Analysis of Taiwan National Health Insurance Education in Elementary and Junior High School Textbooks for the Grade 1-9 Curriculum in the Health and Physical Education Field
Author:
Chia-Chen Chang(Department of Health Promotion and Health Education, National Taiwan Normal University), Shu-Fang Shih(Department of Health Promotion and Health Education, National Taiwan Normal University), Chen-Yin Tung(Department of Health Promotion and Health Education, National Taiwan Normal University), Chieh-Hsing Liu(Department of Health Promotion and Health Education, National Taiwan Normal University), Yun-Wen Yin(Geriatric Health Promotion, Jen-Teh Junior College of Medicine, Nursing and Management), Ruoh-Leei Dai(Taipei Wego Private Bilingual Senior High School)
Vol.&No.：Vol. 61, No. 1
Date：March 2016
Pages：139-167
DOI：10.6209/JORIES.2016.61(1).06
Abstract：
Taiwan has implemented the National Health Insurance (NHI) for over 20 years. The NHI is not only the policy that has generated the highest public satisfaction, but it has also been recognized by international communities. Nevertheless, wasted medical resources are one of the factors that have increased medical costs since the NHI was implemented. Therefore, NHI education should be valued to promote sustainable NHI operation. The purpose of this study was to provide a reference for implementing NHI education by evaluating NHI textbooks. According to the findings, NHI textbooks place more emphasis on medical safety and health consumption, and these textbooks derive well-documented and extensive evidence from various topics and capability indices but fail to value NHI resources or promote the cherish concept to friends and family. The shortage of the facets of “affective domain” and “life skills” should be addressed to implement the goal of NHI education. NHI education should be integrated with the current themes and capability indices to intensify the use of relevant medical curricula. Moreover, the teaching ability of instructors should be increased to incorporate the NHI into elementary and junior high school education.
Keywords：grade 1-9 curriculum, NHI education, health and physical education field, elementary and junior high school, textbook
《Full Text》
References：
- 中央研究院（2009）。醫院保健政策建議書。新北市：作者。【Academia Sinica. (2009). Health care policy recommendations. New Taipei City, Taiwan: Author.】
- 卯靜儒（2013）。選什麼？如何選？為何而選？高中教師選擇歷史教科書之研究。教育科學研究期刊，58（2），123-147。doi:10.3966/2073753X2013065802005【Mao, C.-J. (2013). What, how, and why? A study on senior high school teachers’ selection of textbooks. Journal of Research in Education Sciences, 58(2), 123-147. doi:10.3966/2073753X 2013065802005】
- 江東亮（2014）。緒言：期待全民健保會更好。台灣醫學，18（1），31-32。【Chiang, T.-L. (2014). Introduction: Looking forward to a better national health insurance. Formosan Journal of Medicine, 18(1), 31-32.】
- 吳靜美（2008）。全民健保的推動與實施，臺灣民眾滿意度高。全民健康保險雙月刊，75，24-25。【Wu, C.-M. (2008). People of Taiwan is high satisfaction for promotion and implementation of the national health insurance. Bimonthly of National Health Insurance, 75, 24-25.】
