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研究生:羅佳玲
研究生(外文):Karina Agustin
論文名稱:老年化社會對健保費用變化影響之研究:以台灣為案例
論文名稱(外文):Impact of Aging Society to Healthcare Expenditure of National Health Insurance in Taiwan
指導教授:周碩彥周碩彥引用關係、郭伯勳
指導教授(外文):Shuo-Yan Chou、Po-Hsun Kuo
口試委員:周碩彥、郭伯勳
口試委員(外文):Shuo-Yan Chou、Po-Hsun Kuo
口試日期:2016-06-27
學位類別:碩士
校院名稱:國立臺灣科技大學
系所名稱:工業管理系
學門:商業及管理學門
學類:其他商業及管理學類
論文種類:學術論文
論文出版年:2016
畢業學年度:104
語文別:英文
論文頁數:68
中文關鍵詞:Population shifting、NHI expenditure increasing、age-expenditure profile approach、component decomposing method、linear regression
外文關鍵詞:Population shifting、NHI expenditure increasing、age-expenditure profile approach、component decomposing method、linear regression
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Taiwan’s government is facing new pressures for public healthcare as result of a rapidly increasing healthcare costs and financial imbalances in its National Health Insurance program. Accordingly, analyzing the factors properly is a significant first step in addressing this problem. Graying population in Taiwan is hypothesized as the main reason that accounts for a huge health care expenditure. The sample of population in Taiwan’s National Health Insurance databases together with statistic methods is used to analyze the impact of population aging and to estimate the contributions of population aging shifting to NHI expenditure in Taiwan.
Taiwan’s government is facing new pressures for public healthcare as result of a rapidly increasing healthcare costs and financial imbalances in its National Health Insurance program. Accordingly, analyzing the factors properly is a significant first step in addressing this problem. Graying population in Taiwan is hypothesized as the main reason that accounts for a huge health care expenditure. The sample of population in Taiwan’s National Health Insurance databases together with statistic methods is used to analyze the impact of population aging and to estimate the contributions of population aging shifting to NHI expenditure in Taiwan.
ABSTRACT i
ACKNOWLEDGEMENT ii
TABLE OF CONTENTS iii
LIST OF TABLES v
LIST OF FIGURES vi
CHAPTER 1: INTRODUCTION 1
1.1 Background 1
1.2 Objectives 2
1.3 Organization of Thesis 3
CHAPTER 2: LITERATURE REVIEW 4
2.1 Forecasting 4
2.2 Age-Expenditure Projecting Approach 5
2.3 The fluctuation of the Money Value 6
2.4 Data Mining 6
2.4.1 Linear Regression 6
2.4.2 Regression Validation 7
2.5 The Decomposing of Health Care Expenditure Components Approach 8
CHAPTER 3: METHODOLOGY RESEARCH 12
3.1 Data Sources 12
3.2 Study Cohort 12
3.3 Research Methodology 13
3.4 Age-Expenditure Projecting Approach 15
3.5 Identifying and Decomposing the Components of Health Care Expenditure 15
3.6 Analysis using Data Mining 17
3.6.1 Building Linear Regression Model for Cost Prediction 17
3.6.2 Forecasting the Independent Variable 18
3.6.3 Predicting NHI’s Expenditure 18
3.6.4 Validating the Model 18
CHAPTER 4: ANALYSIS AND RESULTS 19
4.1 Age Distribution of the Patient Cohort 19
4.2 Graph Result Analysis to Provide Hypothesis 20
4.3 Result of Age-Expenditure Profile Analysis 23
4.4 Result of Components Decomposition Method in NHI’s Expenditure 24
4.5 Result of Cost Prediction Model with Linier Regression 25
CHAPTER 5: DISCUSSION AND CONCLUSION 29
5.1 Discussion and Conclusion 29
5.2 Limitation and Future Research 30
REFERENCES 31
APPENDIX 36
D. Thomas and E. Frankenberg, "Health, nutrition and prosperity: a microeconomic perspective," Bulletin of the World Health Organization, pp. 106-113, 2002.
