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Analysis on Difference of Energy Consumption by Electric Bus Drivers
[[abstract]]現今各國為因應全球環境變遷,均積極研擬並推動實施相關措施,因此具備低排碳量且節能之車輛成為市場主流,我國政府計畫在十年內將約一萬輛的柴油大客車逐步汰換為電動大客車,其中以市區公車及公路客運為主要推動之對象。南部科學工業園區管理局配合政府政策,以三部電動巴士加入既有園區免費巡迴巴士行列,行駛於台鐵南科站與園區各廠商間(北環線、南環線)擔任鐵公路無縫接駁任務,未來更規劃園區免費巡迴巴士全以電動車行駛,營造綠色友善環境空間。本研究以探討南科巡迴巴士之「駕駛員與每公里人次對耗電量的影響」為題,了解兩個自變項(駕駛員、每公里人次)對於一個依變項(耗電量)交互作用的影響,利用SPSS統計軟體進行重複實驗二因子變異數分析,分析結果顯示交互作用達顯著水準,其中單純主效果達組間顯者進行「事後比較」找出顯著差異者為駕駛員E。此外,駕駛員E在每公里人次級距小時與其他駕駛員有顯著性差異,故推斷駕駛員E在低乘載率時駕駛行為異常。電動大客車在實際運行上還有許多可靠度與續航力的問題有待克服或解決,根據研究顯示駕駛行為和駕駛情緒是影響耗能的因素之一,其中駕駛行為包括是否重踩電門、急踩煞車、任意變換車道或超速行為等,如以優良駕駛作為標竿改善異常駕駛行為預期可節?行車耗能,期以電動公車能發揮其最大運用效能。[[abstract]]Manycountriesareimplementingnewmeasurestosolvetheissuesofglobalenvironmentchanges,thusmakingenergy-savingandemissionsreductionofelectricvehiclesbecomepopular,andTaiwangovernmentplanstoreplace10,000dieselbuseswithelectricbuswithin10years.Inaccordancewiththispolicy,thecitybuseswillbereplacedinthefirstplace.SouthernTaiwanScienceParkBureau(STSPB)launchedthreefreeelectricshuttlebusestocoordinatethegovernmentpolicies,servingthepassengersbetweentheNankestationofTaiwanRailwaysAdministrationandsomecompaniesinSouthernTainanSciencePark.Inthefuture,STSPBwillprovideelectricvehiclesastheonlyshuttlebusestobuildafriendlyenvironment.Thispaper,inthetitleof“TheInfluenceofDriversandPassengersperKilometertoPowerConsumption”,analyzedtwoindependentvariables(drivers&passengersperkilometer)ononedependentvariable(powerconsumption)byrepeatingtwo-wayANOVAapproach.TheresultsindicatedthatDriverEappearedtohaveaprofoundeffectonpowerconsumption.Inaddition,therearesignificantdifferencesbetweenpowerconsumptionofDriverEandthatofothersinlowerpassengersperkilometer.Therefore,weinferredthatDriverEhadmorepowerconsumptioninlowerridership.Nevertheless,therearestillmanyissuesneededtoberesolvedtomakethisplansuccessful,includingreliability,batterylifeofelectricbus.Inaddition,inthelightofliterature,thedriver’sbehaviorssuchassteppingonswitchheavily,urgentlysteppingonbrake,transforminglanearbitrarily,andexceedingthespeedlimitandmoodsareoneofthefactorsofenergyconsumption.Hence,wehopethatelectricvehicleswillbecomemoreefficientbytakingsuperiordriversasabenchmarktoimprovetheirbaddrivingbehaviors
Utilizing Data Mining Techniques with R to Discover Business Performances - the Case of Biotechnology Industry in Taiwan
