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題名 我國健康保險部分負擔制度之財務效果推估
The Financial Effects of Cost-Sharing System in Taiwan`s Health Insurance
作者 李竹芬
Li, Chu-Fen
貢獻者 鄭文輝
Wen-Hui Cheng
李竹芬
Chu-Fen Li
關鍵詞 部分負擔
健康保險
醫療需求
道德危險
價格彈性
醫療照護
Cost-Sharing
Health Insurance
Medical Demand
Moral Hazard
Price Elasticity
Medical Care
日期 1994
1993
上傳時間 29-Apr-2016 15:51:47 (UTC+8)
摘要 本研究之目的在於瞭解臺灣地區有關醫療需求與利用之行為，並進而藉其
This research attempts to estimate the financial effects of
參考文獻 1. 中央研究院經濟研究所(1993)，「全民健保給付與財源方案之比較」，臺灣經濟預測與政策，第二四卷第一期，頁二二七至三三四。\n2. 內政部(1985)，「勞工保險醫療費用部分負擔制度之研究」，臺北：內政部社會保險叢書。\n3. 王家銓(1985)，各國醫療保險制度的研究，臺北：茂昌圖書有限公司。\n4. 方曉娟(1992)，「台北市兒童醫療需求的實證研究」，政治大學經濟學研究所碩士論文。\n5. 白培英(1993)，「我國社會保險之財政負擔」，保險專刊，第三二輯，頁一至十。\n6. 行政院經濟建設委員會全民健康保險規劃小組(1990)，「國人對部分負擔之負擔能力及負擔意願」，全民健康保險規劃小組中間報告之二。\n7. 吳肖琪(1991)，「健康保險與醫療網區域資源對醫療利用之影響」，臺大公共衛生學研究所博士論文。\n8. 吳國士(1990)，「健康保險對民眾醫療消費行為影響之研究」，中原大學企業管理研究所碩士論文。\n9. 吳凱勳(1992)，健康保險概論，臺北：中國社會保險學會。\n10. 林小嫻(1993),臺灣地區國民醫療保健支出及其財源與配置，中央研究院經濟研究所。\n11. 林芸芸(1992),「新店民眾部分負擔意願及能力」，公共衛生，第一九卷第一期，頁二五至三七。\n12. 林淑萱、陳幼華、鄭清峰、蕭麗卿譯(1990),「醫療費用部分負擔制度的研究」,臺北：臺閩地區勞工保險局。\n13. 周麗芳(1987),「老年人口醫療需求與醫療資源利用之研究」,陽明醫學院公共衛生學研究所碩士論文。\n14. 柯木興(1992),社會保險，臺北：中國社會保險學會。\n15. 郎慧珠(1989),「台北都會區民眾對健康保險部分負擔付費意願之探討」,楊明醫學院公共衛生學研究所碩士論文。\n16. 紀艷瓊、甯素珠、蔡淑鈴(1989),「公務人員保險實施醫療費用部分負擔制度之研究」,中央信託局。\n17. 翁世傑(1985),「社會保險醫療費用部分負擔之研究」,逢甲大學保險學研究所碩士論文。\n18. 黃玄騰(1986),「我國公保支出的經濟分析」，逢甲大學經濟學研究所碩士論文。\n19. 黃玄騰(1987),「從經濟學觀點談保險政策對醫療資源浪費與解決途徑」,第一二五期，頁二九至三六。\n20. 黃世鑫、余漢儀、吳炎成、鄭文輝、蔡爵霙(1992),「我國全民社會醫療保險制度之研究」，臺北：業強出版社。\n21. 陳炫碩(1990),「臺灣地區全民健康保險部分負擔制度之研究」,中原大學企業管理研究所碩士論文。\n22. 張慶輝(1984),「勞保醫療費用增加問題調查研究」，臺灣省政府研考會。\n23. 張馥芳(1992),「我國全民健康保險制度財源籌措策略之研究」,政治大學保險研究所碩士論文。\n24. 曹嬿恆(1992,「醫療需求理論與臺灣的的實證研究」,政治大學經濟學研究所碩士論文。\n25. 陳聽安、張慶輝、鄭文輝、梁正德、蘇建榮(1993),「我國全民建ㄤ保險財務規劃之研究」，財團法人保險事業發展中心。\n26. 楊志良(1985),「社會保險醫療費用上漲原因及對策之探討－兼析醫療費用部分負擔制之效果」，社會保險年刊，第十期，頁一○二至一一○。\n27. 楊志良(1989),「國人對全民健康保險部分負擔之意見調查」,中華衛誌，第九卷第四號，頁一八四至一九六。\n28. 楊志良(1993),健康保險，臺北：巨流圖書公司。\n29. 蔡宏毅(1992),「全民健康保險醫療給付部分負擔制之福利分析」,逢甲答學經濟學研究所碩士論文。\n30. 藍忠孚(1989),「有效建立勞工保險醫療轉診及部分負擔制度」,勞工行政，第十七期，頁一○至二○。\n31. 藍忠孚(1993),「健康保險部分負擔制的論證」，防止浪費醫療資源實施部分負擔制度座談會引言報告。\n32. 藍忠孚、鄭惠珠(1991),「健康保險部分負擔制的理論與論證」，公共衛生,第一八卷第一期，頁一至一八。\n33. 藍忠孚、鄭惠珠、郎慧珠(1991),「健康保險部分負擔付費意願之研究」，臺灣醫誌,第九一卷附冊二，頁S99-S108。\n34. 謝秀宜(1993),「我國全民健康保險醫療費用部分負擔制度之研究」,逢甲大學保險學研究所碩士論文。\n35. 簡宣博(1989),「臺灣農民紀康保險醫療給付之研究」,財團法人保險事業發展中心。\n36. 蕭文(1992),健康保險概論，臺北：三民書局。\n羅紀瓊(1991)，「人口老化對醫療支出的影響：台灣的實證研究」，經濟論文，第一九卷第一期，頁一○七至一三三。