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Abstract. the Taiwan medical service system of economic has a plurality， diversity of characteristics. In recent years， Taiwan medical service industry emerged in the industrial enterprise， group intensive， hospital socialization， refined quality， extension of function and heterogeneous operating the new trend of economic， the health care role and social capital. These to mainland China's medical of economic and health system reform， hospital development of economic and cost of medical and health services management， meticulous management， value of personnel management， provides the valuable experience
Keywords： medical； mainland； Taiwan； enlightenment 1. The developing current situation of mainland's
medical economy
In twenty-first century， science and technology change rapidly， the market economy competition is more and more intense. With the arrival of knowledge economy era， as special service closely related to human's health which is knowledge intensive， technology intensive， and personnel intensive， multidisciplinary. Its management is relatively independent， high risk and high competitive. According current medical services layout， structure and resource utilization， it can't meet market economy's need. Especially existing medical service system， content， mode， structure and quality not only unadapting to the change of need， but also do not adapt to changes in disease patterns and medical insurance system. At the end of July 2013， the total of national medical institutions is 922400， of which： 20400 of hospitals， 28500 of community health service centers， 38300 of township hospitals， 647200 of village health hospitals， 174200 of clinics. In 2010 January to July， national medical institutions increased by 15102， of which： hospital increased 141， community health service center （station） increased 1148， township hospitals reduced 141， village health room increased 14397， clinic reduced 586.
2 The development experience of Taiwan medical economy
2.1 medical system
The development of Taiwan medical economic system is divided into four stages： the early establishing stage （before 1947）， establishing period （1947-1970 years）， expanding stage （1971-1984） and the integration period （since 1985）. Through the implementation of medical network economic plan and integrated all kinds of medical institutions， the current medical service economy is the rapid development in the public and private large and medium-sized hospitals. Taiwan's medical economic system is composed of medical centers， regional hospitals， district hospitals， psychiatric hospitals and health institutions. According to the medical institution， Taiwan is divided into 17 health regions and 19 medical centers as planned.
According to the professional technology， it can be divided into three categories： Western medicine， Chinese medicine and dentistry. The western medicine has 23 sections：①comprehensive hospital must have 6 Specialty： Department of internal medicine， surgery， obstetrics and gynecology， pediatrics， radiology， anesthesiology； ②in the other 17 families， 4 internal medicine families： department of family medicine， dermatology， Neurology and psychiatry； 4 surgical families： Department of orthopedics， urology， plastic surgery and neurosurgery； the other 9 families： department of E.N.T.， ophthalmology， rehabilitation medicine， radiation oncology， nuclear medicine， emergency department， Pathology， the ring post and clinical pathology. Traditional Chinese medicine has 1 family. The dentist medicine has 3 families： export department of surgery and orthodontics department （general， family and children）.
According to different ownership of medical institutions， hospitals are divided into three categories， which are public hospitals， not-for-profit hospitals and private hospitals. And these three categories can be further subdivided into 14 categories. According to the official statistics， 2013 Taiwan has 514 hospitals： 80 public hospitals， 434 non-public hospitals； Clinics are 19792： 461 public clinics， 19331 private clinics.
2.2 medical economic management system
Medical economic management in Taiwan includes four levels， which are legal， administration， trade association and the administration. Overall， Taiwan medical economic management is "rule of law" and "autonomy" as the main hospital.
The government's height controlling of the medical economy： ① the controlling of medical personnel license， ②medical institutions set up qualification and standards， ③price control， ④ formulation and implementation of medical network plan， ⑤hospital accreditation.
The basic requirements of large hospital are each department specialized financial and economic statistics cost calculation. Separation of prescribing and dispensing system executed in Taiwan. In the former period， some movement was happened in the medical community and medicine. At present the practitioner to dispensing for patients， there must be pharmacists in presence. Big hospitals always do well； there has been a pharmacist in the process of dispensing. The better management of hospitals economic cost， the lower the amount of drugs and sum of money. In many large hospitals， kinds of drug are very little. At present， such as the 366 systems to service fee for service in mainland， the system will increase the use of medication. The hospital and doctor will encourage patients to use the expensive medicine and drug.
2.3 Medical insurance
In Taiwan， 98% people participated in the national health insurance； the patient can freely choose the hospital. Because the population of Taiwan is very small， only 23000000， 98% of people in the government set up the national health insurance. Comprehensive health insurance includes the treatment of all diseases， small to outpatient， colds， diarrhea can go to the hospital， to organ transplantation by the government out of 10%， unit 60%， only 30% individuals， the only drawback is the financial economic pressure.
