健康保險資料庫之學術應用，不僅有助於醫療保健工作之規劃、執行與考核，也有助於國民健康狀況、衛生需求及疾病致因之分析與探討。我國全民健康保險於一九九五年三月一日開始實施以來，即建立相當可觀之資料庫，可以提供學術研究所需之資訊。本文根據中央健保局委託分析「重大傷病證明領用保險對象檔案」之經驗，說明健康保險資料庫之學術應用範圍、應具備之特質、可能限制、以及未來改善提昇之方向。

The database of health insurance is important for the planning, monitoring and evaluation of health care programs. It is also useful for the assessment of health need and exploration of risk factors for diseases. After the implementation of national health insurance program in Taiwan, a large-scale database been collected for administrative and managerial purposes. It may also provide essential information for academic researches. Based on our experiences in the analysis of major disease certification profile of national health insurance program, we describe the applocability, essential characteristics, limitations and future perspectives of national health insurance database.

健保資料庫 ； 應用範圍 ； 特性 ； 限制

health insurance database, applicability, essential characteristics, limitation