\n二、西文部份\n1.Andersen R. & Newman J.F. (1973), "Societal and\nIndividual Determinants ofMedic-al Care Utilization in\nthe United States", MilbankMemorial Fund Quarterly:\n51,95-124.\n2.AndersenG. M., Broo-k R. & William-s A. -(1991), "AComparison\nof Cost-Sharing Versus Free Care in Children:\nEffects. on the Demand -for Office-Based Medical\nCare", Me.dical Care, 29(9), 890-898.\n3 .Arnold, S. S. (1983), "The Rand Health Insurance Study\nIs Cost Sharing •Dangerous to Your Health ?", New\nEngland J ournalo.f Medicine, J09: 1453.\n4.Arrow, K. J. (1963), "Uncertainty and the Welfare Economics\nof Medical Care", American Economics Review:\n53(5),941-973.\n5. Bec.k, R . G. (1974), "The Effects of Co-payment on the\nPoor", J 0 urn a I of Hu man Res 0 ur c e s, 9 ( 1) , 129-142.\n6.Beck, R. G. & Horne, J. M. (1980), "Utilization of\nPubIicly Insured Health Services in Saskatchewan B~fore,\nDuring and After-Copayment", Medical Care, j 8\n(8), 787-806.\n7.Bro-yles, R. W_. & Rosko, M. D. (1988), "The Demand\nfor Health Insurance and Health Care: A Review of the\nEmpirical Literature", Medical Care Review ,45(2}\n291-33-8.\n8.Campbell, R. R. (1980), The Economics and Politics of\nHealth, New York: McGraw-Hi11-, 18-19.\n9.Chou, Li--Fang (1993), "Selbsbeteiligun-g bei Arzneimitteln\naus ordnugspolitis-cher Sicht: das Beispiel der\nB undesrepublik Deutschland", (Finanzwissenschaftliche\nschriften, Bd. 55), Frankfurt am Main, Berlin;\nBern.\n10.Colle A. D. & Grossman M-. (1978), "Determinants of\nPediatric Care Utilization", The Journal o,{ Human\nResources, 13, Supplement, 117-158.\n11.Culyer, A. J . (1989), "Cost Containment in Europe\nHealth Care Financing Review,Annual Supplement\nSupplement,2 1-32.\n12.Davis K. & Russell L. B. (1972), "The Substitution of\nHospital Outpatient Care for Inpatient Care", The\nReview 0.[ Economics and Statistics, 54(2), 109-120\n13.Donaldson C. & Gerard K. (1989), "Countering Moral\nM-oral Hazard in Public and Private Health Care Systems:\nA Review of Recent Evidence", Journal of\nSocial Policy, 18, Part II, 235-251.\n14.Ellis, R. P. & McGuire, T. G. (1986), "Cost Sharing\nand Patterns of Mental Health Care Utilization"The\nJournal o.[Human Resources, 21(3),359-379.\n1S.Ellis, R. P. & McGuire~ T. G. (1986), "Provider\nBehavior Under Prospective Reimburesment: Cost\nSharing and Supply", Journal 0.[ Health Economics:\n5, 129-151.\n16.Fein R.(1981), " Effects of Cost-Sharing in Health\nInsurance--A Call for Caution", New Engfand Journal\nof Medicine, 305 (25),1526-1528.