A Study on Restructuring of Military Medical System
Date Issued
2006
Date
2006
Author(s)
Chen, Hong-I
DOI
zh-TW
Abstract
To protect the islands of Taiwan, Penghu, Kinmen and Machu, a certain level of military man force has been maintained since the government was relocated to Taiwan, and a notably high budget has been necessary to maintain a military force at such scale. For which, in 1996, the Military of Defense made a major military force streamlining project - the Streamline Program, and in 2003, implementation of the first stage of the second human resource streamlining project - the Restructure Program was commenced. These two programs are expected to reduce human resource costs in a large scale and achieve the projected budget ratio. In addition, from February 1st 2001, military personnel were officially annexed into the National Health Insurance system. With annexation of military personnel, the national medical care system achieved its goal of nation-wide coverage. This research aims to project an organizational reform by readjusting the medical care structure to achieve the goal of human resource streamlining. This projected plan has structured a well-knitted medical backup system that will ensure the sufficiency and efficiency of basic military medical forces and satisfy basic military medical needs during both war and peace time.
To coordinate with the Joint Logistic Command System upgrade, the backup integration operation with first annex the base troop medical care units into the Joint Command Center to establish an integrated backup command control system and enable the commanders to effectively manage the troops. As the national defense budgets are contracting and the economy has been on a slow development, military medical institutions will be guided to improve their management by implementing corporate management concepts, in aims to create reasonable profits, share the burdens of military costs, and reinforce researches in military medicine such as burns, diving medicine, aerospace medicine, and psychological medicine. National Military Medical Centers, regional Hospitals, and Specialist Military Hospitals will be preserved, but the rest, i.e. local hospitals, will be closed or managed under funds. Evaluated based on the above principles, a total of nine hospitals will be closed, and a total of nine hospitals will remain including the Tri-Service General Hospital, four regional general hospitals and four specialist hospitals.
The Military Medical System Reform readjusted the organizational structure that has been in operation for a few decades in a large scale. This research will evaluate its advantages and disadvantages based on available data and information and continuously monitor the operation of military medical backup operations. Suggestions will be propped in a timely fashion to ensure that the medical backup system will be maintained at the optimal level after the national military medical system reform.
Subjects
組織再造
全民健保
military medical system
restructuring
national health insurance
Type
other
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