本文先釐清全民健保主體間之法律關係後,再尌「全民健康保險特約醫事服務機構合約」之法律關係加以分析,接著尌健保署與保險醫事服務機構間之協商為討論,並針對上述合約協商制度之實施與運作方式,提出初步之觀察與建議。最後介紹特約醫事服務機構之爭議救濟途徑,並對學者間不同之看法與實務上見解加以比對討論。
Since single-payer system is adopted in Taiwan, medical care institutions must make a standard form contract, “The Contract between Contracted Medical Care Institutions and National Health Insurance Administration”, with National Health Insurance Administration. When contracted clinics break the contract, National Health Insurance Administration is endowed the right of deducting tenfold the medical expense or even terminating the contract. In view of this, in facing the forgoing contract controversies, it’s the focus of my Master’s degree thesis to explore how clinics could seek for remedies.