\n17.F-eldstein., M. (1977)," Quality Chance and the Demand\nfor Hospital Care ", Econometrica, 45(7), 1681-\n1702.\n18. Feldstein, M. S. (1971), "Hospital Cost Inflation: A\nStudy of Nonprofit Price Dynamics", The American\nEcnomic Revie,w, 61 (3), Part I, 853-872,\n19.Feldstein, M. S. (1973), "The Welfare Loss of Excess\nHealth Insurance", Journal of Political Economy\nPart I, 251-280,\n20.`Feldstein, P. J. (1988), Health Care Economics, New\nYork: John Wiley and Sons, 129.\n21.Fran k, R. G. & McGuire, T. G. (1986),"A Review of\nStudie-s of the Impact of Insurance on the Demand\nand Utilization of Specialty Mental Health Services\n", Health Services Research, 21 (2), 241-265, `\n22.Foxman, B., Valdez, R. B., et aL (1987), "The Effect\nof Cost Sharin-g on the Use of Antibiotics in Ambu-\nlatory Care: Results From a Population--Based Randomized\nControlled Trial" , Journal of Chronic Diseases,\n40( 5), 429-437.\n23.Goldman F. & -Grossman, M. (1978), "The Demand\nfor Pediatric Care: An Hedonic Approach", Journal\n0.[ Political Economy, 86(2), Part I, 259-280.\n24-.Gree.ne, S . . B. & Gunselman, D. L. (1986), "Cost\nSharing and Its Effects on Hospital Utilization: The\nBlue Cro•ss and Blue Shield of North Carolina Experience",\nMedical Care, 24(8),711-720.\n25.Grembowski , D., et al. (1986), "Coinsurance Effects\non Dental Prices", Social Science and Medicine.\n23(11),1131-1138.\n26.•Hankin, J. R., Steinwachs, D. M. & Eikes, C. (1980)\n"The Impact on Utilization of a Copayment Insurance\nIncrease for Ambulatory Psychiatric Care"\nMedical Care, 18(8), 807-815.\n27.Leibowite, A., Manning, W. G., et •al. (1985), "Effect\nof Cost-Sharing on the Use of Medical Services by\nChildren: Interim Results from a Randomized Controlled\nTrial", Pediatrics, 75(5), 942-951.\n28.Lurie, N., Manning, -We G.,- et al. (1987), "Preventive\nC.are: Do We- Practice Want We Preach", Amercian\nJournal of Public He-alth, 77(7),801-804.\n29.Manning, G. M., Kenneth, B. W., et al. (1984)," Cost\nSharing and the Use of Ambulatory Mental Health\nServices", American Psychologist, 39(10), 1077-\n1089.\n3 0 . Mann i n g, W. G., New h 0 use, J. P., eta l. ( 19 87), "\nHealth Insurance ,and -the Demand for Medical Care\nEvidence from a Randomized Experiment" ~ American\nEconomic Review~ 77(3)~ 251-277.\n3-1.Moffet, D. (1979)~ "The Risk-Sharing Problem, Essays\nin-the Economics", Theoryo,fRisk and Insurance~ 1-2.