2004-12-012024-05-17https://scholars.lib.ntu.edu.tw/handle/123456789/675064摘要：我國全民健康保險制度於民國八十四年三月開始正式實施，至今已經有百分之九十八以上的民眾，均成為全民健保的被保險人，全民健保是台灣第一個普遍照顧全民的社會保險，堪稱是有史以來金額最龐大的社會建設，全民健保為台灣民眾帶來了諸多好處，例如全民相互分攤風險，使得民眾不再因為貧困而無法就醫、高低所得家庭之醫療保健支出差距拉大，有助於家庭所得的重分配、就醫的自由與便利、醫療給付項目廣泛，以及疾病存活率提高，國民平均壽命延長等等。然而，全民健保自開辦以來，在其公平性、醫療品質與財務結構三個面向也持續面臨挑戰與困境。除了健保給付與保費分攤方式公平與否的爭議外，健保醫療服務的品質也常是遭到質疑的面向，但是，人口成長、人口結構老化、昂貴醫療設備造成的健保支出大於收入，更使得健保的財務結構極為脆弱，而民眾浪費醫療資源的傾向和健保給付範圍等因素，則讓健保制度經常面臨破產的危機。 為了要讓全民健保得以永續經營，自實施以來，健保在給付範圍與保費負擔等制度設計層面採取諸多措施加以回應，包括總額支付制度、推動論病例計酬、推動論人計酬、健保IC卡、卓越計畫等，儘管這些規劃的上路，均是為了杜絕健保制度內某些弊病，<br> Abstract: National Health Insurance is a public policy, which influences almost every people in Taiwan, but while conducting the institution planning and designing, there is no citizen participation opportunity. This project will use the “Consensus Conference” to discuss the National Health Insurance issue. Lay people will obtain the basic information of this issue and will experience the informed and reasoned discussion during the consensus conference. We hope the citizen panel can form consensuses on this issue and write down a conclusion report on National Health Insurance. This citizen panel report can express the attitude of our citizen participation after understanding the arguments and different standpoint of NHI. This report will also be an important referential material for the government and policy maker.全民健保永續經營審議民主公民會議政策制定National Health InsuranceDeliberative DemocracyConsensus ConferencePolicy Making