健保IC卡實施以來已有年餘，為接續先前的研究，進一步瞭解民眾對健保IC卡內容之認知、認同態度與使用了解程度是否有改善，乃持續進行本研究。結果顯示，高達99%的民眾已領有健保IC卡，其中曾使用過的有87.9%。雖有極高的持有率與使用率，民眾對於健保IC卡的內容認知的瞭解程度依然有待加強，尤其是內顯資料的部份，而且對於此部分的認知程度不會因使用而增加。對於健保IC卡的便利與省時，民眾有極高的認同態度；但是對於讀卡機的設置地點，多數的民眾依然不知道，也不知道如何設PIN碼(個人使用密碼)。民眾最常獲得相關資訊的管道是電視廣播與就醫醫院。本研究並進一步以民眾所填的基本資料中的性別、年齡、職業與教育程度四項作為變數，探討對健保IC卡內容之認知、認同態度與使用了解程度的影響，另外也依照使用情況做出分析，並與之前的研究結果做比較。我們發現健保IC卡的推動政策仍有很多的進步空間，最後並提出結論與建議作為醫政單位之參考。 In 2001 Bureau of National Health Insurance (NHI) had replaced the former paper card with NHI IC card. In our preliminary study we found people had poor understanding in the contents, usage of NHI IC card, and cardholders were somewhat worry about the safety. After one year of execution, we would like to know if this situation has been improved. Our results showed that people still had low cognition and usage of NHI IC card after one year of execution. They still didn’t know where the card reader is, and how to set the PIN code. We also study the effects of different gender、age group、occupation and education level on cognition, attitude and usage. In general, the cognition score had improved a little as compared with our previous studies, and convenience of NHI IC card is well approved by people in Taiwan. However, there are still plenty room for improvement. According to our results we made some suggestions and hope our data might provide solid references to NHI for improving the direction of propaganda in the future.