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題名: 不同權屬別醫院之績效研究: 分量迴歸之應用
作者: 周東慶
貢獻者: 林馨怡
周東慶
關鍵詞: 醫院權屬別
醫院績效
內生性問題
工具變數分量迴歸
日期: 2008
上傳時間: 2009-09-14 13:30:34 (UTC+8)
摘要: 本文透過 Chernozhukov and Hansen (2005,2006) 的工具變數分量迴歸模型(IVQR)探討台灣醫院權屬別對於醫院績效的影響。
相較於簡單線性迴歸模型,
透過工具變數分量迴歸方法不僅能夠完整描繪醫院績效的條件分配,
亦能修正以傳統分量迴歸方法估計造成估計結果不具一致性的問題。
本文實證結果發現醫院權屬別對於醫院績效具有不對稱影響效果,
且 1999 年入院病患與 2000 年入院病患稍有差異。

醫療費用方面, 就 1999 年入院病患而言,
在住院醫療費用上,
對於醫療費用較高的族群,公立醫院病患會低於私人醫院病患。
在一年總醫療費用上,
對於醫療費用較低的族群, 公立醫院病患會高於私人醫院病患;
對於醫療費用較高的族群, 非營利財團法人醫院病患會高於私人醫院病患。
就 2000 年入院病患而言,
在住院醫療費用與一年總醫療費用上,
無論醫療費用較高或較低的族群, 公立醫院病患皆會高於私人醫院病患;
非營利財團法人醫院病患則大多在較高費用族群時才會高於私人醫院病患。
醫療品質方面, 就 1999 年與 2000 年入院病患而言,
對於存活天數較短的族群,
非營利財團法人醫院與公立醫院病患的出院後存活天數皆高於私人醫院病患;
對於存活天數較長的族群,非營利財團法人醫院與私人醫院病患間或公立醫院與私人醫院病患間, 出院後存活天數上均不存在顯著差別。
總體來說, 醫院權屬別對於醫院績效的影響效果隨著分量不同而有所差異,
這也提醒相關政府單位在查核院所績效時需特別注意,尤其在申報費用上, 是否某些族群較易出現浮報或爛報費用等現象, 造成不必要的醫療資源耗用。
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描述: 碩士
國立政治大學
經濟研究所
96258004
97
資料來源: http://thesis.lib.nccu.edu.tw/record/#G0096258004
資料類型: thesis
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