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03.2021 Life Guide

Continuous e-upgrade of health insurance and comprehensive care for people's health

Far eastern New Century Corporation / Liao Zhiqian
        Since its inception 25 years ago, the national health insurance has evolved from the first generation of health insurance to the second generation of health insurance, from the paper-based health insurance card to the IC health insurance card. The relevant system keeps pace with the times, and the national coverage rate has also exceeded 99.8%. In this issue, we will introduce how Taiwan's proud health insurance system can continue to upgrade to e-mode to protect people's health.

        Health passbook app

        Over the past four years, the "health passbook app" developed by the Department of health insurance has been continuously improving. In August 2020, the newly launched "medical resume" function enables the public to master their own medical treatment situation, medication, health examination and other information. They can view personal medical treatment times, part of the burden and health insurance points in three years at any time and any place. They can also view the medical treatment process according to their own screening conditions Understand the use of health insurance.

        In addition, in order to facilitate the public to care about the health of their families, the "health passbook app" also further adds the "family management" function. With my consent, I can help you apply for, access and download the health passbook information, so as to help you understand the health information of your elders and children. What's more, the health passbook can set the authorization period for others to use the relevant data, and can also set the immediate cancellation of authorization, fully respecting the application and protection rights of personal data.

        In addition, in order to strengthen the care and support for pregnant women and children, the "child prevention and health care reminder" and "prenatal examination reminder" functions are added in the exhortation zone of the "health passbook app". In addition to setting and reminding the appointment of public health examination and prenatal examination time, it can also access the completed examination process and link with relevant health education information to expand the comprehensive medical care system .

        In response to the demand for masks caused by the covid-19 epidemic, as long as the "health passbook app" is bound to the mobile phone and the personal identity is verified, online pre purchase can be carried out, which makes the channels for purchasing masks under the "real name system" more diversified, and also diverts the flow of people queuing in the pharmacy. The function of the "mobile counter" also adheres to the concept of "replacing the road with the Internet". It helps people apply for health insurance cards online and inquire about the dependent insurance records of their dependents, so as to reduce the possibility of crowd.

        NHI medicloud system

        In order to ensure the safety of patients' medical treatment and improve the quality of medical treatment, the Department of health insurance (NHI) established a cloud based medical record system in 2013, which provides medical information of 12 categories of patients for the convenience of medical staff to query. Subsequently, the system is continuously updated and optimized to upgrade to the existing "cloud based medical information query system for health insurance". Following the introduction of the western medicine interaction prompt function at the end of 2019, the new Chinese and Western medicine interaction prompt will be added in July 2020, with a total of nearly 20 million query records. When prescribing, doctors can connect with the system of the Department of health insurance through the computer of the hospital to control the remaining drugs of the patients, so as to avoid providing drugs with mutually exclusive functions or too strong effects.

        According to the instructions of the central epidemic command center after the outbreak of covid-19, a "tocc" prompt mechanism will be set up in the cloud system from January 27, 2020 to collect information from inter departmental meetings and provide medical staff with information such as travel history, occupation, contact history and cluster to jointly protect the health of the whole people. In order to ensure the privacy of personal data and comply with the information security regulations, in addition to continuously implementing the information security audit of the health insurance cloud system, the Department encourages large hospitals to include batch download operations into the scope of ISO27001 / cns27001 certification, so as to improve the protection of medical information security.

        In addition, medical institutions across the country have also developed various applications in the field of health care, such as reducing the risk of nosocomial infection by using the tocc data of the health insurance cloud system, warning the interaction between Chinese and Western medicines to avoid opening prescriptions that affect the health of patients, sharing information to hospitals / clinics / drug administrations within the system, etc., so as to reduce the cost of software and hardware, reduce the time of information transfer, and improve the quality of life of the public Medical convenience.

        After the e-upgrade of "health passbook app" and "health insurance medical information cloud query system", the medical benefits and national health and safety have been effectively improved. Through information and image sharing, it is estimated that the expenditure on health insurance drugs will be reduced by about 8.56 billion yuan from 2014 to the first half of 2020, and the cost of repeated tests will be reduced by about 1.2 billion yuan in the first half of 2020. It is suggested that Chinese people make good use of the "health passbook app" to do a good job in self-health management, cooperate with the online system and relevant policies, so as to achieve a reasonable allocation of medical resources, make the health insurance sustainable operation, and continue to take care of Chinese people's health.

        (source: Ministry of health and welfare, Central Health Insurance Administration)

        

        
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