學術產出-Theses

題名 健康狀態對就業影響 - 以癌症病人為例
The Impact of Health Conditions on Employment - A Study on Cancer Patients.
作者 魏郁純
Wei,Yu-Chun
貢獻者 連賢明
Lien,Hsien-Ming
魏郁純
Wei,Yu-Chun
關鍵詞 癌症
就業
配對估計法
差異中之差異法
日期 2006
上傳時間 18-Sep-2009 10:58:35 (UTC+8)
摘要 自民國71年來,癌症一直是台灣十大死因的首位。罹癌不但造成醫療費用的增加,也降低了病患的工作意願及能力。本文透過健保資料庫分析罹患肺癌及直腸、結腸癌對就業和薪資的影響。我們首先透過重大傷病檔選取公保和勞保人口中,新罹患肺癌和直腸、結腸癌病人為實驗組,再以配對估計法(prosperity score matching)從健保歸人檔中選取所對應的對照組;為了控制實驗組和對照組間難以觀察差異,本文進一步以「差異中之差異」(difference in difference),分析全職工作者(勞保、公保)罹患癌症對其就業及所得的影響。結果顯示癌症確對就業產生負面影響,在繼續存活的病患中,肺癌罹癌後兩年的平均就業率下降10.9%,大腸癌下降7.2%;其中女性的就業減幅約高於男性1.6~2.4倍,但公保和勞保的就業影響並無差異。在薪資上,罹癌後繼續就業者,與未罹癌者其薪資水準上並無顯著差異。
參考文獻 Bouknight, R.R., C.J. Bradley, and Z. Luo(2006), “Correlates of return to work for breast cancer survivors.” Journal of Clinical Oncology, 24(3), 345-353.
Bradley, C.J., D. Neumark, and H.L. Bednarek(2005), “Short-term effects of breast cancer on labor market attachment: Results from a longitudinal study.” Journal of Health Economics, 24, 137-160.
Bradley, C.J., H.L. Bednarek, and David Neumark(2002), “Breast cancer survival, work, and earnings.” Journal of Health Economics, 21, 757-779.
Card, D., and A. B. Krueger(1994), “ Minimum wages and employment: A case study of the fast-food industry in new jersey and pennsylvania.” American Economic Review, 84(4), 772-793.
Card, D., and D. Sullivan(1988), “Measuring the effect of subsidized training programs on movements in and out of employment.” Econometrica, 56(3), 497-530.
Chirikos, T., A. Russell-Jacobs, and A. Cantor(2002), “Functional impairment and the economic consequences of female breast cancer.” Women and Health, 36(1), 1-20.
Currie, J., and B.C. Madrian(1999), “Health, health insurance and the labor market.” Handbook of Labor Economics, 3, 3309–3416.
Drolet, M., E. Maunsell, M. Mondor, C. Brisson, J. Brisson, B. Masse, and L. Deschenes(2005), “Work absence after breast cancer diagnosis:A population-based study.” CMAJ:Canadian Medical Association Journal, 173 (7), 765-771.
Ganz, P.A., A. Coscarelli, C. Fred, B. Kahn, M.L. Polinsky, and L. Petersen(1996), “Breast Cancer Survivors: Psychosocial Concerns and Quality of Life.” Breast Cancer Research and Treatment, 38, 183-99.
Maunsell, E., M. Drolet, J. Brisson, C. Brisson, B. Masse, and L. Deschenes(2004), “Work situation after breast cancer: Results from a population-based study.” Journal of the National Cancer Institute, 96(24), 1813-1822.
McKenna, R.(1987), “Overview of the Status of Patients with Cancer with Reference to Employment. Proceedings of the Workshop on Employment Insurance and the Patient with Cancer.” American Cancer Society, 2-4.
Pelkowski, Jodi Messer, and Mark C. Berger(2004), “The impact of health on employment, wages, and hours worked over the life cycle.” The Quarterly Review of Economics and Finance, 44, 102-121.
Riphahn, Regina T.(1999), “Income and employment effects of health shocks A test case for the German welfare state.” Journal of Population Economics, 12, 363-389.
Satariano, W.A., and Gerald N. D.(1996), “The Likelihood of Returning to Work after Breast Cancer.” Public Health Report, 111, 236-41.
Shannon, C.S., and S.M. Shaw(2005), “If the dishes don’t get done today, they’ll get done tomorrow: A breast cancer experience as a catalyst for changes to women’s leisure.” Journal of Leisure Research, 37, 195-215.
Sheu, Sheng-jang(2002), “Labor Force Participation and Employer-Provided Health Insurance.” Texas A&M. University.
