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題名 Uterus at a Price: Disability Insurance and Hysterectomy
作者 連賢明
Lien, Hsien-Ming
Fan, Elliott
Ma, Ching-to Albert
貢獻者 財政系
關鍵詞 Disability insurance ; Moral hazard ; Hysterectomy ; Oophorectomy
日期 2019-04
上傳時間 4-Oct-2019 16:09:17 (UTC+8)
摘要 Taiwanese Labor, Government Employee, and Farmer Insurance programs provide 5 to 6 months of salary to enrollees who undergo hysterectomies or oophorectomies before their 45th birthday. These programs create incentives for more and earlier treatments, referred to as inducement and timing effects. Using National Health Insurance data between 1997 and 2011, we estimate these effects on surgery hazards by difference-in-difference and bunching-smoothing polynomial methods. For Government Employee and Labor Insurance, inducement is 11–12% of all hysterectomies, and timing 20% of inducement. For oophorectomies, both effects are insignificant. Enrollees’ behaviors are consistent with rational choices. Each surgery qualifies an enrollee for the same benefit, but oophorectomy has more adverse health consequences than hysterectomy. Induced hysterectomies increase benefit payments and surgical costs, at about the cost of a mammogram and 5 pap smears per enrollee.
關聯 Journal of Health Economics, Vol.66, pp.1-17
資料類型 article
DOI https://doi.org/10.1016/j.jhealeco.2019.04.001
dc.contributor 財政系
dc.creator (作者) 連賢明
dc.creator (作者) Lien, Hsien-Ming
dc.creator (作者) Fan, Elliott
dc.creator (作者) Ma, Ching-to Albert
dc.date (日期) 2019-04
dc.date.accessioned 4-Oct-2019 16:09:17 (UTC+8)-
dc.date.available 4-Oct-2019 16:09:17 (UTC+8)-
dc.date.issued (上傳時間) 4-Oct-2019 16:09:17 (UTC+8)-
dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/126721-
dc.description.abstract (摘要) Taiwanese Labor, Government Employee, and Farmer Insurance programs provide 5 to 6 months of salary to enrollees who undergo hysterectomies or oophorectomies before their 45th birthday. These programs create incentives for more and earlier treatments, referred to as inducement and timing effects. Using National Health Insurance data between 1997 and 2011, we estimate these effects on surgery hazards by difference-in-difference and bunching-smoothing polynomial methods. For Government Employee and Labor Insurance, inducement is 11–12% of all hysterectomies, and timing 20% of inducement. For oophorectomies, both effects are insignificant. Enrollees’ behaviors are consistent with rational choices. Each surgery qualifies an enrollee for the same benefit, but oophorectomy has more adverse health consequences than hysterectomy. Induced hysterectomies increase benefit payments and surgical costs, at about the cost of a mammogram and 5 pap smears per enrollee.
dc.format.extent 2778226 bytes-
dc.format.mimetype application/pdf-
dc.relation (關聯) Journal of Health Economics, Vol.66, pp.1-17
dc.subject (關鍵詞) Disability insurance ; Moral hazard ; Hysterectomy ; Oophorectomy
dc.title (題名) Uterus at a Price: Disability Insurance and Hysterectomy
dc.type (資料類型) article
dc.identifier.doi (DOI) 10.1016/j.jhealeco.2019.04.001
dc.doi.uri (DOI) https://doi.org/10.1016/j.jhealeco.2019.04.001