With a rapidly aging population and a cash-strapped National Health Insurance system, the government is paying more attention to the issue of “futile medical care,” treatment applied only to prolong life without a foreseeable cure or positive outcome, and the prospect of hospice care.
In a seminar held by medical groups yesterday, National Taiwan University Hospital (NTUH) Jinshan Branch Superintendent Huang Sheng-Jean (黃勝堅) made a presentation on how the community hospital he directs in Jinshan established the first hospice community in Taiwan.
Huang was assigned to the post by NTUH less than two years ago, when the hospital planned to initiate a pilot program promoting local, close-to-home healthcare and hospice community care in the district.
“Physicians at Jinshan branch don’t just stay in the hospital. They visit patients and their families at home and participate in community health-promotion activities to relate to local people,” Huang said.
The hospital is now employing the capitation payment system, which can be seen as a family practice system, Huang said, with a physician taking care of a number of patients closely instead of being visited by patients randomly.
The system works under the idea that pain prevention is more important than treatment, Huang added, stressing that this kind of preventive healthcare includes reducing the patient’s and their family’s suffering at the end of their life.
“Of the NT$570 billion [US$18.9 billion] healthcare expenditure paid by the NHI, about NT$170 billion is spent on futile medical treatment,” Huang said. “By operating preventive healthcare, including building quality end-of-life care and promoting the signing of DNR [do not resuscitate] to have ‘a good death,’ a lot can be saved, benefiting the sustainability of the NHI system.”
“The rate of the patients under end-of-life care that had signed the DNR was 9.2 per 1,000 last year, compared with a national rate of 6.3 per 1,000,” Huang said, adding that the number is expected to exceed 10 per 1,000 this year.
Actor Darren Wang (王大陸) was sentenced to six months in prison, commutable to a fine, by the New Taipei District Court today for contravening the Personal Data Protection Act (個人資料保護法) in a case linked to an alleged draft-dodging scheme. Wang allegedly paid NT$3.6 million (US$114,380) to an illegal group to help him evade mandatory military service through falsified medical documents, prosecutors said. He transferred the funds to Chen Chih-ming (陳志明), the alleged mastermind of a draft-evasion ring, although he lost contact with him as he was already in detention on fraud charges, they said. Chen is accused of helping a
UNREASONABLE SURVEILLANCE: A camera targeted on an road by a neighbor captured a man’s habitual unsignaled turn into home, netting him dozens of tickets The Taichung High Administrative Court has canceled all 45 tickets given to a man for failing to use a turn signal while driving, as it considered long-term surveillance of his privacy more problematic than the traffic violations. The man, surnamed Tseng (曾), lives in Changhua County and was reported 45 times within a month for failing to signal while driving when he turned into the alley where his residence is. The reports were filed by his neighbor, who set up security cameras that constantly monitored not only the alley but also the door and yard of Tseng’s house. The surveillance occurred from July
SECURITY: Starlink owner Elon Musk has taken pro-Beijing positions, and allowing pro-China companies to control Taiwan’s critical infrastructure is risky, a legislator said Starlink was reluctant to offer services in Taiwan because of the nation’s extremely high penetration rates in 4G and 5G services, the Ministry of Digital Affairs said yesterday. The ministry made the comments at a meeting of the legislature’s Transportation Committee, which reviewed amendments to Article 36 of the Telecommunications Management Act (電信管理法). Article 36 bans foreigners from holding more than 49 percent of shares in public telecommunications networks, while shares foreigners directly and indirectly hold are also capped at 60 percent of the total, unless specified otherwise by law. The amendments, sponsored by Chinese Nationalist Party (KMT) Legislator Ko
A Japan Self-Defense Forces vessel entered the Taiwan Strait yesterday, Japanese media reported. After passing through the Taiwan Strait, the Ikazuchi was to proceed to the South China Sea to take part in a joint military exercise with the US and the Philippines, the reports said. Japan Self-Defense Force vessels were first reported to have passed through the strait in September, 2024, with two further transits taking place in February and June last year, the Asahi Shimbun reported. Yesterday’s transit also marked the first time since Japanese Prime Minister Sanae Takaichi took office that a Japanese warship has been sent through the Taiwan
RSS