D. M. Berwick, T. W. Nolan and J. Whittington, "The triple aim: care, health, and cost," Health Affairs, vol. 27, pp. 759-769, 2008.
C. (. f. M. a. M. Services), "Personal Health Care Expenditures by Age:," Department of Health and Human Services, Washington, DC, USA, 2006.
L. Mayhew, "Health and Elderly Care Expenditure in an Aging World," International Institute for Applied Systems Analysis, Laxenburg, Austria, 2000.
U. Gertham, "The impact of aging on health care expenditure in Sweden," Health Policy, vol. 47, pp. 98-104, 1993.
M. Seshamani and A. Gray, "The impact of ageing on expenditures in the National Health Service," Age Ageing, vol. 31, pp. 287-294, 2002.
B. Bloom and P. Kissick, "Home and hospital costs of terminal illness," Med. Care, vol. 18, pp. 560-564, 1980.
A. Scitovsky, "„The high cost of dying‟ revisited," Milbank Quart, vol. 72, pp. 561-591, 1994.
J. Lubitz and G. Riley, "Trends in Medicare payments in the last year of life," N. Engl. J. Med., vol. 328, pp. 1092-1096, 1993.
A. Werblow, S. Felder and P. Zweifel, "Population ageing and health care expenditure: A school of," Health Economic, vol. 16, pp. 1109-1126, 2007.
W. Lee, "Diversity of Elderly Leisure Activities and the Transition of Life Stages:," Taiwanese Gerontological Forum, vol. 2, 2009.
L. Luo, "Aging and quality of life in Taiwan," Nova Science Publishers, vol. 4, no. 3, pp. 233-243, 2012.
Y.-W. Tsai and T.-w. Hu, "National health insurance, physician financial incentives, and primary cesarean deliveries in Taiwan," American Journal of Public Health, vol. 92, pp. 1514-1517, 2001.
J. Marquardt, S. Newman, D. Hattarki, R. Srinivasan, S. Sushmita, P. Ram, V. Prasad, D. Hazel, A. Ramesh, M. D. Cock and A. Teredesai, "HealthSCOPE: an interactive distributed data mining framework for scalable prediction of healthcare costs," IEEE, pp. 1227-1230, 2014.
S.-H. Cheng, C.-C. Chen and W.-L. Chang, "Hospital response to a global budget program under universal health," Elsevier. Health Policy, vol. 92, pp. 158-164, 2009.
C.-K. Chang, S. Xirasagar, B. Chen, J. R. Hussey, I.-J. Wang, J.-C. Chen and I.-B. Lian, "Provider behavior under global budgeting and policy responses: an observational study on eye care services in Taiwan," INQUIRY: The Journal of Health Care Organization, Provision, and Financing, pp. 1-10, 2015.
K.-C. Chang and M.-C. Tseng, "Costs of acute care of first-ever ischemic stroke in Taiwan," American Heart Association, vol. 34, pp. 219-221, 2003.
D. Bertsimas, M. V. Bjarnadóttir, M. A. Kane, J. C. Kryder, R. Pandey, S. Vempala and G. Wang, "Algorithmic Prediction of Health-Care Costs," Informs, vol. 56, no. 6, pp. 1382-1392, 2008.
A. Gray, "Population ageing and health care expenditure," Ageing Horizons, no. 2, pp. 15-20, 2005.
B. Dormont, M. Grignon and H. Huber, "Health expenditure growth: reassessing the threat of ageing," Health Economics, vol. 15, pp. 947-963, 2006.
B. Tchoe and S.-H. Nam, "Aging risk and health care expenditure in Korea," International Journal of Environmental Research and Public Health, vol. 7, pp. 3235-3254, 2010.
Premature Baby Foundation of Taiwan, 1 June 2008. [Online]. Available: http://www.pbf.org.tw/enhtml/en-a01.asp. [Accessed 2016].
