臺灣人文及社會科學引文索引資料庫系統

:::

詳目顯示

回上一頁
第 1 筆 / 總合 1 筆   第一頁 上一頁 下一頁 最後一頁
/1頁
題名：由飲酒對醫療利用影響探究開徵酒品健康捐之正當性
書刊名：應用經濟論叢
作者：韓幸紋 引用關係／林晏如 引用關係／許績天 引用關係
作者(外文)：Han, Hsing-wen／Lin, Yen-ju／Sheu, Ji-tian
出版日期：2015
卷期：97
頁次：頁135-170
主題關鍵詞：健康福利捐；二部負二項模型；國民健康訪問調查；全民健保研究資料庫；Health and welfare surcharge；Two-part with negative binomial regression model；National Health Interview Survey；National Health Insurance Research Database
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 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:19
  • 點閱點閱:45
本文目的在於分析飲酒過量是否確實導致醫療資源使用及支出的增加，評估政府開徵酒品健康捐是否存在正當性。本文嘗試回答兩個問題：一為飲酒過量是否增加醫療利用，二為飲酒過量所引發相關疾病及交通意外的整體就醫成本多寡，藉此評估政府是否應開徵酒品健康捐。本文利用2005年國民健康訪問調查（NHIS）資料串聯2005年全民健康保險研究資料庫（NHIRD）中的「門診處方及治療明細檔」（CD檔）及「住院醫療費用清單明細檔」（DD檔），並運用二部負二項分配模型（Two-Part NegBin）估計飲酒過度對醫療利用之影響；另以2006－2008年NHIRD的CD檔及DD檔，估算2006－2008年因飲酒所引發疾病及交通意外的就醫成本。估計結果顯示飲酒過度者門診就醫機率及次數顯著較低，但住院機率較無飲酒者高；飲酒所引發疾病及交通意外的整體醫療成本每年約70億元的支出，且金額有逐年上升趨勢，可見得飲酒過量不僅危害健康，且造成醫療費用龐大負擔。因此本文建議政府應審慎考量開徵酒品健康捐，除可挹注全民健保安全準備以健全健保財務，更可使外部成本內部化，並達減少飲酒過量行為以降低相關醫療成本之功效。
Appraise whether Taiwan should levy the alcohol health and welfare surcharge. This study first analyzes the relationship between alcohol-drinking and the related health care utilization, and then estimates the overall medical costs of alcohol- related illnesses and the traffic accidents. A two-part negative binomial regression model is employed to estimate the impact of excessive alcohol drinking on the health care utilization using 2005 National Health Interview Survey(NHIS) merging with 2005 outpatient (CD) and inpatient utilization (DD) files National Health Insurance Research Database (NHIRD). Furthermore, both of CD and DD files of NHIRD in 2006-2008 are used to estimate the incremental medical costs of alcohol-related illnesses and traffic incidents. Our results show that for patients consuming excessive alcohol, they have a higher chance of being hospitalized. It is estimated that the medical cost of alcohol-related illnesses and the traffic incidents is increased by around NT$ 7 billion, and this amount is increasing over years. It indicates that excessive alcohol consumption is not only harmful for a personal health; it causes a tremendous health care burden for a society as well. The authorities should consider levying the alcohol health and welfare surcharge prudently, since not only can it ease part of NHI financial burden, it can also lower the alcohol consumption, and then reduce the related medical costs.
Other
1.黎國洪(2012)。胃炎之診斷及治療(台灣內科醫學會89年會員大會)，http://www.tsim.org.tw/article/A89/P071.pdf， 2015/04/07。  延伸查詢new window
期刊論文
1.葉春淵、李家銘、陳昇鴻、黃琮琪(20051200)。菸品健康福利捐對香菸消費量及產業之影響。農業經濟半年刊，78，105-149。new window  延伸查詢new window
2.Ruhm, Christopher J.(1996)。Alcohol Policies and Highway Vehicle Fatalities。Journal of Health Economics，15(4)，435-454。  new window
3.劉哲良、吳珮瑛(20091200)。受限分量迴歸描繪下異質風險認知之酒精消費量決策分析。應用經濟論叢，86，95-137。new window  延伸查詢new window
4.Johnson, E.、Dominici, F.、Griswold, M.、Zeger, S. L.(2003)。Disease cases and their medical costs attributable to smoking: an analysis of the national medical expenditure survey。Journal of Econometrics，112，135-151。  new window
5.Yang, M. C.、Fann, C. Y.、Wen, C. P.、Cheng, T. Y.(2006)。Smoking attributable medical expenditures, years of potential life lost, and the cost of premature death in Taiwan。Tob Control，14(Suppl 1)，62-70。  new window
6.Ezzati, M.、Lopez, A. D.(2003)。Estimates of global mortality attributable to smoking in 2000。Lancet，362，847-852。  new window
