健康與長期照護保險制度
Health Insurance and Long-term Care Insurance
學期
108-2
學分
2
學分
當期課號
B275
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 2 節連堂 |
2 09:00–09:50 |
* 根據陽明交大上課時間表所列
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.Overview and 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 | 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 11 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 12 週 | a.Payment system design of LTCI, LTC 2.0, RUGs, HHRGs b.Setting fee schedules for LTC |
| 第 13 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 14 週 | a.Pay for Performance(P4P), Value-based purchasing: 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 15 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 16 週 | Health and long-term care system reform in OECD countries: country case study: United Kingdoms, China, Sweden, Canada, Australia, Netherlan |
| 第 17 週 | Health and long-term care system reform in OECD countries: country case study: Austria, Swiss, Korea, Germany, France, Japan, and United States (另擇期授課,於6/19前結束課程) |
| 第 18 週 | 台灣輔具暨長照專門展(南港展覽館一館一樓10-18:00)(4月23-26日) |