\n32.Myers, B. A. (1982), "Cost-Sharing Effects-- Revisited-"\n~ Medical Care, 20( 12), 1166-1167.\n33.Nelson, A. A~, Reeder, C. E. & Dickson`, W. M.\n(1984), "The Effect of Medicaid Drug Copayment\nProgram on the Utilization and Cost of Prescription\nService", Medical Care, 22(8), 724-736.\n34.Newhouse, J . P. (1978), "Insurance Benefits, `Out-of Pocket\nPayments~ and the Demand for Medical Care\nA Review of the Literature", Health Medical Care\nServices Revielv, 13-15.\n35`.Newhouse, J. P ., Manning, W. G., et al. (1981), "\nSome Interim Results from a Controlled Trial of\nCost Sharing in Health Insurance", New England\nJournal-ofMedicine, 305 (25), 1501-1507.\n36.Newhouse, J. -P., Manning, W. G., et a-I. (1987):\n"The Findings of the Rand Health Insurance Experiment:\n,A Response to Welch et al.", Medical\nCare, 25(2), 157-179.\n37.Newhouse, J. `P., Ro]ph, J. E., et al. (1980), "The\nEffect of Deductibles on the Demand for Medical\nCare Services", Journal of-the AcousticalSociety oj\nAmerican, 75(371), 525-537.\n38.0ECD (1987), Finqncing and D.elivering Health Care.\nSocial Policy Studies NO.4,Paris,France.\n39.0-`Grady, K. F., Manning, W. G., et ~I. (1985), 1`The\nImpact- of Cost Sharing on Emergency Department\nUse", New England Journal 0.[ Medicine, 313(8).\n484-490.\n40.Paff, M., Schneider, M. & Stumpf, M. (1980), "Objectives\nand Forms of Cost-Sharing", In: Brandt, A ..\nHorisber..ger, B. Von Wartburg, W. P. eds, Cost-Sharing\nin Health Care, New York: Spring-Verlag, 117-129.\n41.Peel, E. & Scharff, F. (1973), "Impact of Cost-Sharing\non Use of Ambulatory Services Under Medicare, 1969\n1969", Social Security Bulletin, 36(10), 3-24.\n42. P helps, C. E. & Newhouse, J . P. (1972), "Effect of Coinsurance:\nA Multivariate Analysis", Social Security\nBull e tin, 3 5 ( 6 ), 20 -28 .\n4-3.P_helps, C. E. & Newhouse, J. P. (1974), "Coinsurance,\nthe Price of Time, and the Demand for Medical\nServices", Review o.[Economics and Statistics ,\n56, 334-342.\n44.Piland, N. F. (1979), "Cost-Sharing in Health. Insurance\nIts Effects on Health Service Utilization", P .h. D. Dissertation,\nUniversity of California, Los Angeles.\n45.Reinhart, U. E. (1989), "The U. S. Health Care Financing\nand Delivery System: Its Experience and Lesson\nfor Other Nations", InternationalSymposium on\nHealth Care Systems, Taipei,Taiwan, R.O.C ..