7.Thorpe, K. E.、Florence, C. S.、Joski, P.(2004)。Which medical conditions account for the rise in health care spending?。Health Aff，Suppl，W4-437-W4-445。  new window
8.Stoddard, J. J.、Gray, B.(1997)。Maternal smoking and medical expenditures for childhood respiratory illness。American Journal of Public Health，87，205-209。  new window
9.Petrie, D.、Doran, C.、Shakeshaft, A.、Sanson-Fisher, R.(2008)。The relationship between alcohol consumption and self-reported health status using the EQ5D: evidence from rural Australia。Social Science and Medicine，67，1717-1726。  new window
10.Salisbury, A. C.、House, J. A.、Conard, M. W.、Krumhoz, H. M.、Spertus, J. A.(2005)。Low-to-moderate alcohol intake and health status in heart failure patients。Journal of Cardiac Failure，11，323-328。  new window
11.伍希文、張景勳、羅慶徽(20060800)。胎兒酒精症候群。基層醫學，21(8)，211-213。  延伸查詢new window
12.李立柏(2006)。急性胰臟炎。高醫醫訊月刊，26(6)。  延伸查詢new window
13.李杰憲、李靜宜(20130300)。菸酒消費與飲食習性對於個人醫療支出之影響。東吳經濟商學學報，80，27-52。new window  延伸查詢new window
14.林俊谷(20010100)。淺談慢性胰臟炎。高雄醫師會誌，31，9-11。  延伸查詢new window
15.郝立智、柴國樑(20040100)。漫談脂肪肝。臺灣醫界，47(1)，13-17。  延伸查詢new window
16.黃彥慈、張宏浩(20130600)。肥胖對罹患慢性病有影響嗎？臺灣40歲以上成人之實證分析。應用經濟論叢，93，119-148。new window  延伸查詢new window
17.葉春淵、邱城英、李家銘、黃玟儀、洪榮耀(20090800)。香菸課稅效果之研究--門檻迴歸模型之運用。臺灣公共衛生雜誌，28(4)，289-299。new window  延伸查詢new window
18.Arranz, J. M.、Gil, A. I.(2009)。Traffic Accidents, Deaths and Alcohol Consumption。Applied Economics，41，2583-2595。  new window
19.Clements, K. W.、Yang, W.、Zheng, S.(1997)。Is Utility Addictive? The Case of Alcohol。Applied Economics，29，1163-1167。  new window
20.Cook, P. J.、Moore, M. J.(2002)。The Economics Of Alcohol Abuse and Alcohol-control Policies。Health Affairs，21，120-133。  new window
21.Fillmore, K. M.、Golding, J. M.、Graves, K. L.(1998)。Alcohol Consumption and Mortality: Characteristics of Drinking Groups。Addition，93，183-203。  new window
22.Flowers, N. T.、Naimi, T. S.、Brewer, R. D.、Elder, R. W.、Shults, R. A.、Jiles, R.(2008)。Patterns of Alcohol Consumption and Alcohol-impared Driving in the United States。Clinical and Experimental Research，32，639-644。  new window
23.Hayashida, K.、Imanaka, Y.、Murakami, G.、Takahashi, Y.、Nagai, M.、Kuriyama, S.、Tsuji, I.(2010)。Difference in Lifetime Medical Expenditures between Male Smokers and Non-smokers。Healthy Policy，94，84-89。  new window
24.Hsieh, C. R.(1998)。Health Risk and the Decision to Quit Smoking。Applied Economics，30(6)，795-804。  new window
25.Markowitz, S.(2001)。The Role of Alcohol and Drug Consumption in Determining Physical Violence and Weapon Carrying by Teenagers。Eastern Economic Journal，27，409-432。  new window
26.Markowitz, S.、Grossman, M.(1998)。Alcohol Regulation and Domestic Violence towards Children。Contemporary Economic Policy，16，309-320。  new window
27.Melberg, H. O.(2010)。Conceptual Problems with Studies of the Social Cost of Alcohol and Drug Use。Nordic studies on Alcohol and Drugs，27，287-303。  new window
28.Pisinger, C.、Toft, U.、Aadahl, M.、Glümer, C.、Jørgensen, T.(2009)。The Relationship between Lifestyle and Self-reported Health in a General Population: The Inter99 Study。Preventive Medicine，49，418-423。  new window
29.Saffer, H.、Grossman, M.(198701)。Beer Taxes, the Legal Drinking Age, and Youth Motor Vehicle Fatalities。Journal of Legal Studies，16，351-374。  new window
30.Sijbren, C.(2007)。Alcohol Taxation and Regulation in the European Union。International Tax Public Finance，14，699-732。  new window
31.李家銘、葉春淵、黃琮琪(20060300)。菸價要調漲多少：菸品健康福利捐課徵對香菸消費的影響效果。人文及社會科學集刊，18(1)，1-35。new window  延伸查詢new window