[[abstract]]生物技術產業為知識密集同時具高度創新性之高附加價值產業,全球先進國家紛紛投入大量資源進行研究開發,且隨著科技的創新與精進,未來將對經濟永續發展扮演重要的角色。近十幾年來,在政府的推動與產官學研各界的努力之下,台灣生技產業蓬勃發展,生技產業繼電子資訊產業後,將有機會成為下一波推動經濟成長的主力產業。生技公司營運獲利的關鍵在於能否使資源作最有效率的分配與運用,才能進一步得到良好的經營績效。本研究選擇台灣生技產業上市、上櫃計108家公司作為研究對象,並以台灣經濟新報資料庫登載2016年財務報表資料作為資料來源,包含「經營能力」、「獲利能力」與「償債能力」等相關的經營指標,以及使用統計軟體R,來執行資料前處理及資料探勘(關聯分析及分群分析),期望探索出有價值的資訊,達成以下三個目的:一、探討台灣上市上櫃生技公司,其經營能力指標、獲利能力指標、償債能力指標之差異性。二、利用關聯分析技術,了解台灣上市上櫃生技公司之經濟新報內經營績效指標欄位間之關聯性。三、利用分群分析技術,探討群集特徵並有效地完成資料減量的目的。本研究期望透過資料處理及探勘技術,挖掘出隱藏在報表內的資訊並透過整理、分析結果了解數據特徵、價值及其意義,以提供相關領域研究者作為產業分析與預測參考。[[abstract]]Thebiotechnologyindustryisaknowledge-intensive,highlyinnovative,andhighlyvalue-addedindustry.Manyadvancedcountriesaroundtheworldhaveinvestedlargeamountsofresearchanddevelopmentresourcesintothisfield.Withtheinnovationandadvancementofscienceandtechnology,thisindustrywillplayanimportantroleineconomicsustainabledevelopmentinthefuture.Inrecentdecades,duetogovernmentalpromotionandindustry-government-university-researcheffortsinrecentdecades,Taiwan’sbiotechnologyindustryhasflourishedandhastheopportunitytobecomeanotherpillarindustrytoboostthecountry’seconomicgrowthfollowingtheelectronicsinformationindustry.Intermsofprofitmaking,itiskeyforbiotechnologycompaniestoallocateandapplytheirresourcesmostefficientlysoastofurthergainstrongoperatingperformance.Therefore,thisresearchaimstoapplyan“operatingcapabilityindicator”,“profit-makingcapabilityindicator”,and“repaymentcapabilityindicator”todemonstratewhetherthereexistsignificantdifferencesin3sub-industriesofthebiotechnologyindustry:appliedbiotechnologyindustry,pharmaceuticalindustry,andmedicaldeviceindustry.Thisresearchadopted108listed(TSE、OTC)biotechnologycompaniesinTaiwanasthesubjectsandappliedtheir2016financialstatementdatapublishedintheTaiwanEconomicJournal(TEJ)databaseasthedatasource.Itisexpectedthattheresearchwillbeabletodigoutdatahiddeninthestatementsviadataprocessinganddataminingtechniques(correlationanalysisandclusteringanalysis)andsortandanalyzetheresultssoastounderstandthedatafeatures,values,andmeanings.Theresearchresultswillbeprovidedtoresearchersinrelatedfieldsasareferenceforindustrialanalysisandforecasting
Exploring the Operational Performance of the Credit Departments of Farmer's Associations and Fishermen's Associations Using Concurrent Data Mining Techniques with R
[[abstract]]對於所有具銀行業務的公司來說,仍存在於市面上的農漁會信用部,在臺灣各地區的數量占比已經不高,儘管如此,農漁會信用部對於農會和漁會而言,仍是不可或缺的存在,信用部對於農會和漁會的永續經營與未來發展,扮演著非常重要的角色。本研究認為在探討信用部應如何扮演好其重要角色之前,應先確保自身如何做到永續經營,因此,信用部的經營績效顯得格外重要,經營績效的好與壞,將牽動整個農漁會未來發展的可能性,若經營績效好,農漁會就相對擁有強力的經濟後盾,後續進行推廣、供銷等農業行銷任務時,將具有更大的發展性,因此本研究針對農漁會信用部的經營績效做探討。本研究以行政院農委會資料開放平台收納的農漁會信用部經營概況統計資料作為研究樣本來源,利用樣本中足以代表信用部的放款品質與承受呆帳能力兩個面向的資料,來探究臺灣地區農漁會信用部的經營表現,進而延伸討論是否有其他因素可能影響上述兩種面向。本研究透過R軟體(Rstudio平台),來實作資料收集、前處理與資料探勘技術(關聯、分群),並開發應用資料視覺化技術的網頁版分析平台,以提供使用者在做分析或預測時,能夠更簡單、更快速、更直覺的做出判斷。