Since 2010, Taiwan’s Health Insurance Department (NHI)has proposed the diagnosis related group (Tw-DRGs), and intends to full import the payment system in 2016. This payment system originate from the United States and has implemented for more than 30 years. In order to effectively control the growth of medical expenditures and maintain good healthcare quality, this the payment system designed to bind the homogeneous units of hospital activities to the same prices.
Some medical profession think that under National Health Insurance, it was unreasonable to implement DRGs. For example, it may lower medical quality, and it’s too complex for internal medicine to implement. Also, there has the difference between health insurance covers and real costs, and the failure of medical referral system. Finally, Tw-DRGs is related to the right of existence and physical autonomy, so principle of reservation shall be applied.