| 英文摘要 |
The government-implemented 2nd Generation National Health Insurance (NHI) scheme involved the merger of the Health Insurance Supervisory Board and the Committee on National Insurance Health Expenses to create the NHI Committee, a body responsible for health insurance rates, adequate pay range establishment, and the allocation of other health care costs. Committee representatives for insurance payers and medical insurance service providers retain the position for two years, with one renewal. In addition, a further stipulation requires no less than a one-fifth turnover of new members every session. On January 29, 2012, the Ministry of Health and Welfare published the NHI Committee’s second session membership list, but did not provide explanations regarding changes in personnel. Given their role in formulating the cost of medical expenses and allocating resources in this area, this research posits that there should be a variety of standards by which the NHI Committee is evaluated, including a substantive analysis of committee meeting agendas and minutes, as well as an evaluation of the role and investment of each committee member. Our research found that while the majority of committee members attend NHI’s monthly meeting, very few members attend the full program of meetings. Those who contributed the most during meetings were representatives of medical insurance service providers, with some members actively broaching a particular proposal and engaging in active debate. The representatives who spoke on behalf of other parties comprised the majority of meeting attendees. In addition to an increase in participation by committee members at meetings, there was a noticeable increase in the strategic nature of their contributions to the discussion. Finally, our research suggests that the Ministry of Health and Welfare should increase their autonomy and heteronomy, and prioritize reappointments to actively participating members to strengthen the roles played by committee members. |
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