[[abstract]]Beforediscussinghowtokeepthecreditdepartmentsoffarmers’andfishermenassociationstofulfillcorrespondingresponsibilities,peopleneedtobesurethatthesebusinessaresustainable.Tounderstandthepotentialofbeingsustainableforabusinessunitlikethecreditdepartmentsoffarmers’andfishermenassociations,wemayhavetoaccessthebusinessunit’soperationalperformance.Itisbecausetheoperationalperformancewouldaffectthepossibilityofthefuturedevelopmentoffirmsintheindustriesofagricultureandfisheries.Forthisreason,thestudyaimsatexploringtheoperationalperformanceofthecreditdepartmentsoffarmer’sandfishermen’sassociations.ThestudyusesRsoftware(Rstudioplatform)toimplementdatacollection,datapre-processing,relateddataminingtechniques(associationanalysis&K-meansclusteranalysis),andtodeveloptheapplicationdatavisualizationofthewebversionoftheanalysisplatform.Bydoingso,userscaneasilyandeffectivelyanalyzeorpredicttheoperationalperformancesofcreditdepartmentsattheindustriesoffarmersandfishermen.Furthermore,theanalysisprocesswithvisualizationissimple,fast,andintuitiveforuserstomakejudgmentsconcerningtheoperationalperformancesforthosecreditdepartmentsoffarmer’sandfishermen’sassociations
Exploring the Critical Quality Attributions by using Kano and IPA Methodology - An Example of Crop Healthy Cultivation and Management System.
[[abstract]]因應著科技日新月異的世代,智慧農業4.0的時代來臨,使得農業發起了新的革命性轉變,為了提升台灣農產業在國際上的競爭力,目前已有透過感測元件與系統整合系統來結合農業生產,然而近年來農業各領域專家也為了服務農民進而建置相關農業資訊系統,來提供農民方便相關技術上的查詢服務。本研究欲探討國興資訊所開發之「作物健康栽培管理系統」來作為本研究之方向,利用KanoModel狩野分析輔助IPA重要度分析法來找出作物健康栽培管理系統的關鍵品質與重要度,之後給予「國興資訊」能夠做為系統營運上之參考。可分為兩大部份,首先是利用「WebQual」以及「E-S-QUAL」定義出作物健康栽培管理系統的構面,接著利用KanoModel找出系統的品質改善指標,此階段可了解農民重視系統的功能,第二部分將輔佐IPA找出系統的重要度與滿意度加以排序之後,得以找出農民對系統的服務品質改善重點,讓業者能夠針對系統的服務品質維持優勢與使農民滿意度提高,與3位國興資訊內部員工進行訪談來驗證本研究所提出之6項系統改善重點,進而針對良好的關鍵品質為公司帶來良好的營運與績效。[[abstract]]Inviewoftheever-changinggenerationofscienceandtechnology,theeraofWisdomAgriculture4.0hasbroughtaboutanewrevolutionarychangeinagriculture.InordertoenhancethecompetitivenessofTaiwan'sagriculturalindustryintheworld,ithasbeenintegratedwiththesystemthroughthesensingelementandsystemintegrationsystem.Production,butinrecentyears,expertsinvariousfieldsofagricultureinordertoservefarmersandthenbuildtherelevantagriculturalinformationsystemtoprovidefarmerswithconvenienttechnicalrelatedtothequeryservice.????Inthisstudy,wediscussthe"CropHealthyCultivationandManagementSystem"developedbyKSIasthedirectionofthisresearch,andusingKanoModeltoassistIPAimportanceanalysistofindtheCriticalQualityAttributionsandImportanceofCropHealthyCultivationandManagementSystem.Aftertheinformationsystemtotheindustrywhocanbeusedasareference.Thestudyprocesscanbedividedintotwoparts,thefirstistheuseof"WebQual"and"E-S-QUAL"todefinetheCropHealthyCultivationandManagementSystemfacet,andthenusetheKanoModeltoidentifythesystemqualityimprovementindicators,thisstagecanunderstandthefarmerspayattentiontothesystem.thetwoisusetheIPAhelptofindouttheimportanceofthesystemandsatisfactiontobesorted,toidentifythefarmerstoimprovetheservicequalityofthesystemfocus,sothattheindustrycanmaintaintheadvantagesofservicequalityandimprovefarmers'satisfaction,andthreeinterviewswithexpertstotestandverify,andtoprovidegoodbusinessandperformanceforthecompany'skeyquality
To explore the method of Rapid Prototype verification
[[abstract]]本研究主要探討目前現有的雛型驗證方法:S.E.E服務體驗工程方法、NSDB價值創造流程,對於一間新創公司或者一般企業而言,過程繁瑣、投入成本高。本研究歸納出一套新雛型驗證方法,從適用對象、花費時間、流程、專案投入成本、限制之處與現有的方法做比較,得出新雛型驗證法省去了以往專案驗證過程時,需花費較多的時間及人力,透過簡單的步驟得到驗證,此方法可以幫助專案研發團隊,使用五階段驗證決策是否可行,從顧客訪談中,驗證需求。最後會用澳朵公司當作個案,說明新雛型驗證方法的應用過程並整理出優勢及獨特性之結論。[[abstract]]Thisstudyfocusontheexistingmethodsofprototypeverification:theS.E.Eserviceexperienceengineeringmethod,theNSDBvaluecreationprocess,thecumbersomeprocessandhighcostforanewcompanyorgeneralenterprise.Thisstudysummarizesanewmethodsofprototypeverification,comparetheexistingmethodsofprototypeverificationwithApplicabletotheobject,spendtime,process,inputcostsofproject,theresultisthenewsetofmethodssavethetimeandlaborcostsofthepreviousprojectverificationprocess.Thismethodcanhelpprojectresearchanddevelopmentteam,byusingthefive-stageverificationdecisionisfeasible,andinterviewthecustomercouldgetthecustomer’spainpoints.Finally,thisstudywilluseA-doorasacase,explaintheapplicationofmethodsofprototypeverificationandsummarizestheadvantagesanduniqueness
The Analysis of Factors Affecting Gold Returns-Quantile Regression Analysis
[[abstract]]本研究分析VIX波動率指數、美國道瓊工業平均數、西德州原油及美元指數四種變數的報酬率,如何影響黃金報酬。分析資料為2006年至2016年,共11年的日資料,除了採用複迴歸外,亦運用Koenker與Bassett(1978)所提出的分量迴歸來分析。實證結果顯示,無論是複迴歸或分量迴歸的結果,股價指數報酬、美元指數報酬都與黃金報酬呈顯著負向影響;石油報酬則與黃金報酬呈顯著正向影響。特別的是VIX波動率指數,在高、中分量迴歸下對黃金報酬影響不顯著,在低分量及複迴歸下則呈顯著負向影響,顯示在整個大週期中,兩者關係並不明確,中長期投資者不適合以VIX波動率指數作為投資黃金的參考。然而在黃金報酬位於較低水準的小週期區間中,當VIX波動幅度超出常態時,以其相對高點來判斷黃金價格的相對低點仍有一定的參考價值。[[abstract]]ThisstudyanalyzeshowVolatilityIndex(VIX),DowJonesIndex,WTICrudeOilandUSDollarIndex(USDX)affectgoldreturns.Thesampleperiodusedforanalysisisthedailydatafrom2006to2016withatotalof11yearsspan.Toexaminetheinteractiverelationship,theMultipleRegressionandQuantileRegression(QR)proposedbyKoenkerandBassett(1978)areperformed.TheempiricalresultsshowthatbothofDowJonesIndexreturnsandUSDXreturnsaresignificantlyandnegativelyrelatedtogoldreturns,whereasoilpricereturnspresentasignificantlypositiveinfluenceongoldreturns.Especially,VIXreturnshavenoeffectongoldreturnsduringthegoldreturnsarehighandmedianlevel,butshowasignificantlynegativeimpactongoldreturnswhengoldreturnsarelowlevel.Tosumup,therelationshipbetweenVIXandgoldreturnsisindefiniteinthewholesampleperiod.Therefore,it’sunsuitabletoinvestgolddependingonVIXinthelongrun.However,intheperiodwhilegoldreturnsarelowlevel,onceVIXrisesoverthenormalinterval,toforecasttherelativelowpriceofgoldbyusingtherelativehighvalueofVIXisreferable