- 李玉春、黃昱瞳、黃光華、葉玲玲、陳珮青（2014）。全民健保支付制度改革之回顧與展望。臺灣醫學，18（1），53-66。【Lee, Y.-C., Huang, Y.-T., Huang, K.-H., Yeh, L.-L., & Chen, P.-C. (2014). The review and prospect of the national health insurance payment system reform. Formosan Journal of Medicine, 18(1), 53-66.】
» More
- 中央研究院（2009）。醫院保健政策建議書。新北市：作者。【Academia Sinica. (2009). Health care policy recommendations. New Taipei City, Taiwan: Author.】
- 卯靜儒（2013）。選什麼？如何選？為何而選？高中教師選擇歷史教科書之研究。教育科學研究期刊，58（2），123-147。doi:10.3966/2073753X2013065802005【Mao, C.-J. (2013). What, how, and why? A study on senior high school teachers’ selection of textbooks. Journal of Research in Education Sciences, 58(2), 123-147. doi:10.3966/2073753X 2013065802005】
- 江東亮（2014）。緒言：期待全民健保會更好。台灣醫學，18（1），31-32。【Chiang, T.-L. (2014). Introduction: Looking forward to a better national health insurance. Formosan Journal of Medicine, 18(1), 31-32.】
- 吳靜美（2008）。全民健保的推動與實施，臺灣民眾滿意度高。全民健康保險雙月刊，75，24-25。【Wu, C.-M. (2008). People of Taiwan is high satisfaction for promotion and implementation of the national health insurance. Bimonthly of National Health Insurance, 75, 24-25.】
- 李玉春、黃昱瞳、黃光華、葉玲玲、陳珮青（2014）。全民健保支付制度改革之回顧與展望。臺灣醫學，18（1），53-66。【Lee, Y.-C., Huang, Y.-T., Huang, K.-H., Yeh, L.-L., & Chen, P.-C. (2014). The review and prospect of the national health insurance payment system reform. Formosan Journal of Medicine, 18(1), 53-66.】
- 李俊德（2001）。臺灣地區青少年保健門診病例之分析及其健康問題改善之相關因素（未出版碩士論文）。中山醫學院，高雄縣。【Lee, C.-T. (2001). Analysis of adolescent clinics cases and relating factors of self-perceived improvement of their health problems in Taiwan (Unpublished master’s thesis). Chung Shan Medical University, Kaohsiung County, Taiwan.】
- 林昭吟、陳敦源、劉宜君、蕭乃沂（2007）。二代健保保費改革方案預評估─民眾與菁英對改革方案之認知與偏好的比較。行政暨政策學報，44，43-78。【Lin, C.-Y., Chen, D.-Y., Liu, I.-C., & Hsiao, N.-Y. (2007). A pre-evaluation of the financing scheme of the phase II NHI Program: A comparison of the perceptions and preferences of the elites and the general public toward the reform scheme. Public Administration & Policy, 44, 43-78.】
- 南一書局企業股份有限公司（2012a）。國民小學健康與體育課本（第二冊）。臺南市：作者。【Nani Enterprise Co., Ltd. (2012a). NN elementary school health and physical field textbooks (Vol. II). Tainan, Taiwan: Author.】
- 南一書局企業股份有限公司（2012b）。國民小學健康與體育課本（第三冊）。臺南市：作者。【Nani Nani Enterprise Co., Ltd. (2012b). NN elementary school health and physical field textbooks (Vol. III). Tainan, Taiwan: Author.】
- 洪若烈（2003）。國小教師之教科書使用方式及其影響因素之探討。國教學報，15，175-192。【Hung, J.-L. (2003). Types of and effects on teacher use of textbook materials. Journal of Elementary and Secondary Education, 15, 175-192.】
- 紀雪雲（2012）。安全用藥，從小紮根－用藥安全推廣在校園。醫療品質雜誌，6（2），24-29。【Chi, S.-Y. (2012). Promote campus medication education. Journal of Healthcare Quality, 6(2), 24-29.】
- 范美華、黃娟娟（2012）。國小教師工作壓力對身心健康影響之研究。高應科大體育學刊，11，65-75。【Fan, M.-H., & Huang, J.-J. (2012). The effect of job pressure on physical and mental health among elementary school teachers. Journal of National Kaohsiung University Physical Education, 11, 65-75.】
- 涂燕玲（2003）。國民小學教師角色衝突之研究（未出版碩士論文）。國立屏東師範學院，屏東縣。【Tu, Y.-L. (2003). The study of teachers’ role conflict of elementary school in Taiwan (Unpublished master’s thesis). National Pingtung University, Pingtung County, Taiwan.】
