頁籤選單縮合
| 題 名 | 健保與長保的相遇--德國2023年法定健保與長保數位應用給付之比較研究=The Encounter of Statutory Health Insurance and Long-term Care Insurance--Comparative Study of Digital Application Benefits of German Statutory Health Insurance and Long-term Care Insurance in 2023 |
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| 作 者 | 林谷燕; | 書刊名 | 國立空中大學社會科學學報 |
| 卷 期 | 31 2023.12[民112.12] |
| 頁 次 | 頁25-49 |
| 分類號 | 412.56 |
| 關鍵詞 | 德國; 數位應用給付; 法定健保; 法定長保; Germany; Digital application benefit; Statutory health insurance; Statutory long-term care insurance; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 德國法定健保開始於1883 年俾斯麥時代，法定長保則開辦於1995 年，在 長保依隨於健保原則之下，健保保險人同時為長保保險人，健保被保險人同時也 為長保被保險人，但基於健保主司治療，長保重在照顧，兩者各有其不同給付。 而在慢性病人增加、醫療照顧人力欠缺、偏鄉地區醫療照顧資源也欠缺之情況 下，立法者從病人及照顧需要者角度出發，於健保法和長保法增訂數位醫療應用 給付和數位長照應用給付，藉此補充被保險人之需求，同時也開啟數位應用產品 進入法定健保與長保之門。 健保數位醫療應用給付係健保被保險人透過醫師或心理治療師所開具之處 方，或透過保險人的批准而獲得之具低度風險的醫療器材，其主要功能係以數位 技術為依據，協助被保險人病痛的確認、監測、治療或緩解。長保數位長照應用 給付則為照顧需要者向長保保險人請求提供基本的長照數位科技應用服務，供其 使用或用於其與家庭照顧者、志工或長照特約居家服務提供單位居服員間的互 動，以降低該照顧需要者自主性或自理能力之障礙，或減緩照顧需要性的惡化。 此等產品成為健保或長保給付項目前，須由產品製造商向聯邦藥品及醫療器材管 理署檢具相關證明，提出申請獲得通過後，始列入給付目錄清單。 |
| 英文摘要 | German statutory health insurance began in 1883 during Bismarck period, whereas statutory long-term insurance started from 1995. Pursuant to the principle of “long-term care insurance under the umbrella of health insurance”, the health insurance insurer is also the long-term care insurance insurer, and the insured is both insured under the health insurance and long-term care insurance. However, the health insurance is focus on medical treatment; the long-term care insurance is focus on care giving and thus they have different benefits. Owing to the increase of chronic patients, the shortage of medical staff and care giver, and the lack of medical or care resources in rural areas, legislators amened digital medical application benefits and digital long-term care application benefits to the Statutory Health Insurance Law and the Long-term Care Insurance Law considering patients and those who in need of care. Such amendments not only meet the needs of the insured, but also open the door for digital application products to statutory health insurance and long-term care insurance. Health insurance digital application benefits are medical products with low-risk. The insured obtained such benefits either through the prescriptions by physicians or psychotherapists, or approvals by the insurers. The main function of such benefits is to assist confirmation, monitor, treatment or relief of the insured’s illness based on digital technology. On the other hand, the digital long-term care application is for those who needs for care. The person in need is entitled to request to the long-term insurance insurer for providing basic digital technology application benefit. The benefit will be used for the person who needs for case, or in interaction within the family care givers, volunteers, and nursing aide, in order to reduce barriers, to improve the autonomy or self-care ability of the person, or slow down the deterioration of the need for care. Before these two types of benefits become health insurance or long-term insurance care benefit items, the manufacturers must provide certificates of the productions and obtain approvals from the Federal Institute of Drugs and Medical Production. |
本系統中英文摘要資訊取自各篇刊載內容。