2.4 medical service
Taiwan's Department of medicine and doctors has the superiority feeling from the very beginning， so it has a very high social status. Display a social investigation in Taiwan very famous newspapers do， which all kinds of people in the society， what people you trust the most？ The first row is the family， second is my doctor.
Medical actually not complex， a patient to go to the hospital， not only to get a good treatment， but also to be very well taken care of in the course of hospitalization. Doctors in Taiwan early have kickbacks red envelopes， what knife to the doctor how many money， the physician will open. But it had gone， probably after the transition period of 20 years.
3. The enlightenment of Taiwan medical economic development experience to China
3.1 strengthen the economic cost management and reform of public medical institutions
In terms of internal economic cost control ， the medical institutions and medical system in Taiwan is more systematic， exquisite and efficient than medical institutions ，in particular， many public hospitals in the mainland， and the medical economy overall management disorder is different. The management system is mainly aimed at the people， for example， in chang gung memorial hospital in Taipei； there are more than 900 kinds of identities in personnel management. Cost control is mainly aimed at the behavior， especially the selection and application of materials， and the change of ideology.
Taiwan hospital economy promotion way is put the cost control in the accountable staff . When design the price and cost plan of each element and each link ， it is necessary to effectively imply， then reach the goal； In detail， we need constantly develop higher standards and continuous improvement to a higher goal. 3.2 play a role of traditional Chinese medicine for the strengthening the traditional economic medicine
Traditional Chinese medicine is Chinese traditional medicine； it plays a unique role in health care， rehabilitation and treatment of disease. At present， the traditional Chinese medicine has been towards the world， and gained many national recognition and high praise. In the circumstance of increasingly fierce competition of the current society， sub-health crowd， and an aging population growing， we should learn from this lesson， give full play to the role of traditional medicine， integrate various health care technology， make up for the inadequacy of western medicine theory and technology.
3.3 strengthen the professional economic value training of physician
In Taiwan， the doctor is a respected profession； it has a lot to do with higher quality of doctors. In Taiwan， only the best students in the university entrance exam have the opportunity to study of clinical medicine. After graduation， physicians should receive strict specialized training and training records， and three years of qualified specialized training result is considered as the necessary condition to be a doctor， which provides an experience to standardize the resident doctors' training for us.
3.4 people-oriented， plays the enthusiasm of the medical staff
System management is a basic requirement of the development of modern economics. But in the system development and implementation process should pay attention to "people-oriented"， give full play to the subjective initiative， to strengthen the effectiveness of.
At present， the reform of the medical system and the public hospital system reform is in the key period， the staff is the public hospital reform of public hospitals in the host economy， to strengthen the construction of the system of value. At the same time to strengthen the humanistic education of medical personnel， medical personnel consciousness enhancement of service for people's health， improve the quality of medical service. Taiwan many hospitals were established in religious ideas under the guidance of the economy and the operation is a humanity of our reference.
3.5 expand the economy， improve the service effectively
Taiwan health insurance of successful experience， mainly Taiwan residents will be health care included into the scope of their own responsibilities， to promote universal health insurance legislation， the implementation of mandatory health insurance， national unified legal basis， the relevant matters and the health insurance involves the coordination and unity of the macro management， it is worth learning. In recent years， the State Council made it clear the government responsibility in the medical and health work， government departments should further strengthen the input of health， organization construction， industry management and supervision， give full play to the advantages， promote the economic development of medical and health care system. References
[1] Fu Chen， Zhang Gang. The medical and health management system in Taiwan area and its enlightenment and reference [J]. China health resources， 2007， 10 （1）： 24-26.
[2] Wu Jinjun. Taiwan area of national health insurance and its influence on the modern hospital medical market [J]. 2010，8 （2）： 155-156.
[3] Liu Yonghua， Fu Wei， Mao Zhengzhong. Taiwan health insurance system [J]. Chinese health economics， 2006， 25 （9）： 38-40.
[4] Fan Jing， Jiang Chao. The current situation of medical disputation and influence [J]. Chinese hospital management， 2013
[5] Li Li. A review on the research of the medical service and government regulation [J]. Research on industrial economy， 2010 （5）.
[6] Li Wenqun. A harmonious society， medical reform and the commercial health insurance system innovation [J]. Economic Research Journal， 2012.56 （18）：84-85
[7] Chen Lijin， Liu Jinfeng， Laurie， Hao mode. The medical and health industry and improve the government health input the appropriate of the relation [J]. China water resources， 2010 （5）： 14-19.
[8] Yu Lan， Li Jinghui. Modern medical mode of doctor-patient relationship and hospital management [J]. Chongqing medical journal， 2011 （1）：35-37.