\n46.Roddy, P. C., Wallen, J-. & Meyer-s, S. M. (1986), "Cost\nSharing and Use .ofH-ealth Service: The United Wine\n. Workers of American Health Plan", Medical Care.\n24(9), 873-877.\n47.Roemer, M•. I., Hopkins, C. E., .et al. (1915), "Copayments\nfor Ambulatory Care: Penney-Wise and PoundFoolish",\nMedical Care, 13(6),457-466.\n48 .Scbeffer, R. M. (1984), "The United Mine Workers`\nHealth Plan: An Analysis of the Cost-Sharing\nP-rogram", Medical Care, 22(3), 247-254.\n49.Scitor-sky, A. A., McCall, N. (1977), "Coinsurance and\nthe ,Demand for Physician Services: F our Year Latter ".\nSocial Security Bulletin, 40(5), 19-27.\n50.Scitorsky, A.• A. & Snyder, N. M. (1972), "Effect of\nCoinsurance on Use of Physician Services", Social\nSecurity Bulletin, 3 5( 6), 3-19.\n51.Seidman L. S. (1991-), "Health Insurance Reform Consumer\nCost-Sharing", Current, March-April, No. 33 L17-22.\n52. Shapiro, M. F., Ware, J. E., & Sherbourne, C. D.\n(1986), "Effect of Cost Sharing on Seeking Care for\nSerious and Minor Symptoms: Results of a Randomized\nControlled Trial", Annals a/Internal Medi"Cine:\n104(2), 246-251.\n53.Simic, S., Doknic-Stefanovjc, D., et al. (1988), "Assessment\nof the Effects of Cost-Sharing in Yugoslavia",\nMedical Care, 26(2),148-158.\n54. Sin, A. L., Sonnenberg, F. A., et al. (1985), "Does\nCost Sharing .Reduce Inappropriate Hospital Use":\nClinical Research, 33(2), 525A.\n55.Sorkin, A. L. (1984), "The Demand for Health Services",\nHealth Economics: An Introduction, D.C.\nHealth and Company, 25-44 .\n56.Valdez, R. B. (19-85), "The Effects of Cost Sharing on\nthe Health of Children", Ph.D. Dissertation, University\nof Michigan.\n57.Va ldez, R. B., Brook, R. H.-, et a1. (1985), "Consequences\nof Cost Sharing for Children`s Health".\nPediatrics, 75(5),952-961.\n58.Wagner, E. H. & Bledsoe T. (1990), "The Rand Healtth\nInsurance Experiment and HMOs, Medical Care:\n28(3), 191-200.\n59.Wagstaff A. (1986), "The Demand for Health: Theory\nand Applications", Journal 0.[ Epidemiology and\nCommunity Health, 40, 1-11.\n-60.WalIen,J., Roddy, P. C. & Meyers, S. M. (1986), "\nDifference in Mantal H-ealt-h Visits Under CostSharing",\nHealth Services Research, 21 (2), part-II:341-350.\n61.Weber 8., & Wiesmeth, H. (1990), "On the Theory of\nCost Sharing", Jourrml o,fEconom-ics, 52(1) ,71-82.\n62.Wolfson, J. ,Kapadia, A. S., et al. (1982), "Effect of\nCost-Sharing on Users -of a State`s Hea-Ith Service\nProgram", Medical Care, 20(12),1178-1187.
