| Summary: | 碩士 === 國立中山大學 === 公共事務管理研究所 === 97 === National Health Insurance (NHI) can be said to play the most significant role among all the other social securing systems. People pay great attention to its policy and institution. NHI is an obligatory social insurance, protecting all the citizens in Taiwan. The insured is required to enroll into the NHI only by their employers– be it a school, a business company, an institution, an organization, private business employer or any other work unit. When the insured are underwritten by or withdrawing from the system, all the changes must be made through the employers who refer to and enroll their employees with the NHI. The Bureau of National Health Insurance, operating in coordination with the e-government policy that aims to provide much more convenience to the Taiwanese people and to improve government efficiency, as well as for the sake of energy conservation and carbon reduction, has been encouraging people to use on-line applications for the NHI affairs. As much effort as they have put on promoting such policy to the employers who are responsible to insure their employees with the NHI, currently, the popularity of using on-line applications for NHI affairs is barely satisfactory, as a matter of fact.
Many parties are involved in the procedure of processing on-line applications for NHI affairs; therefore, this dissertation uses Nominal Group Technique (NGT) and Interpretive Structural Modeling (ISM) from Interactive Management (IM) theories conducting the research. All participating parties will have conversations with one another; therefore, there will be a workshop. The purpose and subject for this workshop is to explore practical strategies that would effectively promote the usage of on-line applications with the NHI affairs. Through such an interactive dialogue collecting diverse viewpoints, there are thirteen strategies concluded to be effectively helpful achieving the aim:
The NHI sectors responsible for on-line applications should
(1) provide favorable incentives for on-line applicants,
(2) simplify the net identification procedure and the NHI operational network and
(3) the logging-in system,
(4) increase the network bandwidth,
(5) resolve NHI insurers’ qualms of network security using online-applications.
Also, they may need to redesign the network platform and
(6) simplify procedure for users, and
(7) more frequently promote the advantages using on-line applications and expand contents of their service, so that
(8) the web search function for the NHI will be able to provide wider, faster, more efficient service.
(9) the relative NHI sectors should really receive guidance and assistance carrying out this project, and
(10) negotiate the assigned policy with their superior supervisory sectors to give clear order to their subordinate sectors using on-line applications and
(11) set up trainings for instructors to establish future training resource, and
(12) hold workshops to give more information and verification on the scene permitting the participants of the workshops to use on-line applications, and
(13) finally achieve the aim that to have applications for NHI affairs completely done on-line.
Among them all, strategy 3, ‘simplifying logging-in system’, ranks 11 using NGT sequencing (strategy 11, 12, 13 all get the same points in the vote). However, in the enhancement structure, strategy 3 ranks number 1, has net score points 10. Therefore, strategy 3 should be given as much priority as to and carried out with strategy 1 ‘providing favorable incentives for online applicants’ that gets the most points, in the NGT sequencing process.
This research has given the participants questionnaires at two stages during the interactive workshop. The participants’ concern, or understanding of using on-line applications for NHI affairs, appears to have risen after the workshop. There is unexpected, significant satisfaction over the promising conclusions from the workshop, which proves the workshop to be non-redundant and have reached consentient results. Also, the research, primarily using ISM program, has reduced the voting numbers when comparing two strategies from 156 times to 58. This has saved great amount of the time from the voting procedure in discussion, so that the workshops was able to finish in one day and hence did not exhaust the participants’ enthusiasm. ISM is therefore proved to be efficient in saving time and assures that not losing the participants in different stages of the workshop.
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