- 康軒文教集團（2012a）。國小健康與體育（第二冊）。新北市：作者。【Kang Hsuan Educational Publishing Group. (2012a). KH elementary school health and physical field textbooks (Vol. II). New Taipei City, Taiwan: Author.】
- 康軒文教集團（2012b）。國小健康與體育（第五冊）。新北市：作者。【Kang Hsuan Educational Publishing Group. (2012b). KH elementary school health and physical field textbooks (Vol. V). New Taipei City, Taiwan: Author.】
- 康軒文教集團（2012c）。國小健康與體育（第九冊）。新北市：作者。【Kang Hsuan Educational Publishing Group. (2012c). KH elementary school health and physical field textbooks (Vol. IX). New Taipei City, Taiwan: Author.】
- 康軒文教集團（2012d）。國小健康與體育（第十二冊）。新北市：作者。【Kang Hsuan Educational Publishing Group. (2012d). KH elementary school health and physical field textbooks (Vol. XII). New Taipei City, Taiwan: Author.】
- 康軒文教集團（2012e）。國中健康與體育（第一冊）。新北市：作者。【Kang Hsuan Educational Publishing Group. (2012e). KH junior high school health and physical field textbooks (Vol. I). New Taipei City, Taiwan: Author.】
- 張苙雲（2014）。全民健保的組織社會學。台灣醫學，18（1），85-91。【Chang, L.-Y. (2014). Organizational perspective of national health insurance. Formosan Journal of Medicine, 18(1), 85-91.】
- 梁玲郁、黃旭明、藍忠孚（2004）衛生資源配置策略－國際發展及對台灣的啟示。臺灣公共衛生雜誌，23（4），282-291。doi:10.6288/TJPH2004-23-04-03【Liang, L.-Y., Huang, S.-M., & Lan, C.-F. (2004). Fundamentals of and strategies for health resources allocation-international development and Taiwan’s prospects. Taiwan Journal of Public Health, 23(4), 282-291. doi:10.6288/TJPH2004-23-04-03】
- 陳世杰（2013）。Schwab「課程即實踐」之探究與反思－以因數倍數補教教學行動研究為例。教育人力與專業發展，30（4），65-70。【Chen, S.-J. (2013). The exploration and revision of Schwab’s “Curriculum is practice” in terms of remedial instruction for factor and multiple study. Educators and Professional Development, 30(4), 65-70.】
- 曾慶寧（2014）。視若珍「保」：教學策略對國小中年級學童「全民健保」議題認知與珍惜行為影響之行動研究。102學年度教育部國民及學前教育署健康促進學校行動研究報告。苗栗縣：山佳國小。【Tseng, Q.-N. (2014). Action research on NHI education curriculum in middle-grade in elementary school in Taiwan. Health Promotion Schools Action report in school year 102, K-12 Education Administration, Ministry of Education. Miaoli County, Taiwan: Shanjia Elementary School.】
- 黃松元、劉淑媛、陳西鷺、劉夢奇、王蕙芬、何瑞秦（1993）。健康促進與健康教育－健康促進的概念及其在健康教學上的應用。臺北市：師大書苑。【Huang, S.-Y., Liu, S.-Y., Chen, X.-L., Liu, M.-Q., Wang, H.-F., & Hart, Z.-T. (1993). Health promotion and health education－The concept of health promotion and its application in health education. Taipei, Taiwan: Lucky Book Store.】
- 黃煌雄、沈美真、劉興善（2012）。全民健保總體檢。臺北市：五南。【Huang, H.-X., Chen, M.-C., & Liu, X.-S. (2012). The national health insurance examination. Taipei, Taiwan: Wu-Nan Book.】
- 楊德清、鄭婷芸（2015）。臺灣、美國與新加坡國中階段幾何教材內容之分析比較。教育科學研究期刊，60（1），33-72。doi:10.6209/JORIES.2015.60(1).02【Yang, D.-C., & Cheng, T.-Y. (2015). Geometry content of middle school textbooks in Taiwan, the United States, and Singapore. Journal of Research in Education Sciences, 60(1), 33-72. doi:10.6209/JORIES.2015.60(1).02】
- 董貞吟（2013）。「全民健保 永續經營」成果報告書。教育部國民及學前教育署行政協助委託研究計畫報告。臺北市：國立臺灣師範大學健康促進與衛生教育學系。【Tung, C.-Y. (2013). “Project on promotion sustainability development of NHI in elementary and junior high school” final report. K-12 Education Administration, Ministry of Education report. Taipei, Taiwan: Health Promotion and Health Education of National Taiwan Normal University.】