描述 碩士
國立政治大學
風險管理與保險研究所
G80358011
資料來源 http://thesis.lib.nccu.edu.tw/record/#B2002003717
資料類型 thesis
dc.contributor.advisor 鄭文輝zh_TW
dc.contributor.advisor Wen-Hui Chengen_US
dc.contributor.author (Authors) 李竹芬zh_TW
dc.contributor.author (Authors) Chu-Fen Lien_US
dc.creator (作者) 李竹芬zh_TW
dc.creator (作者) Li, Chu-Fenen_US
dc.date (日期) 1994en_US
dc.date (日期) 1993en_US
dc.date.accessioned 29-Apr-2016 15:51:47 (UTC+8)-
dc.date.available 29-Apr-2016 15:51:47 (UTC+8)-
dc.date.issued (上傳時間) 29-Apr-2016 15:51:47 (UTC+8)-
dc.identifier (Other Identifiers) B2002003717en_US
dc.identifier.uri (URI) https://ah.lib.nccu.edu.tw/item?item_id=100294-
dc.description (描述) 碩士zh_TW
dc.description (描述) 國立政治大學zh_TW
dc.description (描述) 風險管理與保險研究所zh_TW
dc.description (描述) G80358011zh_TW
dc.description.abstract (摘要) 本研究之目的在於瞭解臺灣地區有關醫療需求與利用之行為，並進而藉其zh_TW
dc.description.abstract (摘要) This research attempts to estimate the financial effects ofen_US
dc.description.tableofcontents 我國健康保險部分負擔制度之財務效果推估\n摘 要………………………………………………………………………………………………………….Ⅰ\n目 錄…………………………………………………………………………………………………………Ⅳ\n圖 表 目 次…………………………………………………………………………………………………………Ⅵ\n\n第一章 緒論\n\n第一節 問題背景與研究動機……………………..………………………………….……………1\n第二節 研究主旨與目的………………………………………………..……………….……………9\n第三節 研究範圍與限制……………………………………………………………….……………10\n第四節 論文架構………………………………………………………………….……….……………12\n\n第二章 部分負擔制度之理論探討與文獻回顧\n\n第一節 部分負擔之定義及目的……………………..…………………….……………………15\n第二節 支持與反對部分負擔之論點……………………………..…….……………………18\n第三節 部分負擔之類型……………………………………………………….……………………21\n第四節 部分負擔之理論基礎……………………………………………….……………………28\n第五節 部分負擔之實證文獻回顧……………………………………….……………………40\n第六節 本章小結………………………………………………………………….……………………53\n\n第三章 資料來源與研究方法\n\n第一節 資料來源說明………………………………………………………………………………62\n第二節 抽樣方法及研究對象………………………..…………………………………………66\n第三節 理論及研究架構…………………………………………………..………………………69\n第四節 研究變項及預測方向…………………………..………………………………………74\n第五節 資料處理及統計方法……………………………………..……………………………80\n第六節 本章小結………………………………………………………………………………………82\n\n第四章 實證結果之剖析與討論\n\n第一節 資料之描述與比較………………………………………………………………………89\n第二節 重要變項間之相關分析………………………………………………………………97\n第三節 線性多元迴歸模型之分析…………………………………………………………100\n第四節 指數多元迴歸模型之分析…………………………………………………………106\n第五節 部分負擔實施效果之推估………………………………...………………………111\n\n第五章 結論與建議\n第一節 結論…………………………………………………………..…………………………………117\n第二節 建議……………………………………………..………………………………………………124\n\n參考文獻…………………………………………………………………..…………………………………………126zh_TW
dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#B2002003717en_US
dc.subject (關鍵詞) 部分負擔zh_TW
dc.subject (關鍵詞) 健康保險zh_TW
dc.subject (關鍵詞) 醫療需求zh_TW
dc.subject (關鍵詞) 道德危險zh_TW
dc.subject (關鍵詞) 價格彈性zh_TW
dc.subject (關鍵詞) 醫療照護zh_TW
dc.subject (關鍵詞) Cost-Sharingen_US
dc.subject (關鍵詞) Health Insuranceen_US
dc.subject (關鍵詞) Medical Demanden_US
dc.subject (關鍵詞) Moral Hazarden_US
dc.subject (關鍵詞) Price Elasticityen_US
dc.subject (關鍵詞) Medical Careen_US
dc.title (題名) 我國健康保險部分負擔制度之財務效果推估zh_TW
dc.title (題名) The Financial Effects of Cost-Sharing System in Taiwan`s Health Insuranceen_US
dc.type (資料類型) thesisen_US
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