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題名:以保險費為自負額之改革對健保財務影響之分析
書刊名:經濟研究. 臺北大學經濟學系
作者:林振輝 引用關係羅紀琼 引用關係
作者(外文):Lin, Zin-feiLo, Joan C.
出版日期:1999
卷期:36:2
頁次:頁121-144
主題關鍵詞:自負額全民健保DeductiblesNHI
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(3) 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:3
  • 共同引用共同引用:18
  • 點閱點閱:56
     本文的主要目的在以消費者選擇理論為基礎,配合被保險人全戶的醫療利用及綜合所得稅資料,以檢定被保險人不再少交保險費,而將目前所少交的保險費移做全戶目診自負額的做法,是否能達到解決全民健保財務赤字的目標,以及對於社會整體醫療資源及社會福利的影響。 在各種可的所得彈性、價格彈性及平均掛號費的組合下,我們發現Ⅹ實施該建議方案之後,目診次數減少的幅度約佔總問診次數的4.6%至17.6%,健何局所增加的財務負擔佔全部問診醫療費用的14.5%至17.1%。換言之,該方案雖能抑制醫療資源的使用,但是無法解決全民健保的財務問題。另外,我們的研究也發現,實施該方案之後,社會福利將會減少。
     Rcecntly, motivated by the huge financial deficit of NHI, some specialists propose a program trying to reestablish the financial solidity of NHI. The main idea of this program is to use the insurance premium of a household as its deductibles. The purpose of this research is to employ the consumer choice theory to text whether the proposed deductibles can solve the current financial problem of the NHI and to study its impacts on the health resources utilization and on social welfare. The date set used include information of the health care utilization and expenditures. For various combinations of income elasticities, price elasticities and average registration fees, we find that the reduction of outpatient visits varies from 4.6% to 11.1% of the total outpatient visits. However, the increase in the financial burden of Bureau of the NHI (BNIHI) is between 14.5% and 17.1% of the total outpatient expenditures. It implies that the proposed deductibles make the financial problem of BNHI even worse.
期刊論文
1.Manning, W. G.、Newhouse, J. P.、Duan, N.、Keeler, E. B.、Leibowitz, A.、Marquis, M. S.(1987)。Health Insurance and the Demand for Medical Care: Evidence from a Randomized Experiment。American Economic Review,77(3),251-277。  new window
2.Keeler, E. B.、Newhouse, J. P.、Phelps, C. E.(1977)。Deductibles and the Demand for Medical Care Services: The Theory of a Consumer Facing a Variable Price Schedule under Uncertainty。Econometrica,45(3),641-655。  new window
3.莊逸洲(19980600)。從善用有限資源的觀點看全民健保。政策月刊,35,8-13。  延伸查詢new window
4.Pauly, Mark V.(1968)。The Economics of Moral Hazard: Comment。The American Economic Review,58,531-537。  new window
5.Keeler, E. B.、Rolph, J. E.(1988)。The Demand for Episodes of Treatment in the Health Insurance Experiment。Journal of Health Economics,7,337-367。  new window
6.Blomqvist, A. G.、Carter, R. A. L.(1997)。Is Health Care Really a Luxury?。Journal of Health Economics,16(2),207-229。  new window
7.謝啟瑞、陳肇男(19931200)。健康保險與老人自付醫療費用之探討。人文及社會科學集刊,6(1),163-203。new window  延伸查詢new window
8.謝啟瑞(19940300)。兒童醫療需求的實證分析。經濟論文叢刊,22(1),1-23。new window  延伸查詢new window
9.鄭保志、胡玉蕙(19970500)。臺灣家庭醫療需求的實證分析。臺北銀行月刊,27(5)=319,71-88。  延伸查詢new window
10.陳欽賢、劉彩卿、周添城(19980100)。自負額制度之探討。經濟研究.臺北大學經濟學系,35(1),83-117。new window  延伸查詢new window
會議論文
1.Chen, Ting-an、Tsui, Steve Wai-cho、Chou, Li-fang(1999)。Effects of Cost-Sharing in Taiwan's National Health Insurance System: Some Empirical Results。Taipei International Conference on Health Economics。Academia Sinica。  new window
研究報告
1.中央健康保險局(1997)。全民健康保險統計。中央健康保險局。  延伸查詢new window
圖書
1.Newhouse, J. P.、The Insurance Experiment Group(1993)。Free for All? Lessons from the RAND Health Insurance Experiment。Cambridge, Mass:Harvard University Press。  new window
2.Feldstein, Paul J.(1998)。Health Care Economics。Boston:Delmar。  new window
其他
1.張昭雄(2000)。民生報。  延伸查詢new window
 
 
 
 
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