健康與長期照護保險制度
Health Insurance and Long-term Care Insurance
學期
107-2
學分
0
學分
當期課號
B332
永久課號
A4007
開課單位
醫務管理研究所
授課教師
李玉春
校區
陽明
類別
選修
上課時間表
| 節 | 週二 |
|---|---|
1 08:00–08:50 | 健康與長期照護保險制度 YN613（陽明） 2 節連堂 |
2 09:00–09:50 |
* 根據陽明交大上課時間表所列
概述
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先修科目
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課程大綱
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週次計畫
| 週次 | 主題 |
|---|---|
| 第 1 週 | a. Introduction b. The historical and social base of social health insurance (SHI) c. Overview of the National Health Insurance in Taiwan |
| 第 2 週 | a. System, governance and (self-)regulation in SHI and SHI system reform: competition and solidarity b. Sytem reform: 2G-NHI reform(二代健保改革) c. System design of Long-term Care Insurance (LTCI) and Ten-Year Long-term Care Plan (LTC 2.0) |
| 第 3 週 | a. Public financing (財源籌措) and reform of NHI in Taiwan: (補充保費) b. Financing Long-term care Insurance (LTCI):Taxation (LTC 2.0 ) vs. social insurance system |
| 第 4 週 | a. Benefit Design (給付), priority setting and health technology assessment (HTA,醫療科技評估):international experience and 2G-NHI reform |
| 第 5 週 | a. Benefit design and need assessment of LTCI and LTC 2.0 in Taiwan &international experience |
| 第 6 週 | a. Patients’ cost sharing (users’ charge) and reform:NHI, LTCI, LTC 2.0 and International experience b. Payment system of NHI : overview and international reform experience |
| 第 7 週 | a. Global budget payment system: international experience b. Global budget payment system of NHI(1) |
| 第 8 週 | a. Global budget payment system of NHI(2) |
| 第 9 週 | a. Research on Resources-Based Relative Value Scales (RBRVS) b. Research and reform of Taiwan-Relative Value Scales (T-RVS). |
| 第 10 週 | Mid-Term Reports(期中報告, 分組) |
| 第 11 週 | a. Case-mix system overview b. Prospective Payment System (PPS) based on DRGs: international experience NHI Case Payment Initiatives and Tw-DRGs-based payment reform |
| 第 12 週 | a. Prospective payment reform for ambulatory care (APGs..) b. Prospective payment reform for post-acute care and other setting (Long-term care hospital, inpatient rehabilitation, mental care) |
| 第 13 週 | a. Payment system design of LTCI, LTC 2.0, RUGs, HHRGs b. Setting fee schedules for LTC |
| 第 14 週 | a. Capitation and risk adjustment: International and NHI Initiatives b. Cost containment and strategies to reduce inefficiency (二代健保檢討報告) |
| 第 15 週 | a. Pay for Performance(P4P): International and NHI experience(論質計酬)。Family Physician Initiatives, Physician Quality Responsibility System(2G-NHI reform醫師品質責任制度) b. Care integration, Accountable Care Organizations(ACOs), Medical Homes |
| 第 16 週 | a. Pharmaceutical benefit and payment reform:international experience. b. Pharmaceutical benefit and payment design of NHI c. Price regulation and pharmaceuticals payment system reform of NHI (三同政策,二代健保檢討報告,差額負擔) |
| 第 17 週 | Health and long-term care system reform in OECD countries: country case study: United Kingdoms, China, Sweden, Canada, Australia, Netherland |
| 第 18 週 | Health and long-term care system reform in OECD countries: country case study: Austria, Swiss, Korea, Germany, France, Japan, and United States |
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