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請用此 Handle URI 來引用此文件: http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/27396
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dc.contributor.advisor劉錦添(Jin-Tan Liu)
dc.contributor.authorWan-Ying Taien
dc.contributor.author戴宛瑛zh_TW
dc.date.accessioned2021-06-12T18:03:34Z-
dc.date.available2016-08-11
dc.date.copyright2011-08-11
dc.date.issued2011
dc.date.submitted2011-08-09
dc.identifier.citation行政院勞工委員會勞工保險局 (2005),軌跡—走過勞工保險55年,台北:行政院勞工委員會勞工保險局。

蔡偉德和李一鑫 (2002),「醫院非價格性競爭與市場結構:醫院購置高科技醫療儀器之實證研究」,經濟論文,30(1),57-78。

盧瑞芬和謝啟瑞 (2003),「台灣醫院產業的市場結構與發展趨勢分析」,經濟論文叢,31(1),107-153。

賴亦晨 (2010),「醫院權屬別與醫療結果的關聯性—以台灣的肝癌病患為例」,中央大學產業經濟研究所碩士論文。
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dc.identifier.urihttp://tdr.lib.ntu.edu.tw/jspui/handle/123456789/27396-
dc.description.abstract本研究利用全民健康保險(健保)實施前後之勞工保險住院檔再探醫院權屬別與醫院競爭是否影響醫療成本與品質,並檢定健保後其影響是否出現結構性變化。結果以工具變數估計發現非營利醫院長期醫療品質較佳;使用細分之權屬別分析則發現不同公立體系醫院的醫療成效有著很大差異。另外鄒檢定結果指出健保後醫院權屬別對醫療成效影響的確出現結構性變化,其中私立醫院在健保後成本較高、醫療品質較佳,而非營利醫院在健保後短期死亡率較高。最後本研究使用「差異之中的差異法」發現健保後醫院競爭程度之減少皆使得醫療費用顯著上升,且長期和短期醫療品質並無顯著影響,此結論明顯與醫武競賽之理論不符。然而,本研究進一步發現健保後醫院規模愈大,費用與死亡率的確愈低。由此觀之,醫院競爭有可能反映於醫院規模而非市場集中度之層面。zh_TW
dc.description.abstractThis paper reexamines the effect of hospital ownership and competition on hospital outcomes before and after the National Health Insurance (NHI) using the labor insurance inpatient data. The results of IV estimation indicate that non-profit hospitals yield better long-term quality in medical care, yet there are differences in the effect on the outcomes among several public hospital systems when using more detailed ownership data. Furthermore, the results of Chow Test show that the effect of hospital ownership has a structural break after the NHI, which implies more cost and better treatment quality in private hospitals and higher long-term mortality in non-profit hospitals. On the other hand, the decrease in hospital competition after the NHI enhances the treatment expenditure and has no significant effect on the mortality, which is inconsistent with the Medical Arm Race (MAR) hypothesis. However, we find that the larger scale of hospitals does yield less treatment expenditure and mortality after the NHI, implying that the competition may reflect on the scale of hospitals instead of the market concentration.en
dc.description.provenanceMade available in DSpace on 2021-06-12T18:03:34Z (GMT). No. of bitstreams: 1
ntu-100-R98323017-1.pdf: 1690923 bytes, checksum: 8347a8da1f461b058bb22adccf2a2beb (MD5)
Previous issue date: 2011
en
dc.description.tableofcontents1.前言 1
2.文獻回顧 5
2.1醫院權屬別差異之理論與實證 5
2.2醫院競爭對醫院產出影響之理論與實證 8
2.3台灣實證結果 11
3.資料敘述 12
3.1台灣勞工保險簡介 12
3.2資料來源 13
3.2樣本選取 14
4.實證模型與變數設定 21
4.1計量實證模型 21
4.2變數設定 24
5.權屬別差異:敘述統計與實證結果 27
5.1敘述統計 27
5.2權屬別對醫療成效之影響 31
5.3健保後權屬別對醫療成效影響之結構性變化 38
6.醫院競爭對醫院產出影響:敘述統計與實證結果 45
6.1敘述統計 45
6.2健保前後醫院競爭變化對醫院產出影響之估計結果 50
6.3健康保險與醫院規模 56
7.結論 58
8.參考文獻 61
dc.language.isozh-TW
dc.title全民健康保險實施前後醫院權屬別與市場競爭對醫療成效之影響zh_TW
dc.titleThe Effect of Ownership and Competition on Hospital Outcomes before and after the National Health Insuranceen
dc.typeThesis
dc.date.schoolyear99-2
dc.description.degree碩士
dc.contributor.oralexamcommittee江淳芳(Chun-Fang Chiang),連賢明(Hsien-Ming Lien)
dc.subject.keyword全民健康保險,醫院權屬別,醫院競爭,醫療成效,死亡率,醫療費用,zh_TW
dc.subject.keywordNational Health Insurance,Hospital Ownership,Hospital Competition,Hospital Outcome,Mortality,Treatment Expenditure,en
dc.relation.page65
dc.rights.note有償授權
dc.date.accepted2011-08-09
dc.contributor.author-college社會科學院zh_TW
dc.contributor.author-dept經濟學研究所zh_TW
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