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來源文獻資料
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外文摘要
引文資料
題名:
提早退休對醫療費用之影響
書刊名:
臺灣公共衛生雜誌
作者:
吳春樺
/
王劼
/
林文德
作者(外文):
Wu, Chun-hua
/
Wang, Jye
/
Lin, Wender
出版日期:
2014
卷期:
33:1
頁次:
頁51-63
主題關鍵詞:
退休
;
醫療費用
;
傾向分數法
;
重複測量
;
Retirement
;
Health care expenditure
;
Propensity score
;
Repeated measures
原始連結:
連回原系統網址
相關次數:
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:
1
共同引用:
103
點閱:150
目標:探討退休者與相同條件的未退休者醫療費用差異,及此差異是否因退休年齡不同而有所不同。方法:利用1997年至2009年全民健保承保歸人檔資料(LHID2005),分析50-69歲退休與未退休者在退休者退休日期前三年及後六年醫療費用差異情形。未退休者考慮個人特性與健康狀況,利用傾向分數(propensity score)與退休者進行1:1貪婪配對(Greedy Match)。退休與未退休者醫療費用差異以Wilcoxon符號序位檢定分析;隨後並控制相關影響因素而以混合模型(mixed model)分析每年醫療費用差異與退休前一年是否有所差異。結果:配對後樣本共12,262人,50-59歲者即退休者(N=4,634)退休後六年內門診醫療費用及退休後五年內的整體醫療費用均顯著高於未退休者;60-69歲退休者(N=1,497)退休後的門診或整體醫療費用與未退休者之差異並不顯著。經控制影響因素後發現,50-59歲退休與未退休者之門診及整體醫療費用差異在退休後有顯著增加的情形。結論:提早退休者醫療費用顯著高於未退休者,延遲退休者與未退休者的醫療費用則無顯著不同。因此,未來的退休政策實宜將退休年齡對於全民健保財務的不同影響納入考量。
以文找文
Objectives: This study aimed to compare the health care expenditure between the retirees of various retirement age and non-retirees with similar characteristics. Methods: Data for this analysis came from Taiwan's Longitudinal Health Insurance Data set (LHID 2005). The health care expenditure three years before and six years after retirement were measured for people who retired at the age between 50 and 69 and compared to non-retirees during the same periods. Propensity score with greedy match method was used to select the comparison group who were not retired. The differences in health care expenditure between the matched pairs were tested using Wilcoxon's signed rank test. Mixed models with various control covariates were used to compare the difference in health care expenditure before and after retirement between the pairs. Results: The total sample consisted of 12,262 subjects. There were 9,268 subjects aged between 50 and 59. Those who retired between the age of 50 and 59 had higher outpatient health care expenditure than the comparison group within six years after their retirement. Retirees also had higher total health care expenditure than the comparison group within five years after their retirement. The differences in outpatient health care expenditure of those who retired between the age of 60 and 69 and non-retirees were non-significant. Compared to one year before their retirement, the outpatient and total health care expenditure for the retirees who retired between the age of 50 and 59 and non-retirees were significantly higher after their retirement. Conclusions: Those who retired before the age of 60 had higher health care expenditure than non-retirees. There was no difference in health care expenditure between those who retired after the age of 60 and non-retirees. The impact of retirement age on the financial viability of national health insurance system should be taken into account in future policy debate.
以文找文
期刊論文
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延伸查詢
3.
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Westerlund, H.、Kivimaki, M.、Singh-Manoux, A.(2009)。Self-rated health before and after retirement in France (GAZEL): a cohort study。Lancet,374,1889-1896。
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Buxton, J. W.、Singleton, N.、Melzer, D.(2005)。The mental health of early retirees - national interview survey in Britain。Soc Psychiatry Psychiatr Epidemiol,40,99-105。
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Soghikian, K.、Midanik, L.、Polen, M.(1991)。The effect of retirement on health-services utilization: the Kaiser permanente retirement study。J Gerontol,46,358-360。
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Pan W.(2001)。Akaike’s information criterion in generalized estimating equations。Biometrics,57,120-5。
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Hyde, M.、Hagberg, J.、Oxenstierna, G.、Theorell, T.、Westerlund, H.(2004)。Bridges, pathways and valleys: labour market position and risk of hospitalization in a Swedish sample aged 55-63。Scand J Prim Health Care,32,368-373。
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Rogowski, J.、Karoly, L.(2000)。Health insurance and retirement behavior evidence from the health and retirement survey。J Health Econ,19,529-39。
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李淑玲(20070400)。退休休閒生活計畫之探討。大專體育,89,75-82。
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宋文娟、洪錦墩、陳文意(20081200)。台灣老年人口醫療利用與多重慢性疾病之分析研究。台灣老人保健學刊,4(2),75-87。
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張蕙麟(20071200)。高雄市退休高齡者休閒參與、休閒滿意度及生活滿意度關聯模式之建立與分析。嘉大體育健康休閒,6(2),102-109。
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劉介宇、洪永泰、莊義利、陳怡如、翁文舜、劉季鑫、梁賡義(20060600)。臺灣地區鄉鎮市區發展類型應用於大型健康調查抽樣設計之研究。健康管理學刊,4(1),1-22。
延伸查詢
研究報告
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Bound, J.、Waidmann, T.(2013)。Estimating the health effects of retirement。
學位論文
1.
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延伸查詢
其他
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銓敘部(2002)。銓敘部辦理公務人員退休人數,http://www.mocs.gov.tw/index.htm, 2011/07/09。
延伸查詢
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