V. A.J., G. N.J., H. L.M., M.-C. P. and M. E., "Seroprevalence of antibody to varicella zoster virus in England and Wales in children and young adults," Epidemiol Infect, vol. 132, no. 6, pp. 1129-34, 2004.
P. Span, "Avoiding Surgery in the Elderly," The New Old Age, 2012.
P. Zweifel and F. Matteo, "Is there a sisyphus syndrome in health care? in health economics worldwide," Springer Link, vol. 1, pp. 311-330, 1992.
Z. Yang, E. C. Norton and S. C. Stearns, "Longevity and Health Care Expenditures," The Journal of Gerontology, vol. 58, no. 1, pp. S2-S10, 2002.
M. Thomas Bodenheimer, "High and rising health care costs. Part 2: technologic innovation," American College of Physicians, vol. 142, no. 11, pp. 832-937, 2005.
L. Sharma, A. Chandrasekaran, K. K. Boyer and C. M. McDermott, "The impact of Health Information Technology bundles on Hospital performance: An econometric study," Elsevier, vol. 41, pp. 25-41, 2016.
L. Chang and J.-H. Hung, "The Effects of the Global Budget System on Cost Containment and the Quality of Care: Experience in Taiwan," Health Services Management Research, pp. 106-116, 2008.
T.-M. Cheng, "Taiwan’s new National Health Insurance," Health Aff, vol. 22, pp. 61-76, 2003.
T.-M. Cheng, "Taiwan’s health care system: the next 20 years," Brookings, vol. 17, 2015.
D. K. Chu, "Global budgeting of hospitals in Hong Kong," Elsevier. Social Science & Medicine, vol. 35, no. 7, pp. 857-868, 1992.
S. R. Eastaugh, "Viewpoint: national healthcare spending and fiscal control: comparisons among 15 countries," Hospital Topics, vol. 78, no. 4, pp. 9-13, 2000.
P. R. Wolfe and D. W. Moran, "Global budgeting in the OECD countries," Medicare & Medicaid Research Review, vol. 14, no. 3, pp. 55-76, 1993.
C.-L. Yaung, "Looking after the disadvantaged, focus the economy to benefit the people: proposal for NHI premium rate adjustment according to the law," Oral Report to President Ma Ying-Jeou, Taipei, 2010.
S. H. Altman and A. B. Cohen, "The need for a national global," Health Affairs, vol. 12, pp. 194-203, 1993.
M. McCue, J. Thompson and D. Dodd-McCue, "Association of market, mission, operational, and financial factors with hospitals' level of cash and security investments," Inquiry, vol. 37, p. 411–422, 2000.
Y. Hsueh, S. Lee and Y. Huang, "Effects of global budgeting on the distribution of dentists and use of dental care in Taiwan," Health Serv Res, vol. 39, pp. 2135-2153, 2004.
M. Lee and A. Jones, "How did dentists respond to the introduction of global budgets in Taiwan? an evaluation using individual panel data," Int J Health Care Finance Econ, vol. 4, pp. 307-26, 2004.
D. Redmon and P. Yakoboski, "The nominal and real effects of hospital global budgets in France," Inquiry, vol. 32, pp. 174-183, 1995.
K. J. Leonard, M. S. Rauner, M. Maria and R. Yap, "The effect of funding policy on day of week admissions and discharges in hospitals: the cases of Austria and Canada," Science Direct. Health Policy, vol. 63, no. 3, pp. 239-257, 2003.
S.-Y. Chou, M. E. Deily, H.-M. Lien and J. H. Zhang, "Global budgets and provider incentives: hospitals' drug expenditures in Taiwan," Emerald, vol. 22, pp. 103-122, 2010.
A. Lin, "Checking up," Taiwan Healthcare, June 2012. [Online]. Available: https://www.pwc.tw/en/industries/publications/assets/healthcare-en.pdf.
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