Silberfarb, P.M., L.H. Maurer and C.S. Crouthamel(1980), “Psychosocial aspects of neoplastic disease: I. Functional status of breast cancer patients during different treatment regimens.” American Journal of Psychiatry, 137, 450-455.
Wagstaff, Adam(2007), “The economic consequences of health shocks: Evidence from Vietnam.” Journal of Health Economics, 26, 82-100.
Yip, W., and K. Eggleston(2001), “Provider payment reform in china: The case ofhospital reimbursement in hainan province.” Health Economics, 10(4), 325-339.
吳佳璇、李明濱(2001),癌症病患及家屬之心理反應與適應,台灣醫學,5卷, 第4期,423-428。
李嬿如(2001),子宮頸癌前病變之危險因子及其抹片篩檢效度分析,台北護理學院醫護管理研究所碩士論文。
邱淑卿(2002),探討壓力、社會支持、因應對乳癌返家婦女之健康狀態影響,長庚大學護理學研究所碩士論文。
侯佳雯(2005),「糖尿病醫療服務改善方案」試辦計畫對第二型糖尿病人醫療資源利用之影響,台灣大學醫療機構管理研究所碩士論文。
洪久茹(2006),乳癌婦女的心理社會適應狀態探討:以中年(35至64歲)女性為例,台灣大學社會工作學研究所碩士論文。
梁佳琳(2002),肝癌高危險群超音波篩檢之成效分析,台北護理學院醫護管理研究所碩士論文。
連賢明(2006),健保資料庫簡介,經濟論文叢刊(已接受)。
陳厚任(2004),藥品部分負擔政策對癲癇病人之影響,台灣大學醫療機構管理研究所碩士論文。
陳建仁(1999),流行病學:原理與方法,臺北市:聯經出版公司。
陳惠美(1997),乳癌術後婦女身心社會調適之探討-以羅氏適應模式為基礎,陽明大學臨床護理研究所碩士論文。
劉向援(1986),接受乳房根除手術之乳癌婦女,於住院時間有關身體心像改變與調適行為之探討,國防管理學院護理研究所碩士論文。
羅健銘、陳素秋、賴允亮、林家瑾、陳建仁(2007),住院癌末病患照護型態對住院醫療費用與住院天數之影響,台灣衛誌,26(4),270-282。
陶聲洋防癌基金會網站 http://www.sydao.org.tw/cure/cure_main.html
癌症諮詢中心網站 http://www.uhealthy.com/cancer-chinese/index.htm
癌症登記小組網站 http://crs.cph.ntu.edu.tw/crs_c/index_c.htm
描述 碩士
國立政治大學
財政研究所
94255003
95
資料來源 http://thesis.lib.nccu.edu.tw/record/#G0094255003
資料類型 thesis
dc.contributor.advisor 連賢明zh_TW
dc.contributor.advisor Lien,Hsien-Mingen_US
dc.contributor.author (Authors) 魏郁純zh_TW
dc.contributor.author (Authors) Wei,Yu-Chunen_US
dc.creator (作者) 魏郁純zh_TW
dc.creator (作者) Wei,Yu-Chunen_US
dc.date (日期) 2006en_US
dc.date.accessioned 18-Sep-2009 10:58:35 (UTC+8)-
dc.date.available 18-Sep-2009 10:58:35 (UTC+8)-
dc.date.issued (上傳時間) 18-Sep-2009 10:58:35 (UTC+8)-
dc.identifier (Other Identifiers) G0094255003en_US
dc.identifier.uri (URI) https://nccur.lib.nccu.edu.tw/handle/140.119/34707-
dc.description (描述) 碩士zh_TW
dc.description (描述) 國立政治大學zh_TW
dc.description (描述) 財政研究所zh_TW
dc.description (描述) 94255003zh_TW
dc.description (描述) 95zh_TW
dc.description.abstract (摘要) 自民國71年來,癌症一直是台灣十大死因的首位。罹癌不但造成醫療費用的增加,也降低了病患的工作意願及能力。本文透過健保資料庫分析罹患肺癌及直腸、結腸癌對就業和薪資的影響。我們首先透過重大傷病檔選取公保和勞保人口中,新罹患肺癌和直腸、結腸癌病人為實驗組,再以配對估計法(prosperity score matching)從健保歸人檔中選取所對應的對照組;為了控制實驗組和對照組間難以觀察差異,本文進一步以「差異中之差異」(difference in difference),分析全職工作者(勞保、公保)罹患癌症對其就業及所得的影響。結果顯示癌症確對就業產生負面影響,在繼續存活的病患中,肺癌罹癌後兩年的平均就業率下降10.9%,大腸癌下降7.2%;其中女性的就業減幅約高於男性1.6~2.4倍,但公保和勞保的就業影響並無差異。在薪資上,罹癌後繼續就業者,與未罹癌者其薪資水準上並無顯著差異。zh_TW
dc.description.tableofcontents 謝辭 I
摘要 II
目錄 III
圖表目錄 IV
第一章 緒論 1
第一節 研究背景、動機與目的 1
第二節 論文架構 3
第二章 文獻回顧 4
第一節 健康對就業之影響 4
第二節 相關實證 5
第三章 研究方法 12
第一節 計量方法 12
第二節 實證模型 16
第三節 癌症特性 20
第四章 資料來源與處理 23
第五章 實證結果 31
第一節 敘述統計 31
第二節 估計結果 35
第六章 結論與建議 39
參考文獻 40
附錄一 重大傷病檔與癌症登記檔人數比較 43
附錄二 全民健康保險各類保險對象 44
附錄三 全民健康保險投保金額分級表 45
