|Implemented in this survey?|
National health insurance provides coverage for health screening, but its effectiveness has been criticized. The new law on health screening aims to systematically improve the quality of health screening programs and increase the participation of the insured.
The new law on health screening aims to systematically improve the quality of health screening programs and increase the participation of the insured.
consumers, providers of health screening programs
|Degree of Innovation||traditional||innovative|
|Degree of Controversy||consensual||highly controversial|
|Structural or Systemic Impact||marginal||fundamental|
|Public Visibility||very low||very high|
|Implemented in this survey?|
Although national health insurance provides coverage for the health screening program, participation is not high (80% of industrial workers, and 30% for the self-employed). The health screening program used to be criticized for its low quality and the lack of quality control of participating providers.
To improve the quality of the health screening program in a more systematic way, the new law on health screening contains the following elements:
There are currently two major types of screening covered by health insurance:
No government agency is responsible for quality control in screening, instead academic societies/associations are dealing with it to some extent. As a result, quality management in screening is of concern.
The National Health Insurance Corporation (NHIC: single payer of social health insurance) informs the insured when they are eligible for screening. The insured can choose the provider (including private providers who have contracts with NHIC for health screenings).
The approach of the idea is described as:
|Ministry of Health and Welfare||very supportive||strongly opposed|
There has been little controversy over the new law on health screening among potential stakeholders.
|Ministry of Health and Welfare||very strong||none|
The new law on health screening is expected to have a positive effect on health screening and health promotion. But its successful implementation requires increased funding and policy support in health screening programs.
Contracting with the providers of health screening based on active quality control can contribute to the improvement of health screening programs. However, some university hospitals or high-quality hospitals do not participate in health screening programs because compensation from health insurance is low. To encourage the participation of high-quality hospitals, more funding for health screening may be necessary.
Government also needs to improve the quality of health screening provided by public health centers or public hospitals, by strengthening the capacity of medical staff and equipments in the public sector, because they can play an important role in health screening and health promotion programs in communities.
|Quality of Health Care Services||marginal||fundamental|
|Level of Equity||system less equitable||system more equitable|
|Cost Efficiency||very low||very high|