論全民健保與政府資訊公開──以健保審查醫師姓名之公開為例

An analysis of national health insurance and government information freedom: A case of making the names of physicians of review committee publicly available

人民之資訊權從早期被認為僅有反射利益，迄今已被認為具有公權利之性質，人民對政府享有該公權利，世界各主要國家為落實此一人民之權利，多已制定政府資訊公開之相關法律，我國之政府資訊公開法於2005 年12 月28 日公布實施，該法之主要目的亦在於落實人民對國家的「政府資訊公開請求權」，國家依據該法原則上應公開政府資訊，僅在例外時基於公共利益或個人隱私之考量，且符合比例原則之限制下，得以不公開資訊。在健保制度中，全民健康保險署有審核特約醫療院所提報醫療給付之職權，而健保署復將此專業之審查，透過一定之程序仍委由醫師負責審查，此負責審查醫療費用之醫師即本文題目所敘及之審查醫師。由於審查之結果大多是刪除部分申報費用，被刪除醫療費用之醫療院所不服，除就刪除部分會提出救濟外，另亦有要求健保署公開審查核刪醫師姓名，甚至單獨為公告審查醫師姓名提出爭訟，本文將從具體案例為發端，探討此類爭議醫療院所是否具有要求公開審查醫師姓名之資訊請求權。

Citizens’ rights to information have been considered to only have reflective interest in the early years to embrace the characteristics of public rights at present. Citizens have the public rights from the government. In order to put the rights of citizens into effect, major countries around the world have made laws related to freedom of government information. The Freedom of Government Information Law in Taiwan was announced to come into effect on the 28th of December 2005, which also aimed to implement citizens’rights of requesting for providing government information. In principle, government information shall be made available to the public in accordance with the Law, except where it is necessary for public interest and personal privacy, the information is restricted from making available to the public or provision. In the health care system, National Health Insurance Administration has the power to