zh_TW
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dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0094255003en_US
dc.subject (關鍵詞) 癌症zh_TW
dc.subject (關鍵詞) 就業zh_TW
dc.subject (關鍵詞) 配對估計法zh_TW
dc.subject (關鍵詞) 差異中之差異法zh_TW
dc.title (題名) 健康狀態對就業影響 - 以癌症病人為例zh_TW
dc.title (題名) The Impact of Health Conditions on Employment - A Study on Cancer Patients.en_US
dc.type (資料類型) thesisen
dc.relation.reference (參考文獻) Bouknight, R.R., C.J. Bradley, and Z. Luo(2006), “Correlates of return to work for breast cancer survivors.” Journal of Clinical Oncology, 24(3), 345-353.zh_TW
dc.relation.reference (參考文獻) Bradley, C.J., D. Neumark, and H.L. Bednarek(2005), “Short-term effects of breast cancer on labor market attachment: Results from a longitudinal study.” Journal of Health Economics, 24, 137-160.zh_TW
dc.relation.reference (參考文獻) Bradley, C.J., H.L. Bednarek, and David Neumark(2002), “Breast cancer survival, work, and earnings.” Journal of Health Economics, 21, 757-779.zh_TW
dc.relation.reference (參考文獻) Card, D., and A. B. Krueger(1994), “ Minimum wages and employment: A case study of the fast-food industry in new jersey and pennsylvania.” American Economic Review, 84(4), 772-793.zh_TW
dc.relation.reference (參考文獻) Card, D., and D. Sullivan(1988), “Measuring the effect of subsidized training programs on movements in and out of employment.” Econometrica, 56(3), 497-530.zh_TW
dc.relation.reference (參考文獻) Chirikos, T., A. Russell-Jacobs, and A. Cantor(2002), “Functional impairment and the economic consequences of female breast cancer.” Women and Health, 36(1), 1-20.zh_TW
dc.relation.reference (參考文獻) Currie, J., and B.C. Madrian(1999), “Health, health insurance and the labor market.” Handbook of Labor Economics, 3, 3309–3416.zh_TW
dc.relation.reference (參考文獻) Drolet, M., E. Maunsell, M. Mondor, C. Brisson, J. Brisson, B. Masse, and L. Deschenes(2005), “Work absence after breast cancer diagnosis:A population-based study.” CMAJ:Canadian Medical Association Journal, 173 (7), 765-771.zh_TW
dc.relation.reference (參考文獻) Ganz, P.A., A. Coscarelli, C. Fred, B. Kahn, M.L. Polinsky, and L. Petersen(1996), “Breast Cancer Survivors: Psychosocial Concerns and Quality of Life.” Breast Cancer Research and Treatment, 38, 183-99.zh_TW
dc.relation.reference (參考文獻) Maunsell, E., M. Drolet, J. Brisson, C. Brisson, B. Masse, and L. Deschenes(2004), “Work situation after breast cancer: Results from a population-based study.” Journal of the National Cancer Institute, 96(24), 1813-1822.zh_TW
dc.relation.reference (參考文獻) McKenna, R.(1987), “Overview of the Status of Patients with Cancer with Reference to Employment. Proceedings of the Workshop on Employment Insurance and the Patient with Cancer.” American Cancer Society, 2-4.zh_TW
