Page 114 - 2024 Taiwan Health and Welfare Report
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2024 Taiwan Health and Welfare Report




              rare diseases. As of the end of 2023, there were   keep COVID-19 under control, My Health Bank added the
              approximately 16,000 cases of approved certificates   mask purchase record in 2020. In 2021, a new function was
              for rare diseases and major illnesses.         established integrating COVID-19 vaccination, PCR test,
                                                             rapid test results data and adding medical radiology record,
          Section 7  Apply Technology to Improve
                                                             giving people a convenient single window for enquiry. In
                     Healthcare Efficiency                   2022, a new record of purchases and distribution of rapid
              The NHIA's "NHI MediCloud System" incorporated   screening test kits was implemented. In 2023, physiological
          12 types medical data, including medication records,   measurement data from IoT devices will be linked to the
          Chinese medicine use records, examination and test   NHI IC Cloud. An accessible reading function is planned for
          records and results, dental treatment and surgical   2024. Continuous improvements will be made in the future
          records, etc. Query services were used by 29,403 medical   to provide a user-friendly interface, smooth operation, and
          institutions in 2023, with an average of 37 million queries   enhanced health management functions to increase user
          per month. Around 86.0% of all patients seeking treatment   adoption.
          have been served with the query service to improve
          health care. The NHIA will continue optimizing the user's   Chapter 2 National Pension System
          interface, add prompt functions and update contents    Taiwan's National Pension Insurance (NPI) was
          as clinically indicated. By information sharing, the NHIA   established on October 1, 2008 to cover citizens aged
          expect this system could decrease repeated prescriptions,   between 25 and 65 years old who do not participate
          increase patients' safety and quality of healthcare, and   in related social insurances for military personnel, civil
          eventually enhance medical care efficiency and utilize   servants and teachers, laborers, or farmers. By providing
          health insurance sources properly.                 basic economic security for insured individuals and their
              To enhance public control over their own health   families when insured individuals become old or face
          and medical treatment, people can now register with the   maternity, disability, or death, NPI is a key milestone on the
          "My Health Bank" system to inquire or download their   road to comprehensive social security. Establishment of
          personal medical information including outpatient, inpatient,   NPI marked the start of a new era for Taiwan.
          medication, surgery, allergies, test (examination) results,
          imagery or pathological examination, discharge summaries,   Section 1  Status of National Pension System
          organ donation/palliative care consent/advanced decision,   1. There were 2,899,073 insured individuals of NPI in
          adult preventive health exam results, screening results for 4   December 2023. (Table 8-2)
          types of cancer and vaccination records. The "NHI Express"   2. Premium rate: 10% (to be adjusted starting January 1,
          APP for logging into My Health Bank over a verified mobile   2023; Insurance premium = monthly insured amount *
          phone was added in 2018, and recording of information from   Insurance premium rate).
          self-paid health exams, dependent management and major
          illness/injury reminder features were added in 2019. To help   3. Monthly insured amount: NTD 19,761 (to be adjusted
                                                               starting January 1, 2023).

           Table 8-2    Insured individuals and Ratios of NPI, December 2023

                                  Classification                        Insured Individuals   Ratio (%)
          General Insured Individuals                                     2,460,041           84.86
          Low-Income Households                                             61,360             2.12
          Middle-Low-Income Households                                      50,546             1.74
          Persons with Severe or Extremely Disability                       84,321             2.91
          Persons with Moderate Disability                                  67,990             2.35
          Persons with Mild Disability                                      49,289             1.70
          Middle-low income persons (income less than 1.5-fold minimum cost of living)  84,427  2.91
          Middle-low income persons (income less than 2-fold minimum cost of living)  41,099   1.41
          Total                                                           2,899,073             100
          Source: Bureau of Labor Insurance, Ministry of Labor, R.O.C. (Taiwan)


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