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  1. NTU Theses and Dissertations Repository
  2. 公共衛生學院
  3. 健康政策與管理研究所
請用此 Handle URI 來引用此文件: http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/80687
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dc.contributor.advisor楊銘欽(Ming-Chin Yang)
dc.contributor.authorChien-Hsun Leeen
dc.contributor.author李建勳zh_TW
dc.date.accessioned2022-11-24T03:12:56Z-
dc.date.available2021-11-03
dc.date.available2022-11-24T03:12:56Z-
dc.date.copyright2021-11-03
dc.date.issued2021
dc.date.submitted2021-10-21
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L., Perkins, M., Blough, D. K., Cunningham, F. E., Fortney, J. C., Liu, C. F. (2010). Increasing copayments and adherence to diabetes, hypertension, and hyperlipidemic medications. Am J Manag Care, 16(1), e20-34. Mann, B. S., Barnieh, L., Tang, K., Campbell, D. J., Clement, F., Hemmelgarn, B., Manns, B. J. (2014). Association between drug insurance cost sharing strategies and outcomes in patients with chronic diseases: a systematic review. PLoS One, 9(3), e89168. doi: 10.1371/journal.pone.0089168 Maté le Polain, M. F., Marc Koopmanschap, Irina Cleemput (2010). Drug reimbursement systems: international comparison and policy recommendations. In T. B. H. C. K. Centre (Ed.). The Government of British Columbia Medical Services Plan. (2021). Retrieved from https://www2.gov.bc.ca/gov/content/health/health-drug-coverage/msp. The Danish Medicines Agency Medication Reimbursement Limits. (2021). Retrieved from https://laegemiddelstyrelsen.dk/da/tilskud/beregn-dit-tilskud/tilskudsgraenser/. 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Tambor, M., Pavlova, M., Rechel, B., Golinowska, S., Sowada, C., Groot, W. (2014). Willingness to pay for publicly financed health care services in Central and Eastern Europe: evidence from six countries based on a contingent valuation method. Soc Sci Med, 116, 193-201. doi: 10.1016/j.socscimed.2014.07.009 Wong, A., Goh, S. N., Sowa, P. M., Bauer, J. D. (2020). A narrative review of healthcare financing and reimbursement of nutritional support for patients in Singapore. Health Policy, 124(10), 1146-1154. doi: https://doi.org/10.1016/j.healthpol.2020.06.008 Yang, B.-m., Bae, E.-y., Kim, J. (2008). Economic Evaluation And Pharmaceutical Reimbursement Reform In South Korea’s National Health Insurance. Health Affairs, 27(1), 179-187. doi: 10.1377/hlthaff.27.1.179
dc.identifier.urihttp://tdr.lib.ntu.edu.tw/jspui/handle/123456789/80687-
dc.description.abstract為了紓解全民健保財務壓力,2021年保險費率從4.69%調漲至5.17%,補充保費費率也連動調整,從1.91%漲至2.11%;此外,健保署也提出部分負擔改革構想,希望能挹注健保財源,其中也包括藥品部分負擔之改革,唯尚未調查民眾對這些改革之之意見。因此本計畫利用自擬結構式問卷,探討一般民眾對於健保藥品費用部份負擔方式之意見。資料蒐集方法為透過網路社群平台發送邀請,請20歲以上民眾上網填答此一匿名問卷,再利用統計軟體進行描述性統計、二變項分析、及複迴歸分析等方法,檢定自變項(包括社會人口學特徵與與民眾健康相關因素)與依變項(包括對藥品費用分攤方式接受度、部分負擔意願與部分負擔上限額度設定)之相關性。 研究結果顯示,民眾社會人口學特徵與與健康相關因素對於藥品部分負擔認同程度、藥品部分負擔付費意願與自費上限額度設定方式具相關性。在藥品部分負擔認同程度之調查上,發現原本就了解健保藥品部分負擔計算方式的台灣民眾僅有21.59%;逾五成民眾完全可以接受目前的健保的門診藥費部分負擔與健保門診藥費部分負擔每次需付200元的上限金額規定;有66.37%的民眾贊成與非常贊成提高目前健保門診藥費部分負擔的最高上限金額,其中又以較年輕、學歷較高、職業為醫療保健相關者、沒有慢性疾病與沒有領慢性疾病連續處方箋者較為支持。此外,超過半數民眾完全支持提高健保門診藥費負擔金額上限的目的是在於「讓民眾有成本意識,多拿藥就要多負擔,減少藥品浪費」及「讓新藥可以早一點納入健保」;顯示台灣民眾對於健保藥品部分負擔認同度高,且大多也接受未來健保藥品部分負擔相關政策改革。zh_TW
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Previous issue date: 2021
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dc.description.tableofcontents國立臺灣大學碩士學位論文口試委員會審定書 I 致謝 II 中文摘要 III 英文摘要 IV 目錄 VI 圖目錄 VIII 表目錄 IX 第一章 緒論 1 第一節、 研究緣起與動機 1 第二節、目的 3 第三節、名詞定義 3 第二章 文獻回顧 4 第一節、 各國藥品費用分攤模式 4 第二節、 民眾對藥品費用分攤模式看法之實證研究 32 第三章 研究方法與材料 35 第一節、 研究架構 35 第二節 研究設計 36 第三節 研究假說 36 第四節 研究變項與操作型定義 36 第五節 資料來源與蒐集工具 46 第六節 資料處理與分析 46 第四章 結果 48 第一節 描述性分析 48 第二節 雙變項分析 57 第三節 多變項分析 104 第五章 討論 119 第一節 假說檢定結果 119 第二節 研究限制 122 第六章 結論與建議 124 第一節 結論 124 第二節 建議 125 參考文獻 128 附錄 131 附錄一、研究論理委員會通過證明 131 附錄二、問卷內容 132
dc.language.isozh-TW
dc.subject全民健保zh_TW
dc.subject自費上限zh_TW
dc.subject藥品部分負擔zh_TW
dc.subjectco-payment upper limiten
dc.subjectnational health insuranceen
dc.subjectprescription drug co-paymenten
dc.title民眾對於健保藥品費用部分負擔方式之意見調查zh_TW
dc.titleA study on the opinion of the general public toward the models of cost sharing for medicines under the National Health Insuranceen
dc.date.schoolyear109-2
dc.description.degree碩士
dc.contributor.oralexamcommittee李玉春(Hsin-Tsai Liu),郭年真(Chih-Yang Tseng)
dc.subject.keyword全民健保,藥品部分負擔,自費上限,zh_TW
dc.subject.keywordnational health insurance,prescription drug co-payment,co-payment upper limit,en
dc.relation.page138
dc.identifier.doi10.6342/NTU202103846
dc.rights.note同意授權(限校園內公開)
dc.date.accepted2021-10-21
dc.contributor.author-college公共衛生學院zh_TW
dc.contributor.author-dept健康政策與管理研究所zh_TW
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