dc.relation.reference (參考文獻) Pelkowski, Jodi Messer, and Mark C. Berger(2004), “The impact of health on employment, wages, and hours worked over the life cycle.” The Quarterly Review of Economics and Finance, 44, 102-121.zh_TW
dc.relation.reference (參考文獻) Riphahn, Regina T.(1999), “Income and employment effects of health shocks A test case for the German welfare state.” Journal of Population Economics, 12, 363-389.zh_TW
dc.relation.reference (參考文獻) Satariano, W.A., and Gerald N. D.(1996), “The Likelihood of Returning to Work after Breast Cancer.” Public Health Report, 111, 236-41.zh_TW
dc.relation.reference (參考文獻) Shannon, C.S., and S.M. Shaw(2005), “If the dishes don’t get done today, they’ll get done tomorrow: A breast cancer experience as a catalyst for changes to women’s leisure.” Journal of Leisure Research, 37, 195-215.zh_TW
dc.relation.reference (參考文獻) Sheu, Sheng-jang(2002), “Labor Force Participation and Employer-Provided Health Insurance.” Texas A&M. University.zh_TW
dc.relation.reference (參考文獻) Silberfarb, P.M., L.H. Maurer and C.S. Crouthamel(1980), “Psychosocial aspects of neoplastic disease: I. Functional status of breast cancer patients during different treatment regimens.” American Journal of Psychiatry, 137, 450-455.zh_TW
dc.relation.reference (參考文獻) Wagstaff, Adam(2007), “The economic consequences of health shocks: Evidence from Vietnam.” Journal of Health Economics, 26, 82-100.zh_TW
dc.relation.reference (參考文獻) Yip, W., and K. Eggleston(2001), “Provider payment reform in china: The case ofhospital reimbursement in hainan province.” Health Economics, 10(4), 325-339.zh_TW
dc.relation.reference (參考文獻) 吳佳璇、李明濱(2001),癌症病患及家屬之心理反應與適應,台灣醫學,5卷, 第4期,423-428。zh_TW
dc.relation.reference (參考文獻) 李嬿如(2001),子宮頸癌前病變之危險因子及其抹片篩檢效度分析,台北護理學院醫護管理研究所碩士論文。zh_TW
dc.relation.reference (參考文獻) 邱淑卿(2002),探討壓力、社會支持、因應對乳癌返家婦女之健康狀態影響,長庚大學護理學研究所碩士論文。zh_TW
dc.relation.reference (參考文獻) 侯佳雯(2005),「糖尿病醫療服務改善方案」試辦計畫對第二型糖尿病人醫療資源利用之影響,台灣大學醫療機構管理研究所碩士論文。zh_TW
dc.relation.reference (參考文獻) 洪久茹(2006),乳癌婦女的心理社會適應狀態探討:以中年(35至64歲)女性為例,台灣大學社會工作學研究所碩士論文。zh_TW
dc.relation.reference (參考文獻) 梁佳琳(2002),肝癌高危險群超音波篩檢之成效分析,台北護理學院醫護管理研究所碩士論文。zh_TW
dc.relation.reference (參考文獻) 連賢明(2006),健保資料庫簡介,經濟論文叢刊(已接受)。zh_TW
dc.relation.reference (參考文獻) 陳厚任(2004),藥品部分負擔政策對癲癇病人之影響,台灣大學醫療機構管理研究所碩士論文。zh_TW
dc.relation.reference (參考文獻) 陳建仁(1999),流行病學:原理與方法,臺北市:聯經出版公司。zh_TW
dc.relation.reference (參考文獻) 陳惠美(1997),乳癌術後婦女身心社會調適之探討-以羅氏適應模式為基礎,陽明大學臨床護理研究所碩士論文。zh_TW
dc.relation.reference (參考文獻) 劉向援(1986),接受乳房根除手術之乳癌婦女,於住院時間有關身體心像改變與調適行為之探討,國防管理學院護理研究所碩士論文。zh_TW
dc.relation.reference (參考文獻) 羅健銘、陳素秋、賴允亮、林家瑾、陳建仁(2007),住院癌末病患照護型態對住院醫療費用與住院天數之影響,台灣衛誌,26(4),270-282。zh_TW
dc.relation.reference (參考文獻) 陶聲洋防癌基金會網站 http://www.sydao.org.tw/cure/cure_main.htmlzh_TW
dc.relation.reference (參考文獻) 癌症諮詢中心網站 http://www.uhealthy.com/cancer-chinese/index.htmzh_TW
dc.relation.reference (參考文獻) 癌症登記小組網站 http://crs.cph.ntu.edu.tw/crs_c/index_c.htmzh_TW