32.林翠芳(20080900)。菸酒稅之探討。財稅研究，40(5)，107-121。new window  延伸查詢new window
33.Hodgson, T. A.(1992)。Cigarette Smoking and Lifetime Medical Expenditures。The Milbank Quarterly，70，81-125。  new window
34.Kenkel, Donald S.(1993)。Drinking, Driving, and Deterrence: The Effectiveness and Social Costs of Alternative Policies。The Journal of Law & Economics，36，877-913。  new window
35.Manning, Willard G.、Blumberg, Linda、Moulton, Lawrence H.(1995)。The Demand for Alcohol: The Differential Response to Price。Journal of Health Economics，14，123-148。  new window
36.Saffer, H.、Grossman, M.(1987)。Drinking Age Laws and Highway Mortality Rates: Cause and Effect。Economic Inquiry，25，403-417。  new window
37.Sun, W.、Schooling, C. M.、Chan, W. M.、Ho, K. S.、Lam, T. H.、Leung, G. M.(2009)。Moderate Alcohol Use, Health Status, and Mortality in a Prospective Chinese Elderly Cohort。Annals of Epidemiology，19，396-403。  new window
38.Viscusi, W. Kip(1990)。Do Smokers Underestimate Risks?。Journal of Political Economy，98(6)，1253-1269。  new window
39.Doll, Richard(2004)。Mortality in Relation to Smoking: 50 Years' Observations on Male British Doctors。British Medical Journal，328(7455)，1519。  new window
40.Becker, Gary S.、Mulligan, Casey B.(1997)。The Endogenous Determination of Time Preference。The Quarterly Journal of Economics，112(3)，729-758。  new window
41.吳聰能(20001001)。酒與疾病。高醫醫訊月刊，20(5)。  延伸查詢new window
研究報告
1.吳再益、曾巨威(2010)。酒品健康福利捐開徵之可行性及其影響層面之研究。台北：財團法人臺灣綜合研究院。  延伸查詢new window
2.李家銘、葉春淵、劉銘賢(2011)。酒品健康福利捐課徵之經濟效果分析。台北：行政院國家科學委員會。  延伸查詢new window
3.Chaloupka, F. J.、Warner, K. E.(2000)。The Economics of Smoking。  new window
圖書
1.Anderson, P.、Baumberg, B.(2006)。Alcohol in Europe: a public health perspective。London：Institute of Alcohol Studies。  new window
2.徐偉初、歐俊男、謝文盛(2012)。財政學。臺北市：華泰文化事業股份有限公司。  延伸查詢new window
3.Manning, W. G.、Emmett, B. K.、Newhouse, J. P.、Sloss, E. M.、Wasserman, J.(1991)。The Costs of Poor Health Habits。Cambridge：Harvard University Press。  new window
4.行政院衛生署國民健康局(2012)。臺灣菸害防制年報。臺北：行政院衛生署國民健康局。  延伸查詢new window
其他
1.王順民(2007)。酒駕與加重刑罰，http://www.npf.org.tw/post/1/3754， 2015/04/01。  new window
2.行政院衛生署(2012)。成人吸菸行為電話調查，http://tobacco.hpa.gov.tw/Show.aspx?Menuld=581， 2015/04/07。  延伸查詢new window
3.曾巨威(20050501)。菸品健康福利捐的課徵意義與修法，http://old.npf.org.tw/PUBLICATION/FM/094/FM-C-094-082.htm， 2015/06/09。  延伸查詢new window
4.林姿伶(2013)。消化性潰瘍，http://health.ntuh.gov.tw/health/new/5816.htm， 2015/04/07。  new window
5.賦稅署(2012)。歷年菸酒稅及菸品健康福利捐實徵數，http://www.mof.gov.tw/lp.asp?ctNode=2730&CtUnit=397&BaseDSD=7&mp=62， 2015/04/07。  延伸查詢new window
圖書論文
1.Grossman, M.(2000)。The Human Capital Model。Handbook of Health Economics。Amsterdam：Elsevier。  new window
2.Lin, Y. J.、Chen, C. C.、Liu, T. C.、Lin, Y. T.(2012)。Addiction and the Utilization of Medical Care。Economics Research International。  new window
3.Leung, S. F.、Phelps, C. E.(1993)。My Kingdom for a Drink...? A Review of Estimates of the Price Sensitivity of Demand for Alcoholic Beverages。Economics and the Prevention of Alcohol-Related Problems。Rockville：National Institute on Alcohol Abuse and Alcoholism。  new window
4.Stephen, S.(2005)。Economic Issues in Alcohol Taxation。Theory and Practice of Excise Taxation: Smoking, Drinking, Gambling, Polluting and Driving。Oxford：Oxford University Press。  new window
 
 
 
 
第一頁 上一頁 下一頁 最後一頁 top
:::
無相關博士論文
 
無相關書籍
 
無相關著作
 
QR Code
QRCODE

臺灣人文及社會科學引文索引資料庫

目前上線人數：908（臺灣：897，外國：11） ／ 本年度總使用人次：2111296 ／ 訪客人次（自102年09月）：67913006
國家圖書館著作權聲明 Copyright © 2013 All rights reserved.
本館地址: 100201臺北市中山南路20號． 本館地圖及交通資訊．
總機：(02)23619132．最佳瀏覽解析度為1024x768以上