| 英文摘要 |
Taiwan is an island in Southeast Asia with a population of about 23 million people, of whom 15.28% were aged 65 years or more in 2019 (www.gis.ris.gov.tw/dashboard. html?key=B02). The mean life expectancy in 2019 was 77.69 years for males and 84.23 years for females (www.moi.gov. tw/stat/english/node.aspx?sn=7317). It is one of the fastest aging countries in the world, and the number of people aged over 65 years is expected to reach 40% by 2050. In 1995, a single-payer National Health Insurance (NHI) System was implemented in Taiwan. The system is characterized by having the following strengths – universal population coverage, comprehensive healthcare services, good accessibility, short waiting time, low cost, and having a national data collection system [1]. The coverage rate is currently about 99.9% of the population. Coverage includes almost all kinds of healthcare, from Western medicine to traditional Chinese medicine, the common cold to organ transplantation, and preventive cancer screening to home care for the elderly. Anyone covered by the system can see any physician at any level of clinic directly without a referral (but with a different co-payment). The quality of care is up to international standards, and the overall satisfaction rate is high (89.7% in 2019) (www.newtalk.tw/ news/view/2019-11-26/332081). Of note, the NHI system has also established a national data collection system to produce the NHI research database (NHIRD) that has been used to identify many healthcare problems such as safety issues related to antipsychotic treatment for dementia |
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