- 董貞吟、施淑芳、張家臻、徐巧宜、張舒晴、林亞萱（2014，11月）。運用焦點團體探討中小學教師推動全民健保教育之因應與需求。論文發表於2014年健康促進學校國際研討會，新北市。【Tung, C.-Y., Shih, S.-F., Chang, C.-C., Hsu, C.-Y., Chang, S.-C., & Lin, Y.-H. (2014, November). The use of focus groups to explore the demands of teachers for national health insurance education. Paper presented at the conference of 2014 Health Promotion School, New Taipei City, Taiwan.】
- 廖建彰、張祐剛、陳秀熙、呂宗烟、黃鈴雅、宋鴻樟（2006）。台灣地區民眾抗生素認知與用藥行為。臺灣公共衛生雜誌，25（2），135-142。doi:10.6288/TJPH2006-25-02-06【Liao, C.-C., Chang, Y.-K., Chen, H.-H., Lu, C.-Y., Huang, L.-Y., & Sung, F.-C. (2006). Knowledge and use of antibiotics among people in Taiwan. Taiwan Journal of Public Health, 25(2), 135-142. doi:10.6288/TJPH2006- 25-02-06】
- 劉宜君（2009）。從民眾觀點建構健保評量指標第二年研究。行政院衛生福利部九十八年度委託研究計畫報告。桃園市：元智大學。【Liu, Y.-J. (2009). Point of view from the people construction the NHI index－The second year. Ministry of Health and Welfare, Executive Yuan, in the 2009’s. Taoyuan, Taiwan: Yuan Ze University.】
- 劉潔心、晏涵文、高翠霞（2012）我國國小健康教育教學現況－一項跨縣市的調查。國教新知，59（3），25-36。【Liu, J.-X., Yan, H.-W., & Kao, C.-S. (2012). A cross-counties health education teaching situation research in elementary schools in Taiwan. The Elementary Education Journal, 59(3), 25-36.】
- 歐用生（2004）。課程領導：議題與展望。臺北市：高等教育。【Ou, Y.-S. (2004). Curriculum leadership: Issues and prospects. Taipei, Taiwan: Higher Education.】
- 衛生福利部中央健康保險署（2014）。急診壅塞經各界努力已有逐漸改善情形。取自http://www. nhi.gov.tw/information/NewsDetail.aspx?menu=9&menu_id=544&No=1166【National Health Insurance Administration, Ministry of Health and Welfare. (2014). Congestion of emergency department has gradually improved cause of the concerted efforts of the community. Retrieved from http://www.nhi.gov.tw/information/NewsDetail.aspx?menu=9&menu_id=544&No=1166】
- 翰林出版事業股份有限公司（2012a）。國民小學健康與體育課本（第二冊）。臺南市：作者。【Han Lin Publishing Co., Ltd. (2012a). HL elementary school health and physical field textbooks (Vol. II). Tainan, Taiwan: Author.】
- 翰林出版事業股份有限公司（2012b）。國民中學健康與體育課本（第四冊）。臺南市：作者。【Han Lin Publishing Co., Ltd. (2012b). HL junior high school health and physical field textbooks (Vol. IV). Tainan, Taiwan: Author.】
- Fraenkel, J. R., & Wallen, N. E. (2003). How to design and evaluate research in education (5th ed.). New York, NY: McGraw-Hill.
- Tarr, J. E., Reys, R. E., Reys, B. J., Chávez, Ó., Shin, J., & Osterlind, S. (2008). The impact of middle-grades mathematics curriculum and the classroom learning environment on student achievement. Journal for Research in Mathematics Education, 39(3), 247-280.
- World Health Organization. (2010). The world health report: Health systems financing: The path to universal coverage. Geneva, Switzerland: Author.
| APA Format | Chang, C.-C., Shih, S.-F., Tung, C.-Y., Liu, C.-H., Yin, Y.-W., & Dai, R.-L. (2016). Analysis of Taiwan National Health Insurance Education in Elementary and Junior High School Textbooks for the Grade 1-9 Curriculum in the Health and Physical Education Field. Journal of Research in Education Sciences, 61(1), 139-167. doi:10.6209/JORIES.2016.61(1).06
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