The Impact of Exchange Rate Fluctuations on ETF Returns–the Case Study of ASEAN Countries
[[abstract]]近年來,國際金融市場不論是在匯率或股票報酬,波動程度有逐漸變大之趨勢,彼此相互的影響也愈來愈大。此外,國際資金佔亞洲資本市場比重日益攀高,亞洲各國股市及匯市彼此間的連動性日趨緊密。本文使用2007年1月至2016年12月間,以東協國家印尼、菲律賓、馬來西亞、泰國間的股票型基金與匯率報酬進行實證,實證探討匯率升貶對該國股票型基金報酬的影響。本文資料來源為台灣經濟新報(TEJ)資料庫。結果顯示匯率升值皆顯著正面影響基金報酬,且股市報酬與基金報酬具有連動性。[[abstract]]Recently,thefluctuationofinternationalfinancialmarket,boththeexchangerateandstockreturns,hasatrendofbecominglarger.Themutualinteractionbetweeneachmarketisevenmoresevere.Inaddition,theinternationalfundsplayaveryimportantroleinAsiancapitalmarket,andtherelationshipbetweenstockmarketandexchangemarketinAsianmarketsisgettingcloser.ThisstudyisaimedtoexaminetheimpactofexchangeratefluctuationsonthereturnofequityfundinASEANcountries,includingIndonesia,Philippine,MalaysiaandThailand.ThedataareobtainedfromTaiwanEconomicJournalandtheobservationperiodissetbetweenJan.2007toDec.2016.Theempiricalresultsconcludethattheexchangerateappreciationwillpositivelyaffecttheperformanceofequityfund,andalsothereisapositiverelationshipbetweenstockmarketandequityfundinthesefourcountries
The Impact of CEO Power and Characteristics on the Choice of Debt Financing
[[abstract]]CEO為高階經營團隊之核心,根據過去的文獻,發現其權力與特質對於公司存在著顯著的影響。然而,尚未有人將這兩項變數一同納入考慮與探討,是故本研究將嘗試同時考慮權力與特質,探討其對於負債融資工具選擇之影響。實證結果發現,CEO權力相較於特質對於負債融資工具之選擇較有影響,整體來說,在CEO權力的部分,除了聲望權力為顯著負相關,其餘為顯著正相關,表示當CEO權力越大,越傾向發行債券,尤其是可轉債。雖然特質部分直接影響較不顯著,但本研究分別依據是否擁有外國學歷以及教育程度來切割樣本,發現當CEO擁有外國學歷,或是教育程度越高,越傾向使用債券,特別是可轉債。[[abstract]]CEOpowerplaysakeyroleinchoosingcorporateinvestmentandfinancingdecisions.Thus,itwillexplainthelongtermperformanceofthiscompany.Accordingtopreviousliterature,eitherCEOpowerorCEOcharacteristicshasbeenusedtoexaminetheimpactonchoiceofdebtfinancing.However,thereisnopaperthathadconsideredthosetwofactorssimultaneously.So,thispapertrytoexaminetheimpactsofCEOpowerandcharacteristicsonthechoiceofdebtfinancing.ThispaperconcludesthatCEOpowerindexesaremoreinfluentialthanCEOcharacteristicsonthechoiceofdebtfinancing.Overall,allCEOpowerindexes,besidesprestigepower,aresignificantlyandpositivelyrelatedtothechoiceofdebtfinancing.ItmeansthatwhentheCEOhasmorepower,thefirmismorelikelytoissuebonds,especiallyissuingconvertiblebonds.Also,weconcludeCEOcharacteristicshavenosignificantimpactonthechoiceofdebtfinancing.However,ifourfirmsampleisdividedbyCEOeducation,wecanfindthatthosefirmswhenCEOswithforeigneducationorhighereducation,thefirmwouldbemorelikelytoissuebonds,especiallyconvertiblebonds
