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題名：我國全民健康保險的所得重分配效果：1995∼2000
書刊名：社會政策與社會工作學刊
作者：蔡貞慧 引用關係
作者(外文)：Tsay, Jen-huoy
出版日期：2004
卷期：8:1
頁次：頁221-250
主題關鍵詞：全民健康保險；所得重分配；醫療給付；收支淨歸宿；National health insurance；Medical payments；Net fiscal incidence；Income redistribution
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(2) 博士論文(0) 專書(0) 專書論文(0)
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  • 共同引用共同引用:15
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過去研究指出，全民健保收入在各所得水平間呈不利窮人的累退分配，惟，累退現象逐年趨緩。本研究運用1995至2000年主計處家庭收支調查，進一步觀察健保醫療給付受益的分配情形，並檢驗全民健保收支相抵後的所得重分配效果。研究結果指出：(1)全民健保醫療給付在各所得水平間呈均等分配，同時，其有利於窮人的累進分配程度逐年提升。(2)考量全民健保收支淨歸宿後，低所得者的淨效益為正值，並且，所得愈低，淨效益值越大，反之，高所得者的淨效益傾向為負值，並且，所得愈高，淨效益值愈小；同時，高低所得組之間的差異逐年擴大。(3)比較全民健保收支淨效果後的所得分配與稅前所得分配的吉尼係數差異，全民健保明顯改善所得分配，並且，改善程度逐年提高。
Previous studies have indicated that the distribution of national health insurance (NHI) contributions was regressive to income, whereas the regressivity was decelerating annually. Applying the 1995-2000 Survey of Family Income and Expenditure, this study further examines the distribution of NHI medical payments across income levels and the income redistributional effects of NHI after taking account of its net fiscal incidence analysis. The results show that medical payments were equally distributed across income levels, with increasing progressivity annually. When offsetting medical payments with contributions, low income people tend to have a positive net benefit, while high income people tend to have a negative net benefit. The differences of net benefits between the poor and the rich increased year by year. Furthermore, in terms of the Gini coefficient, the income distribution, taking into account the net fiscal incidence of NHI, indicates a more equitable result in contrast to a pre-tax income distribution. This improvement of income distribution caused by NHI also grew annually.
期刊論文
1.Wagstaff, A.、van Doorslaer, E.、van der Berg, H.、Calonge, S.、Christiansen, T.、Citoni, G.(1999)。Equity in the Finance of Health Care:Some Further International Comparisons。Journal of Health Economics，18(3)，263-290。  new window
2.蔡貞慧、周穎政(20021000)。臺灣全民健康保險的醫療支出重分配效果，1995∼2000。臺灣公共衛生雜誌，21(5)，373-379。new window  延伸查詢new window
3.Wagstaff, A.、van Doorslaer, E.(1994)。Measuring Inequalities in Health in the Presence of Multiple-category Morbidity Indicators。Health Economics，3(4)，281-291。  new window
4.Wagstaff, A.、Van Doorslaer, E.(1992)。Equity in the Finance of Health Care: Some International Comparisons。Journal of Health Economic，11，361-387。  new window
5.蔡貞慧(20031200)。Household Composition and Inequality in Health Care Financing in Taiwan, 1995-2000。經濟論文叢刊，31(4)，483-505。new window  new window
6.羅紀琼(19981100)。全民健康保險對所得分配的影響。自由中國之工業，88(11)，1-41。  延伸查詢new window
7.Le Grand, J.(1978)。The Distribution of Public Expenditure: The Case of Health Care。Economica，45(178)，125-142。  new window
