健保破兆＋大缺工時代，國家健康照護體系如何突圍？
專訪衛生福利部部長石崇良
台灣健保年度預算正式突破1兆元大關，既是令人震撼的財務數字，也是一記響亮的警鐘，預告台灣醫療體系正站在高齡化與少子女化夾擊的十字路口。
由推動健保改革的石崇良「署長」，到掌舵國家整體衛生政策的石崇良「部長」，隨著換了職稱，他把思考重心從給付制度，移往整個醫療和社會結構的長期變化。
石崇良說，過去在健保署，核心任務是服務病人和醫護機構，確保預算到位，與民眾及第一線醫護人員息息相關。但站在部長的位置，面對人力短缺與人口結構的劇烈變動，挑戰遠不只是相對單純的醫療給付。他直言，健康照護已不只是醫療問題，而是整個社會如何承接風險的問題，決策及實踐格局必然要放大，不能再侷限於以往照顧疾病為主的模式。
這個轉變，促使石崇良率領團隊勾勒出一份新的國家健康藍圖。他認為，給付只是財務層面的支撐，真正的改革必須回歸到「健康的本質」。
他向《生物醫學》剖析，這份藍圖跳脫過去以調整給付為主的思維，改以四項實際行動，重新布署台灣健康照護體系。
從癌症現況到免疫療法未來— 台灣癌症政策的全景藍圖
2026 年 1 月 24 日
地點：福華大飯店 四樓 405R
從宏觀視角看健保的永續與創新在台灣。隨著醫療科技的日新月異，癌症治療已從傳統的手術、化療、放療，跨入「精準醫療」與「免疫療法」的新紀元。現任衛生福利部部長、曾任健保署署長的石崇良，長期以宏觀的角度尋求健保的永續經營。在 2026 年 1 月 24 日舉辦的《健康台灣論壇》中石部長強調，健保不只是單純的財務給付，更是一場關於「健康力」的社會工程。
生物醫學雜誌編輯部將石部長的演講內容整理如下，以享本刊讀者。
癌症已連續 43 年蟬聯台灣十大死因之首，對國民健康與醫療資源構成重大挑戰。隨著肺癌、乳癌等主要癌症發生率持續攀升，全民健康保險制度的財務負擔也隨之加重，2024 年癌症醫療費用已達新台幣 1,464 億元。
為因應這些挑戰，衛生福利部正積極推動「健康台灣」願景下的癌症照護轉型。我們的策略聚焦於三大支柱：強化早期篩檢、透過基因檢測推進精準醫療，以及設立新台幣 100 億元癌症新藥基金，加速創新療法的取得管道。本簡報將概述我們在這些領域的進展，特別強調我們如何擴大免疫療法的給付範圍，並利用數位轉型建構全面性、數據驅動的癌症照護生態系統。
癌症免疫療法新展望
2026 年 1 月 24 日
地點：福華大飯店 四樓 405R
健保的目標就是 UHC — Universal Health Coverage，全民健康覆蓋。全面覆蓋聽起來簡單，但它的內涵是什麼？我將它定位在三個 A：Available、Accessible、Affordable。
Available，指的是台灣市場是否能引進這些藥品？即使藥品尚未在台灣上市，臨床試驗是否應該在台灣進行？近年來我看到的隱憂是，新藥臨床試驗在台灣越來越少。因此我推動一些改革，例如成立臨床試驗聯合中心，透過臨床試驗中心的聯盟來加速試驗流程，從 IRB 審查到廠商簽約，盡量提高一致性。若要快速收案，就必須多中心合作；相反地，如果各院所分別申請 SIRB（單一審查），每個要求的格式不同，簽約內容也不一致，就會形成障礙。等到臨床試驗完成後，如何取得台灣的藥證？這就是 Available 的關鍵，必須從一開始就介入。如果台灣能在臨床試驗初期就納入，那麼就能回答大家的問題：「某藥在國外的數據如此，在台灣是否相同？」若試驗一開始就包含台灣的資料，預測性就會更高。因此 Available 是第一個目標。
Title
TextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextText
TextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextText
TextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextText
CaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaption
CaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaption
Title
TextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextText
TextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextText
TextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextText
CaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaption
CaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaption
Title
TextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextText
TextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextText
TextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextText
CaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaption
CaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaption
Title
TextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextText
TextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextText
TextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextText
CaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaption
CaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaption
Title
TextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextText
TextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextText
TextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextText
CaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaption
CaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaption
Title
TextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextText
TextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextText
TextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextTextText
CaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaption
CaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaptionCaption