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題名:如何使用健保資料推估社經變數
書刊名:人文及社會科學集刊
作者:連賢明 引用關係
作者(外文):Lien, Hsien-ming
出版日期:2011
卷期:23:3
頁次:頁371-398
主題關鍵詞:健保資料就業薪資家庭結構Taiwan National Health Insurance dataEmploymentWorking salaryFamily structure
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(1) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:38
  • 點閱點閱:126
近年來使用健保資料庫相關研究日益增加;然而,由於健保資料缺乏病患 社經變數,阻礙健保資料在社會學科應用。在主管機關協助下,本文以2005 年 家庭收支調查家戶為樣本,串聯健保承保資料,利用家庭收支調查所記錄豐富 社經變數,驗證使用承保資料推估病患戶籍縣市、全職就業、薪資所得以及兒 童家庭結構等變數準確性。比較結果發現:𥺼使用投保類別為地區人口,農民, 與地方公職人員,且投保人和被保險人相同者,其投保單位縣市和戶籍所在縣 市相同者達九成五;𥺦使用投保人和被保險人相同樣本,在公、勞保投保人的 就業準確度相當高,平均達九成以上;使用就業準確樣本推估薪資所得,公 保投保者其投保薪資為實際薪資9 成,勞保民營受僱者投保薪資最低1/3 投保 人,其投保薪資較調查薪資低估3 成,最高1/3 投保人投保薪資高約6%;𤧹 十五歲以下兒童投保人為父或母時,與投保人同居比率高達93%;𡞰使用承保 資料推估十五歲以下手足數目,準確度達九成以上。最後,我們提供一個研究 案例,利用承保資料來分析乳癌對就業婦女存活、就業和薪資的衝擊。
Recently more and more researchers have conducted studies based on National Health Insurance Data (NHID). However, few studies are related to the social sciences due to the lack of social-economic variables in NHID. With the help from the Department of Health, which merged the sample of the 2005 Family Income and Expenditure Survey (FIES) with eligibility files of NHID, this study examines the validity of inferring four variables from eligibility files: residence county, full-time employment, working salary, and children’s family structure. Our results show that: (1) The accuracy rate of inferring residence county based on one’s county of enrolled units is above 95% for those obtaining coverage from a farmer’s association, registration offices, or as public electorates; (2) The accuracy rate of inferring full-time employment status using self-insured status is above 90% for the sample of public employee insurance (PEI) or labor insurance (LI); (3) For PEI sample, the working salary inferred from one’s insurance premium is approximately 90% of their reported working salary in FIES. For LI sample, the inferred salary is roughly 30% below the FIES working salary for low-paid workers (bottom 1/3), and 6% higher for high-paid ones (Top 1/3); (4) For children under 15 obtaining coverage through parents, more than 90% of them co-habit with at least one of their parents; (5) The accuracy rate of inferring sibling number and birth order based on eligibility files is at least 90% for children aged below 15. Finally, I use a research example to analyze how the incidence of breast cancer affects the survival, employment, and working salary of employed women.
期刊論文
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3.Lien, H.-M.、Chou, S.-Y.、Liu, J.-T.(2008)。Hospital Ownership and Performance: Evidence from Stroke and Cardiac Treatment in Taiwan。Journal of Health Economics,27(5),1208-1223。  new window
4.石曜堂、洪永泰、張新儀、劉仁沛、林惠生、張明正、張鳳琴、熊昭、吳聖良(20031200)。「國民健康訪問調查」之調查設計、內容、執行方式與樣本人口特性。臺灣公共衛生雜誌,22(6),419-430。new window  延伸查詢new window
5.許績天、連賢明(20071200)。賺得越少,洗得越多?--臺灣血液透析治療的誘發性需求探討。經濟論文叢刊,35(4),415-450。new window  延伸查詢new window
6.Rosenbaum, Paul R.、Rubin, Donald B.(1983)。The Central Role of the Propensity Score in Observational Studies for Causal Effects。Biometrika,70(1),41-55。  new window
7.韓幸紋、連賢明(20081200)。降低部分負擔對幼兒醫療利用的影響:以北市兒童補助計畫為例。經濟論文叢刊,36(4),589-623。new window  延伸查詢new window
8.Drolet, M.、Maunsell, E.、Mondor, M.、Brisson, C.、Brisson, J., Mâsse, B.、Deschênes, L.(2005)。Work Absence after Breast Cancer Diagnosis: A Population-Based Study。Canadian Medical Association Journal,173(7),765-771。  new window
9.Ganz, P. A.、Coscarelli, A.、Fred, C.、Kahn, B.、Polinsky, M. L.、Petersen, L.(1996)。Breast Cancer Survivors: Psychosocial Concerns and Quality of Life。Breast Cancer Research and Treatment,38,183-199。  new window
10.Lien, Hsien-min、Chou, Shin-yi、Liu, Jin-tan.(2009)。The Role of Hospital Competition on Treatment Expenditure and Outcome: Evidence from Stroke and Cardiac Treatment in Taiwan。Economic Inquiry,48(3),668-689。  new window
11.Maunsell, E.、Drolet, M.、Brisson, J.、Brisson, C.、Mâsse, B.、Deschênes, L.(2004)。Work Situation after Breast Cancer: Results from a Population-Based Study。Journal of the National Cancer Institute,96(24),1813-1822。  new window
12.McClellan, Mark、McNeil, B. J.、Newhouse, J. P.(1994)。Does More Intensive Treatment of Acute Myocardial Infarction Reduce Mortality?。Journal of the American Medical Association,272(11),859-866。  new window
13.Satariano, W. A.、Gerald, N. D.(1996)。The Likelihood of Returning to Work after Breast Cancer。Public Health Report,111,236-241。  new window
14.Shannon. C. S.、Shaw, S. M.(2005)。If the Dishes Don’t Get Done Today, They’ll Get Done Tomorrow: A Breast Cancer Experience as a Catalyst for Changes to Women’s Leisure。Journal of Leisure Research,37,195-215。  new window
15.Wagstaff, A.(2007)。The Economic Consequences of Health Shocks: Evidence from Vietnam。Journal of Health Economics,26,82-100。  new window
16.Bouknight, R. R.、Bradley, C. J.、Luo, Z.(2006)。Correlates of Return to Work for Breast Cancer Survivors。Journal of Clinical Oncology,24(3),345-353。  new window
17.Abadie, A、Drukker, D.、Herr, J. L.、Imbens, G. W..(2004)。Implementing Matching Estimators for Average Treatment Effects in Stata。The Stata Journal,4(3),290-311。  new window
18.Bradley, C. J.、Bednarek, H. L.、Neumark, David(2002)。Breast Cancer Survival, Work, and Earnings。Journal of Health Economics,21,757-779。  new window
19.Bradley, C. J.、Neumark, D.、Bednarek, H. L.(2005)。Short-Term Effects of Breast Cancer on Labor Market Attachment: Results from a Longitudinal Study。Journal of Health Economics,24,137-160。  new window
20.Gertler, Paul、Gruber, Jonathan(2002)。Insuring Consumption Against Illness。American Economic Review,92(1),51-76。  new window
會議論文
1.McKenna, R.(1987)。Overview of the Status of Patients with Cancer with Reference to Employment2-4。  new window
學位論文
1.魏郁純(2006)。「健康狀態對就業影響:以癌症病人為例」。國立政治大學。  延伸查詢new window
2.Sheu, S.(2002)。Labor Force Participation and Employer-Provided Health 1nsurance。  new window
其他
1.國家衛生研究院(2005)。健保資料庫承保檔,「全民健康保險研究資料庫」,http://w3.nhri.org.tw/nhird/index.php, 20090914。  延伸查詢new window
2.國家衛生研究院(2008)。健保資料研究成果清單,「全民健康保險研究資料庫」,http://w3.nhri.org.tw/nhird/talk_07.htm, 20091119。  延伸查詢new window
3.中央健康保險局(2009)。投保單位選擇資料表,http://www., 20091117。  延伸查詢new window
4.內政部統計處(2005)。婚姻狀況統計年報,http://sowf.moi.gov.tw/stat/year/list.htm, 20091110。  延伸查詢new window
5.台灣癌症登記小組(1999)。癌症五年相對存活率,http://tcr.cph.ntu.edu.tw/main.php?Page=A5B3, 20091224。  延伸查詢new window
6.主計處(2005)。家庭收支調查,http://srda.sinica.edu.tw/govdb/, 20090904。  延伸查詢new window
 
 
 
 
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