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The National Health Insurance Department announced that 17 Da Vinci operations including "partial hepatectomy" will be included in the health insurance payment; schematic diagram.
(File photo, provided by Hsinchu Mackay Hospital)
[Reporter Lin Huiqin/Report from Taipei] Da Vinci robotic arm-assisted surgery is widely used in minimally invasive surgery. It has the characteristics of small wounds and fast recovery, but it is expensive.
However, the Health Insurance Administration of the Ministry of Health and Welfare announced today that 17 Da Vinci operations such as "partial liver resection" will be included in the health insurance payment at one go. People will benefit, and the new system will be on the road as early as March 1 next year.
Chen Yijie, a special committee member of the Medical Management Group of the National Health Insurance Department, said that Da Vinci surgery is often used in clinical treatment of urology, digestive surgery, and thoracic surgery in recent years. It is more expensive than traditional surgery, not in line with economic benefits, and the efficacy and safety evidence of some items is not enough. From January 2017 and December 2020, respectively, "Darveen" with proven safety and efficacy and a proficient learning curve of the performing physician was first agreed. Surgical expenses for "radical prostatectomy" and "partial nephrectomy with Da Vinci's robotic arm" can be reported in the same way as the laparoscopic surgery item of the National Health Insurance, and the medical materials are paid by the public themselves.
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However, Chen Yijie pointed out that last year Taiwan Association of Thoracic Surgery, Taiwan Society of Pancreatic Medicine and other medical associations successively recommended that 17 Da Vinci operations including "partial hepatectomy" have been evaluated by HTA to be safe and effective, and the evidence is valid. It helps to reduce the operation time and blood loss. It is suggested to refer to the previous example. The operation fee is compared with the thoracic (abdominal) laparoscopic surgery item, and it will be paid by the national health insurance. On December 22, the "National Health Insurance Medical Service Payment Items and Payment Standards Jointly Drafting Meeting" "The discussion passed.
Chen Yijie explained that among the 17 projects, almost all major operations on the digestive tract have been included, as well as thoracic and pelvic surgery, which are commonly used in clinical practice to remove malignant tumors. However, the medical community suggests that the health insurance payment for surgery can be compared to thoracic (abdominal) laparoscopic surgery, so the payment ranges from 42,000 yuan to 160,000 yuan.
Chen Yijie mentioned that Da Vinci surgery has the characteristics of small wounds, fast recovery, and short hospitalization, and it can enlarge the doctor's surgical field of vision. According to the statistics of the National Health Insurance Department last year, it is estimated that about 930 people benefited, and the new financial expenditure was about 8,400 It is expected to hit the road on March 1 next year at the earliest.
However, the cost of medical materials still has to be paid by the public themselves, and the cost ranges from 100,000 to 250,000 yuan.
Director of Health Insurance Li Bozhang emphasized that in the future, we will continue to cooperate with the development of medical technology and actual clinical needs, and incorporate new medical technology into the health insurance payment to provide the public with medical technology that keeps pace with the times, reduce the burden of medical treatment, and at the same time allow medical providers to receive reasonable benefits. Improve the existing medical environment.
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