全民健保

National Health Insurance

保險費

Premium

補充性保險費

Supplementary premium

保險費分攤比率

Premium contribution share

被保險人 ( 保險對象 )

Insured

投保類別

Insured classification

第一類 ….. 第六類

First category…sixth category

保險人

Insurer

投保單位

Group insurance applicant

投保金額 ( 分級表 )

Premium ratable wage (brackts)

費基

Premium calculation base

醫療品質

Quality of care

論服務量計酬

Fee-for-service

論病例計酬

Case payment

( 前瞻性 ) 支付制度

(Prospective) payment system

論質計酬

Pay for performance

總額支付制度

Global budget payment system

藥品核價制度

Drug pricing system

藥價基準

Drug List

藥價調查

Drug price survey

高診次病患

High user of outpatient services

醫療審查

Medical claims review

檔案分析

Profile analysis

給付範圍

Scope of benefits

罕見疾病

Rare disease

山地離島地區醫療

Medical services in mountainous areas and offshore islands

偏遠地區醫療

Medical services in remote areas

偏遠地區醫療服務

Integrated Delivery System (IDS)

二代健保

2 nd Generation NHI

重大傷病

Catastrophic illness; major illness

健保資訊網服務系統

Virtual Private Network (VPN)

弱勢族群

Disadvantages groups

低收入戶

Low-income households

中低收入戶

The near-poor household

身心障礙

Handicapped persons

原住民

Indigenous people

保費補助

Premium subsidies

紓困貸款

Relief fund loans

分期攤繳

Installment plans

愛心轉介

Charity donation referrals

處方藥

Prescription drugs

成藥

Over-the-counter drugs

藥局

Pharmacies

居家照護機構

Home nursing care institutions

精神科社區復建機關

Psychiatric community rehabilitation centers

助產所

Midwife clinics

醫事放射線機構

Medical radiology institutions

醫事檢驗所

Medical laboratories

職能治療所

Occupational therapy

物理治療所

Physical therapy clinics

部分負擔

Copayment

免除部分負擔

Copayment exemptions

給付範圍

Benefit package

住院照護

Inpatient care

門診照護

Outpatient care

中醫

Traditional Chinese medicine

日間照護

Day care for the mentally ill

居家照護

Home nursing care

巡迴醫療

Mobile health care

慢性病連續處方箋

Refillable prescriptions for patients with chronic illnesses