[9] Wang Xiyuan. The key to cure crack problem is to correct the market failure and government failure health reform [J]. Analysis of economy and management， 2012 （08）：24-29.
[10] Chen Zheng. Medical system reform to establish the "China model" [N]. Daily of the first finance and economics， 2013-7-15.
Keywords： medical； mainland； Taiwan； enlightenment 1. The developing current situation of mainland's
medical economy
In twenty-first century， science and technology change rapidly， the market economy competition is more and more intense. With the arrival of knowledge economy era， as special service closely related to human's health which is knowledge intensive， technology intensive， and personnel intensive， multidisciplinary. Its management is relatively independent， high risk and high competitive. According current medical services layout， structure and resource utilization， it can't meet market economy's need. Especially existing medical service system， content， mode， structure and quality not only unadapting to the change of need， but also do not adapt to changes in disease patterns and medical insurance system. At the end of July 2013， the total of national medical institutions is 922400， of which： 20400 of hospitals， 28500 of community health service centers， 38300 of township hospitals， 647200 of village health hospitals， 174200 of clinics. In 2010 January to July， national medical institutions increased by 15102， of which： hospital increased 141， community health service center （station） increased 1148， township hospitals reduced 141， village health room increased 14397， clinic reduced 586.
2 The development experience of Taiwan medical economy
2.1 medical system
The development of Taiwan medical economic system is divided into four stages： the early establishing stage （before 1947）， establishing period （1947-1970 years）， expanding stage （1971-1984） and the integration period （since 1985）. Through the implementation of medical network economic plan and integrated all kinds of medical institutions， the current medical service economy is the rapid development in the public and private large and medium-sized hospitals. Taiwan's medical economic system is composed of medical centers， regional hospitals， district hospitals， psychiatric hospitals and health institutions. According to the medical institution， Taiwan is divided into 17 health regions and 19 medical centers as planned.
According to the professional technology， it can be divided into three categories： Western medicine， Chinese medicine and dentistry. The western medicine has 23 sections：①comprehensive hospital must have 6 Specialty： Department of internal medicine， surgery， obstetrics and gynecology， pediatrics， radiology， anesthesiology； ②in the other 17 families， 4 internal medicine families： department of family medicine， dermatology， Neurology and psychiatry； 4 surgical families： Department of orthopedics， urology， plastic surgery and neurosurgery； the other 9 families： department of E.N.T.， ophthalmology， rehabilitation medicine， radiation oncology， nuclear medicine， emergency department， Pathology， the ring post and clinical pathology. Traditional Chinese medicine has 1 family. The dentist medicine has 3 families： export department of surgery and orthodontics department （general， family and children）.
According to different ownership of medical institutions， hospitals are divided into three categories， which are public hospitals， not-for-profit hospitals and private hospitals. And these three categories can be further subdivided into 14 categories. According to the official statistics， 2013 Taiwan has 514 hospitals： 80 public hospitals， 434 non-public hospitals； Clinics are 19792： 461 public clinics， 19331 private clinics.
2.2 medical economic management system
Medical economic management in Taiwan includes four levels， which are legal， administration， trade association and the administration. Overall， Taiwan medical economic management is "rule of law" and "autonomy" as the main hospital.
The government's height controlling of the medical economy： ① the controlling of medical personnel license， ②medical institutions set up qualification and standards， ③price control， ④ formulation and implementation of medical network plan， ⑤hospital accreditation.
The basic requirements of large hospital are each department specialized financial and economic statistics cost calculation. Separation of prescribing and dispensing system executed in Taiwan. In the former period， some movement was happened in the medical community and medicine. At present the practitioner to dispensing for patients， there must be pharmacists in presence. Big hospitals always do well； there has been a pharmacist in the process of dispensing. The better management of hospitals economic cost， the lower the amount of drugs and sum of money. In many large hospitals， kinds of drug are very little. At present， such as the 366 systems to service fee for service in mainland， the system will increase the use of medication. The hospital and doctor will encourage patients to use the expensive medicine and drug.
2.3 Medical insurance
In Taiwan， 98% people participated in the national health insurance； the patient can freely choose the hospital. Because the population of Taiwan is very small， only 23000000， 98% of people in the government set up the national health insurance. Comprehensive health insurance includes the treatment of all diseases， small to outpatient， colds， diarrhea can go to the hospital， to organ transplantation by the government out of 10%， unit 60%， only 30% individuals， the only drawback is the financial economic pressure.
2.4 medical service
Taiwan's Department of medicine and doctors has the superiority feeling from the very beginning， so it has a very high social status. Display a social investigation in Taiwan very famous newspapers do， which all kinds of people in the society， what people you trust the most？ The first row is the family， second is my doctor.
