E04-台湾医疗管理的科技应用前瞻与两岸合作契机（许明晖）.pdf

2013中华医院信息网络大会 Health Information Technology – the Case in Taiwan and the Opportunity of Cross-Strait Cooperation Min-Huei (Marc) Hsu, M.D., Ph.D. Director of Medical Informatics Center, Department of Health, TAIWAN E-mail: 701056@ 2013中华医院信息网络大会 eHealth in Taiwan • Introduction • Health care delivery system • NHI + health smart card • eHospital • EMR • Telehealth • Cloud computing 2013中华医院信息网络大会 Taiwan -2010 • Land area : 35,801 sq Km (13,975 sq mile) • Population : 23 million • Age over 65 : 10.6 % • GDP : US$ 17,507 per capita • National Health Expenditure : US$ 1,087 per capita • NHE in GDP : 6.9 % • Life expectancy : 76.13 (men), 82.55 (women) 2013中华医院信息网络大会 Major Social Insurance Programs in Taiwan  1950: Labor Insurance  Coverage rate in 1994: 40.12%  1958: Government Employee Insurance  Coverage rate in 1994: 8.06%  1985: Farmer Insurance  Coverage rate in 1994: 8.21%  1990: Low-income Household Insurance  Coverage rate in 1994: 0.55%  1995: National Health Insurance  Consolidate the existing insurance programs health care parts into one 4 2013中华医院信息网络大会 Major Features of NHI in Taiwan • Universal coverage • Comprehensive and uniform benefits • Unlimited freedom of choice (No gatekeeper) • Easy access and timely service • Acceptable quality of care • Affordable cost • High public satisfaction