The Study of Issues Related to Patient Autonomy Statutes in Taiwan
[[abstract]]2000年通過施行的「安寧緩和醫療條例」是我國第一部以病人自主權為出發點所訂定的法律,然礙於國情及缺乏積極的宣導,儘管施行迄今已逾15年,使簽立意願書人數僅40萬人。2015年12月18日立法院再三讀通過「病人自主權利法」,將適用對象擴及「末期病人、處於不可逆轉之昏迷狀況、永久植物人狀態、極重度失智、其他經公告之病人疾病狀況或痛苦難以忍受、疾病無法治癒且依當時醫療水準無其他合適解決方法之情形」等5類,然我國在採「安寧緩和醫療條例」與「病人自主權利法」雙軌的運作模式後,病人就能真正享有自主權,能決定在瀕死的過程中,依自己的意願自然且帶有尊嚴的死亡嗎?如病人本身、病人家屬及醫師(醫療機構)不能建立一定程度的認識與共識,在病患生命走向終點的時刻適時放手,再多的法令也無法協助善終。醫生的職責是把疾病醫好,將人救活,促進並維持健康,然而當生命走到末端,醫生及家屬是否應尊重病人的自主,不施行違反個人意願的維生醫療作為。本論文的研究是基於醫病關係之基礎上,加以探討「病人自主權利法」與醫療關係的衝突,探究違反病人自主意願之醫療行為之不法性及相關民事責任,進而提供妥適作為的途徑。[[abstract]]The“Patientself-determinationrightAct”waspassedfromtheLegislatureYuanon18Dec,2015.Thedifferencebetween“AcommentaryregardingEuthanasiaandDeathwithDignityundertheHospicePalliativeCareRegulationAmendment”whichpassedon23May,2000isthatthoseamendmentswillsuitabletopeoplewhoisunderinfectiousdiseases,coma,persistentvegetativestate,severedementiaandallotherdiseaseswhichunabletoresist.Butthetruthis,patients’willalwayshardtounderstandwhentheyhadsetintothosesituations.However,ifpatients'conditionbecomequitebadanddeathisbetterthanlive,doctorsandfamilymemberswouldmakedecisionsfortheirpatientsbythemselves.That'smeanspatientsmightnothavechoicetoexpresstheiropinion.AlthoughthearticleofPatient'sSelf-determinationRightActhadalreadytakenformulation,thisbillshouldrelyonthreesides,whicharepatients,familymembersandmedicalstaffs,commonconsensus,andalsopatient'sautonomyandrightoflife.It’sthedoctors’jobtohealtheillnessonpeople,andmaintainthehealthstatus.Butwhatwilltheydowithoutagainstthepatient’swillwhentheirlivescomestotheend?ThisresearchpaperisbasedontherelationbetweenMedicaltreatmentandpatients.Anddiscussingtheconflictbetweenpatient'sSelf-determinationRightActandmedicaltreatmentindepths.Furthermore,thisstudywouldalsoexploretheunlawfulnessofmedicaltreatmentthatviolatesthepatient'swillandtherelevantcivilliabilitytoprovideaproperwaytothepatients
The Legal Study of the Drug Price Payment Mechanism within Taiwan National Health Insurance System
[[abstract]]全民健保為我國重要的社會福利制度,其政策形成的政治背景以及社會理論關係整體策略的執行模式。憲法增修條文第10條第5項明定:「國家應推行全民健康保險,並促進現代和傳統醫藥之研究發展。」於84年3月1日施行的「全民健康保險法」即為立法者在憲法委託下實現上開憲法規定而制定的。健康保險之主要法律關係架構為「被保險人」/「保險人」/「保險醫事服務機構」等主體,其相互之間構成三面關係。中央健保署為保險人,辦理保險業務,於被保險人在保險有效期間,發生疾病、傷害、生育事故時,依據健保法規給予保險給付。而保險人另與保險醫事服務機構簽訂「行政契約」,由該特約保險醫事服務機構代替保險人執行法定的保險給付義務。全民健保為因應醫療科技進步及人口老化所造成種種醫療成本增加的情況而衍生的社會政策,因此給付制度實為全民健保的核心制度,也必須透過不斷修正以符合各時期醫療之需求。因此在各個不同時期制定不同的給付制度以維持全民健保得以永續經營。包括健保初期參照公、農、勞保的給付制度,以及之後全面實施的總額制度。總額支付制度為我國全民健保制度規劃中很重要之一環,也成就整個全民健保制度的運行得以揚名國際。分期的藥價基準奠定藥價政策的基礎,透過藥品的核價制度、價量協商以及市場的藥價調查制度來達成降低全民健保中的藥品費用支出的目的。卻也衍生臨床實務許多問題,包括藥費支付品項之規範影響醫師的醫療專業自主、藥價差造成醫療院所用藥結構的改變、核價制度限制產業的發展、及原廠藥的退場影響病患用藥的權益和增加未知的風險…等。