Medical actually not complex， a patient to go to the hospital， not only to get a good treatment， but also to be very well taken care of in the course of hospitalization. Doctors in Taiwan early have kickbacks red envelopes， what knife to the doctor how many money， the physician will open. But it had gone， probably after the transition period of 20 years.
3. The enlightenment of Taiwan medical economic development experience to China
3.1 strengthen the economic cost management and reform of public medical institutions
In terms of internal economic cost control ， the medical institutions and medical system in Taiwan is more systematic， exquisite and efficient than medical institutions ，in particular， many public hospitals in the mainland， and the medical economy overall management disorder is different. The management system is mainly aimed at the people， for example， in chang gung memorial hospital in Taipei； there are more than 900 kinds of identities in personnel management. Cost control is mainly aimed at the behavior， especially the selection and application of materials， and the change of ideology.
Taiwan hospital economy promotion way is put the cost control in the accountable staff . When design the price and cost plan of each element and each link ， it is necessary to effectively imply， then reach the goal； In detail， we need constantly develop higher standards and continuous improvement to a higher goal. 3.2 play a role of traditional Chinese medicine for the strengthening the traditional economic medicine
Traditional Chinese medicine is Chinese traditional medicine； it plays a unique role in health care， rehabilitation and treatment of disease. At present， the traditional Chinese medicine has been towards the world， and gained many national recognition and high praise. In the circumstance of increasingly fierce competition of the current society， sub-health crowd， and an aging population growing， we should learn from this lesson， give full play to the role of traditional medicine， integrate various health care technology， make up for the inadequacy of western medicine theory and technology.
3.3 strengthen the professional economic value training of physician
In Taiwan， the doctor is a respected profession； it has a lot to do with higher quality of doctors. In Taiwan， only the best students in the university entrance exam have the opportunity to study of clinical medicine. After graduation， physicians should receive strict specialized training and training records， and three years of qualified specialized training result is considered as the necessary condition to be a doctor， which provides an experience to standardize the resident doctors' training for us.
3.4 people-oriented， plays the enthusiasm of the medical staff
System management is a basic requirement of the development of modern economics. But in the system development and implementation process should pay attention to "people-oriented"， give full play to the subjective initiative， to strengthen the effectiveness of.
At present， the reform of the medical system and the public hospital system reform is in the key period， the staff is the public hospital reform of public hospitals in the host economy， to strengthen the construction of the system of value. At the same time to strengthen the humanistic education of medical personnel， medical personnel consciousness enhancement of service for people's health， improve the quality of medical service. Taiwan many hospitals were established in religious ideas under the guidance of the economy and the operation is a humanity of our reference.
3.5 expand the economy， improve the service effectively
Taiwan health insurance of successful experience， mainly Taiwan residents will be health care included into the scope of their own responsibilities， to promote universal health insurance legislation， the implementation of mandatory health insurance， national unified legal basis， the relevant matters and the health insurance involves the coordination and unity of the macro management， it is worth learning. In recent years， the State Council made it clear the government responsibility in the medical and health work， government departments should further strengthen the input of health， organization construction， industry management and supervision， give full play to the advantages， promote the economic development of medical and health care system. References
[1] Fu Chen， Zhang Gang. The medical and health management system in Taiwan area and its enlightenment and reference [J]. China health resources， 2007， 10 （1）： 24-26.
[2] Wu Jinjun. Taiwan area of national health insurance and its influence on the modern hospital medical market [J]. 2010，8 （2）： 155-156.
[3] Liu Yonghua， Fu Wei， Mao Zhengzhong. Taiwan health insurance system [J]. Chinese health economics， 2006， 25 （9）： 38-40.
[4] Fan Jing， Jiang Chao. The current situation of medical disputation and influence [J]. Chinese hospital management， 2013
[5] Li Li. A review on the research of the medical service and government regulation [J]. Research on industrial economy， 2010 （5）.
[6] Li Wenqun. A harmonious society， medical reform and the commercial health insurance system innovation [J]. Economic Research Journal， 2012.56 （18）：84-85
[7] Chen Lijin， Liu Jinfeng， Laurie， Hao mode. The medical and health industry and improve the government health input the appropriate of the relation [J]. China water resources， 2010 （5）： 14-19.
[8] Yu Lan， Li Jinghui. Modern medical mode of doctor-patient relationship and hospital management [J]. Chongqing medical journal， 2011 （1）：35-37.
[9] Wang Xiyuan. The key to cure crack problem is to correct the market failure and government failure health reform [J]. Analysis of economy and management， 2012 （08）：24-29.
[10] Chen Zheng. Medical system reform to establish the "China model" [N]. Daily of the first finance and economics， 2013-7-15.