8.湯澡薰、郭乃文、張維容(2002)。全民健保醫療服務使用公平性之探討。醫護科技學刊，4(4)，291-303。new window  延伸查詢new window
9.Collins, E.、Klein, K.(1980)。Equity and the NHS: Self-Reported Morbidity, Access and Primary Care。British Medical Journal，281，1111-1115。  new window
10.Feldstein, Martin S.、Friedman, Bernard、Luft, Harold(1972)。Distributional Aspects of National Health Insurance Benefits and Finance。National Tax Journal，25(4)，497-510。  new window
11.Holahan, J.、Winterbottom, C.、Zedlewski, S.(1994)。The Distributional Effects of Employer and Individual Health Insurance Mandates。Inquiry，31，368-384。  new window
12.Holahan, J.、Zedlewski, S.(1992)。Who Pays for Health Care in the United States? Implications for Health System Reform。Inquiry，29，231-248。  new window
13.Kakwani, N. C.(1977)。Measurement of Tax Progressivity: An Internatinal Comparison。National Tax Journal，61，139-142。  new window
14.Moeller, J. F.(1995)。Gainers and Losers under a Tax-Based Health Care Reform Plan。Inquiry，32，285-299。  new window
15.Monheit, A. C.、Nichols, L. M.、Selden, T. M.(1995)。How are Net Health Insurance Benefits Distributed in the Employment-Related Insurance Market?。Inquiry，32，379-391。  new window
16.O'Donnell, O.、Propper, C.(1991)。Equity and the Distribution of UK National Health Services Resources。Journal of Health Economics，10，1-19。  new window
17.Wagstaff, A.、Van Doorslaer, E.、Paci, P.(1991)。On the Measurement of Horizontal Inequity in the Delivery of Health Care。Journal of Health Economics，10，169-205。  new window
會議論文
1.葉秀珍(1999)。全民健保健康照護服務輸送之公平性考量：臺灣的實證分析。臺北。  延伸查詢new window
2.Hsiao, W.、Lu, J.(2000)。Taiwan's National Health Insurance: The Balance between Equity and Efficiency。Taipei。  new window
3.Van Vliet, R.、Van De Ven, W.(1985)。Differences in Medical Consumption between Publicly and Privately Insured in the Netherlands: Standerdization by Means of Multiple Regression。Rotterdam。  new window
研究報告
1.鄭文輝、蘇建榮、梁正德、何怡澄、陳俊全(1998)。我國全民健康保險財務收支歸宿之研究。臺北。  延伸查詢new window
2.鄭文輝、葉秀珍、蘇建榮、鄭清霞(1999)。全民健保保險對象家庭財務負擔與醫療使用之探討。臺北。  延伸查詢new window
學位論文
1.董瑞斌(1983)。賦稅改革與賦稅負擔：民國43至70年臺灣省實證研究，沒有紀錄。  延伸查詢new window
2.葉金標(1995)。租稅負擔與所得分配：轉嫁與歸宿之分析，沒有紀錄。  延伸查詢new window
3.楊素玲(1999)。我國財政收支對所得分配之影響，沒有紀錄。  延伸查詢new window
圖書
1.Van Doorslaer, E.、Wagstaff, A.、Rutten, F.(1993)。Equity in the Finance and Delivery of Health Care: An International Perspective。Oxford University Press。  new window
2.Browning, E. K.、Johnson, W. R.(1979)。The Distribution of the Tax Burden。The Distribution of the Tax Burden。Washington, DC。  new window
3.于宗先(1983)。賦稅負擔與所得分配。臺灣的所得分配。臺北市。  延伸查詢new window
4.徐偉初、王正、王文煌(1989)。家戶間賦稅負擔之分配研究。家戶間賦稅負擔之分配研究。臺北。  延伸查詢new window
其他
1.中央健康保險局(2001)。中華民國八十九年全民健康保險統計，臺北。  延伸查詢new window
2.主計處中部辦公室(2001)。歷年家庭收支調查各科目總額表，沒有紀錄。  延伸查詢new window
圖書論文
1.Pechman, J. A.、Okner, B. A.(1974)。Who Bears the Tax Burden?。Who Bears the Tax Burden?。Washington, D. C.：Brookings Institution。  new window
 
 
 
 
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