以上種種問題均為目前實務上健保給付制度下急需被改善的層面。而對健保法規之檢討,則是期能透過相關法律之檢討而能探求出可行之改善方向。[[abstract]]Nationalhealthinsurancesystemisimportanttooursocialwelfaresystem,whichtheimplementationoftheoverallstrategymodelisalsoinfluencedbyitspoliticalbackgroundandtherelationshipofthesocietytheory.TherevisionoftheArticle10(5)oftheConstitutionprovidesthat"theStateshallimplementnationalhealthinsuranceandpromotetheresearchanddevelopmentofmodernandtraditionalmedicine”.TheNationalHealthInsuranceAct,whichcameintoeffectonMarch11995,wasundertheconstitutionalcommissiontoachievetheprovisionsasbyConstitutionenacted.Themajorlegalrelationshipofhealthinsuranceiscomprisedofthethreeentitiessuchasthe"insuredperson","insurer"andthe"contractedmedicalinstitutions",whichconstituteatrianglerelationshipbetweeneachother.TheNationalHealthInsuranceAdministrationasinsurer,shallbeaccountabletotheinsuredpersonsforthehealthinsurancebusiness,whichshallpaytheinsurancefortheinsuredpersonsaccordingtothehealthinsuranceregulationswhentheeventofillness,injuryorchildbirthhappenedetc.Alsotheinsurerandthecontractedmedicalinstitutionssignedan"administrativecontract",bycontractedmedicalinstitutionstorepresenttheinsurertoprovidethestatutoryinsurancepaymentobligations.Nationalhealthinsuranceisasocialpolicyderivedfromtheincreaseinmedicalcostscausedbyadvancesinmedicaltechnologyandtheagingofthepopulation.Therefore,thepaymentsystemisthecoresystemofthenationalhealthinsurancewhichmustalsobeamendedtomeettheneedsofmedicalcareineachperiod.Soindifferentperiodsoftime,adifferentpaymentsystemshouldbemaintainedtoinsureasustainablenationalhealthinsurancebusiness.Theinitialhealthinsurancesystemhaslearnedfromthegovernment,agricultureandlaborinsurancesystem,andalsoachievedbytheafterwardimplementedglobalbudgetsystem,whichisalsooneofthemostimportantaspectsthathasgainedaworldwideexcellencereputation.EachstagesofDrugListandPaymentSchemelaythebasisofdrugpricepolicy,throughthedrugpricesystem,priceconsultationandthemarketpriceofthedruginvestigationsystemachievethereductionofhealthinsuranceinthecostofdrugexpenditurepurposes.Alsomanyproblemshavederivedfromtheclinicalpracticeincludingthedrugpaymentguidelinesthathavealteredthemedicationprescriptionpatternofphysicians,drugofchoiceschangedinthestructureofthehospital,thedrugutilizationreimbursementsystemtolimitthedevelopmentofthehealthindustry,thedrawbackofthepatentdrugcompanyaffectedthepatient’srightandtheincreaseintheunknownriskandsoon.Alltheseproblemsarethecurrentpracticeofhealthinsurancepaymentsystemundertheurgentneedtobeimproved.Furthermore,theexaminationofhealthinsurancelawsandregulationsispossibletoexplorethefeasibledirectionofimprovement