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題名:藥物濫用住院戒治病人之間接成本推估及其影響因子分析
書刊名:中華公共衛生雜誌
作者:黃一展李志恆楊銘欽
作者(外文):Huang, I-chanLi, Jih-hengYang, Ming-chin
出版日期:1999
卷期:18:4
頁次:頁271-282
主題關鍵詞:藥物濫用間接成本生產力損失Drug abuseIndirect costsProductivity loss
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(0) 博士論文(0) 專書(0) 專書論文(1)
  • 排除自我引用排除自我引用:0
  • 共同引用共同引用:6
  • 點閱點閱:45
     目標:本研究採用人力資本法分析藥物濫用所導致的間接成本,用以呈現藥物濫用對社會的衝擊,做為政府擬訂施政計畫優先順序的參考依據。方法:對82名曾於民國86年間尋求住院戒治之病人進行問卷訪視。結果:分析後發現,民國86年之總間接成本為76,904,128元,平均每人每年為937,855元。總間接成本中以毒品交易費用55,793,400元最高,約佔72.55%,其次為生產力損失20,449,272元,約佔26.59%,再者為交通費用492,696元,約佔0.64%,最低為其他相關費用168,760元,約佔0.22%。平均每人總間接成本若依工作性質變更情形區分,以民國86年以前即無工作者為最高 ,其次為民國86年間變更工作性質者,最低為一直未變更工作性質者。結論:經過單因子變異數檢定及複迴歸分析後發現,「工作性質變更情形」為總間接成本、總生產力損失、戒治者就醫生產力損失及戒治者變更工作性質生產力損失的重要影響因子。
     Objectives: To understand the impact of drug abuse on our society and for setting policy priorities, we applied the human capital approach to estimate indirect costs of drug abuse. Methods: Eighty-two drug addicts who sought hospitalization treatments in 1997 were sampled and interviewed with a questionnaire. Results: The preliminary results are shown as follows. In 1997, the total indirect costs of 82 addicts were 76,904,128 NT dollars; the average costs per person per year were 937,855 NT dollars. In ter ms of the types of costs in 1997, the cost of seeking drugs was the highest (55,793,400 NT dollars, or 72.55%); the next was productivity loss (20,449,272 NT dollars, or 26.59%); the third was transportation fee (492,696 NT dollars, or 0.64%); and the lowest was other related costs including facilities and special nurses costs (168,760 NT dollars, or 0.22%). In terms of the employment status in 1997, the cost of unemployed addicts per person per year due to drug abuse before 1997 was the highest; the next was unemployed addicts since 1997; the lowest was persons who never changed employment status. Conclusions: Through ANOVA and multiple regression analysis, we found that a change of employment status manifested as the significant factor on total indirect costs, total productivity loss, productivity loss due to seeking a drug-free program, and productivity loss due to changing employment status.
期刊論文
1.李卓倫、紀駿輝、賴俊雄(19951200)。時間、所得與中西醫療價格對中醫門診利用之影響。中華公共衛生雜誌,14(6),470-476。new window  延伸查詢new window
2.Rice, D. P.、Kelman, S.、Mil]er, L. S.(1991)。Estimates of economic costs of alcohol and drug abuse and mental illness,1985 and 1988。Public Health Rep,106,280-292。  new window
3.French, M. T.、Rachal, J. Valley、Hubbard, R. L.(1991)。Conceptual framework for estimating the social cost of drug abuse。J Health Soc Policy,2,1-22。  new window
4.Koopmanschap, M.、van Ineveld, M.(1992)。Towards a new approach for estimating indirect costs of disease。Soc Sci & Med,34,1005-1010。  new window
5.Johannesson, M.、Kadsson, G.(1997)。The friction cost method: a comment。J Health Eco,16,249-255。  new window
6.Warner, K. E.、Wickizer, T. M.、Wolf, R. A.、Sanuelson, M. H.、Schildroth, J. E.(1988)。Economic implications of workplace health promotion programs: review of literature。J Occup Med,30,106-112。  new window
7.Van Roijen, L.、Van Ineveld, B. M.、Rutten, F. F. H.、Koopmanschap, M. A.(1995)。The friction cost method for measuring indirect costs of disease。Journal of Health Economics,14(2),171-189。  new window
8.Hodgson, T. A.、Meiners, M. R.(1982)。Cost-of-illness methodology: A guide to current practices and procedures。Milbank Mem Fund Q,60,429-462。  new window
會議論文
1.Single, E.(1998)。New development in drug education in Canada。The international conference on drug education in school,1997。Hong Kong:The Education Department。  new window
研究報告
1.李景美(1995)。台灣地區國中、高中及高職學生之藥物濫用認知、態度及教育需求調查研究。台北:國立台灣師範大學衛生教育研究所。  延伸查詢new window
2.總統府(1998)。總統府公報。台北:總統府。  延伸查詢new window
學位論文
1.蔡宜樺(1994)。婦女罹患乳癌之初期罹病成本與影響因子之探討--以臺大醫院病患為例(碩士論文)。國立臺灣大學。  延伸查詢new window
2.吳季倫(1995)。肝炎患者罹病成本與其相關因子之探討:以某醫學中心為例(碩士論文)。國立台灣大學,台北。  延伸查詢new window
圖書
1.Single, E.、Gen Rehm, J.、Xie, X.(1995)。The costs of substance abuse in Canada- highlights of a major study of the health, social and economic costs associated with the use of alcohol, tobacco and illicit drugs。Canadian Centre on Substance Abuse。  new window
2.Collins, D. J.、Lapsley, H. M.(1996)。Estimating the economic costs of drug abuse in Australia。Commonwealth Department of Community Services and Health。  new window
3.Single, E.、Collins, D.、Easton, B.、Harwood, H.、Lapsley, H.、Maynard, A.(1996)。International guidelines for estimating the costs of substance abuse。Canadian Centre on Substance Abuse。  new window
4.Lasser, U.、Rocdla, E. J.、Rosenfdd, J. B.、Wenzel, H.(1990)。Costs and benefits in health care and prevention: an international approach to priorities medicine。New York:Springer-Verlag Berlin Heidelberg。  new window
5.法務部犯罪研究中心(1995)。毒品犯罪型態及相關問題之研究。臺北:法務部犯罪問題研究中心。  延伸查詢new window
6.行政院衛生署(1997)。藥物濫用防制宣導教育手冊。臺北:行政院衛生署。  延伸查詢new window
圖書論文
1.Rice, D. P.、Miller, L. S.、Kelman, S.(1991)。Economic costs of drug abuse。Economic Costs, Cost-effectiveness, Financing, and Community-based Drug Treatment。NIDA。  new window
 
 
 
 
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