
                       Healthcare Efficiency                 was established integrating COVID-19 vaccination,
                                                             PCR test, rapid test results data and adding medical
               The NHIA's "NHI MediCloud System" incorporated
                                                             radiology record, giving people a convenient single
           12 types medical data, including medication records,
                                                             window for enquiry. In 2022, a new record of purchases
           Chinese medicine use records, examination and test
                                                             and distribution of rapid screening test kits was
           records and results, dental treatment and surgical
                                                             implemented. As of the end of 2022, 10.9 million people
           records, etc. Query services were used by 28,925
                                                             have accessed My Health Bank system 306.42 million
           medical institutions in 2022, with an average of 37 million
                                                             times; in future, refinement will continue, providing users
           queries per month. Around 87.3% of all patients seeking
                                                             with a friendly operating interface and smooth operating
           treatment have been served with the query service to
                                                             process and adding a disease management function to
           improve health care. Continue optimizing the user's
                                                             increase the number of users.
           interface, add prompt functions and update contents as
           clinically indicated, and information sharing to minimize
                                                             Chapter 2 National Pension System
           repeated prescriptions, increase safe patient medication
                                                                 Taiwan's National Pension Insurance (NPI) was
           and quality of healthcare, and eventually enhance medical
                                                             established on October 1, 2008 to cover citizens aged
           care efficacy and reasonable health insurance source
                                                             between 25 and 65 years old who do not participate
           utility.
                                                             in related social insurances for military personnel, civil
               To enhance public control over their own health
                                                             servants and teachers, laborers, or farmers. By providing
           and medical treatment, people can now register with
                                                             basic economic security for insured individuals and their
           the "My Health Bank" system to inquire or download
                                                             families when insured individuals become old or face
           their personal medical information including outpatient,
                                                             maternity, disability, or death, NPI is a key milestone on
           inpatient, medication, surgery, allergies, test (examination)
                                                             the road to comprehensive social security. Establishment
           results, imagery or pathological examination, discharge
                                                             of NPI marked the start of a new era for Taiwan.
           summaries, organ donation/palliative care consent/
           advanced decision, adult preventive health exam results,   Section 1  Status of National Pension
           screening results for 4 types of cancer and vaccination
                                                                        System
           records. The "NHI Express" APP for logging into My
           Health Bank over a verified mobile phone was added in   1. There were 2,810,844 insured individuals of NPI in
           2018, and recording of information from self-paid health   December 2022. (Table 8-2)
           exams, dependent management and major illness/injury   2. Premium rate: 10% (to be adjusted starting January 1,
           reminder features were added in 2019. To help keep   2023; Insurance premium = monthly insured amount *
           COVID-19 under control, My Health Bank added the    Insurance premium rate).


              Table 8-2    Insured individuals and Ratios of NPI, December 2022

                             Classification                 Insured Individuals         Ratio (%)
             General Insured Individuals                       2,360,749                 83.99
             Low-Income Households                                63,675                  2.27
             Middle-Low-Income Households                         52,000                  1.85
             Persons with Severe or Extremely Disability          86,020                  3.06
             Persons with Moderate Disability                     68,469                  2.44
             Persons with Mild Disability                         49,249                  1.75
             Middle-low income persons (income less than 1.5-fold
                                                                  87,203                  3.10
             minimum cost of living)
             Middle-low income persons (income less than 2-fold
                                                                  43,479                  1.54
             minimum cost of living)
             Total                                             2,810,844                  100
             Source: Bureau of Labor Insurance, Ministry of Labor, R.O.C. (Taiwan)


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