我國已經決定在1994年完成實施全民健康保險，以保障人人有公平就醫的機會。為探討醫師對實施全民健康保險的意見，本研究以中華民國醫師公會全國聯合會醫師會員為研究對象，於1989年11月進行郵寄問卷調查，共收集1619名醫師資料，回收率為21.6%。結果顯示：（1）四分之三的醫師贊成實施全民健康保險；（2）三分之二的醫師贊成院所的保險特約以自由申請為主；（3）四分之三的醫師贊成以論量計酬支付醫療費用；（4）六成的醫師贊成同病同酬的醫療支付標準；（5）約六分之一的醫師預期全民健康保險實施後會改行；（6）大多數的醫師認為實施全民健康保險後理想的執業地點為都市，並且贊成限制醫師前往醫師過剩的地區執業；（7）大多數的醫師認為實施全民健康保險後理想的執業科別為一般科與家庭醫學科。根據上述發現，本研究對全民健康保險規劃提出有關的政策與研究建議。

In order to further protect the right of access to health care by citizens, the government of the Republic of China has decided to fully implement the National Health Insurances (NHI) program by 1994. This study examines opinions of physicians in Taiwan on NHI. The data for the analysis came from a mail survey of 7500 physicians in November 1989, among them 1619 or 21.6% responded. The results of this study showed that: (1) three-quarters of the physicians are in favour of NHI; (2) two-thirds of the physicians are in favour of freely making a contract with NHI to provide health care services; (3) three-quarters of the physicians prefer a fee-for-services system to a capitation payment system; (4) fifty-eight percent of the physicians agree with the ”equal service, equal pay” criterion of payment; (5) approximately one-sixth of the physicians might stop practicing after NHI starts; (6) most physicians are in favour of practicing in urban areas in the NHI era, and agree to restrict entry of physicians into oversuppied areas; and (7) most physicians are in favour of being a general practitioner or family physician in the NHI era. Based on the above findings, this study further discusses the policy and research implications for NHI planning.

National Health Insurance, reimbursement, practice patterns, practice location, choice of specialty