出刊年月/Date of Publishing

2000.09

所屬卷期/Vol. & No.   第30卷第3期 Vol. 30, No. 3

類型/Type                 研究論文 Research Article

篇名/Title
德國健康保險組織體制之探討
Analysis of the Health Insurance Organization in Germany

作者/Author
李玉君 Yu-Jun Lee

頁碼/Pagination
pp. 41-88

摘要
德國以自治管理為核心的健康保險組織體制，其發展至今已逾百年，本文之探究，其始點著重在對其百餘年之發展歷程，不斷面對問題缺失予以改革修正，並從傳統多元、分散之封閉樣貌，進展至現今所呈多元、合作且開放之型態，釐清出一動態的發展線索。其終則在指出，此一多元、合作且開放之自治管理組織體制，其內涵實包含了「民主與參與」、「分權與獨立」以及「多元與競爭」三個運作之機制及價值。我國健保組織適逢改革之際，德國經驗恰可提供一個參考與反思之典範。

Abstract
Germany’s health insurance organization, which has been devel-oping for more than one hundred years, centers around the practice of self-administration. This paper outlines the past hundred years’ dynamic development of the German health insurance system, which has been characterized by continual confrontation with its problems and deficiencies in order to reform and revise. The result has been a change from traditional pluralism, fragmentation and sealing off, to today’s pluralism, cooperation and openness. The paper points out that the pluralistic, cooperative and open self-administrative organization contains three operational mechanisms and values, namely, democracy and participation, separation of powers and independence, and pluralism and competition. We conclude that for the organizational reform of Taiwan’s health insurance, these core mechanisms serve as a most valuable reference model and should be taken into profound consideration.

關鍵字/Key Word
自治、健康保險組織、參與、多元、競爭
self-administration, health insurance organization, participation, pluralism, competition

DOI
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學門分類/Subject
政治學 Political Science