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研究生:陳思遐
研究生(外文):Szu-Hsia Chen
論文名稱:家庭醫療保健支出決定因素—分量迴歸法
論文名稱(外文):The Determinants of Family Medical Expenditure:A Quantile Regression Approach
指導教授:陳世能陳世能引用關係
指導教授(外文):Shih-Neng Chen
學位類別:碩士
校院名稱:世新大學
系所名稱:經濟學研究所(含碩專班)
學門:社會及行為科學學門
學類:經濟學類
論文種類:學術論文
論文出版年:2005
畢業學年度:93
語文別:中文
論文頁數:71
中文關鍵詞:健康經濟分量迴歸家庭生產函數醫療支出
外文關鍵詞:quantile regressionmedical expenditurehousehold production functionhealth economics
相關次數:
  • 被引用被引用:34
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  • 下載下載:62
  • 收藏至我的研究室書目清單書目收藏:2
食、衣、住等因素在過去的所得消費中佔有相當大的比例,但隨著經濟發展以及國民所得的增加,這些因素所佔的比重減少,取而代之的是醫療、娛樂以及通訊等支出。根據主計處九十一年度家庭收支調查報告顯示,隨著國人平均壽命延長,衛生保健觀念增強,醫療及保健支出比重增至12.3%。傳統的實證研究上,在研究兩變數乃至多變數之間的關係時,習慣以解釋變數來分析被解釋變數的行為,並且能進一步了解其間的因果關係。而本文以分量迴歸方法(Quantile regression)深入探討,試以解釋OLS迴歸方式所無法解釋的範圍。
本研究資料來源為行政院主計處「家庭收支調查報告」81、86及91年的資料,以家庭為基本單位,實證結果發現分量迴歸在某些場合中的確比OLS模型的解釋能力來得廣。而無論是OLS或是各分量在這三年間家庭所得與醫療支出皆呈顯著的正向關係,在研究醫療支出高的族群中,我們發現除了家庭所得外,在觀察研究醫療支出高的族群時,家庭人數、家庭平均年齡、家中6歲以下孩童人數、家中65歲以上老年人口、居住地區也是要考慮瞭解的部分,因此,影響醫療支出的決定因素除了經濟因素外,非經濟因數中家庭特質的表現影響比興趣與偏好深遠,本文以迴歸模型及分量迴歸模型分別求出其醫療所得彈性,家庭醫療所得彈性以OLS估計為0.33∼0.53,而在分量迴歸下,各分量的醫療所得彈性為0.209∼0.539,顯示不論在OLS模型下估計,還是分量迴歸模型,表示家庭醫療總支出為正常財,且為必需品。
The expenditures on foods, dressings, and hosing etc. share a large portion of household income. As an economy develops and income increases, shares of above factors decline but shares of health care, entertainment, and communication increase. According to the 2002 Survey of Family Income and Expenditures (SFIE), as the aging of the population, the share of health care expenditure in GDP increases up to 12.3%. In traditional empirical analysis, one usually uses a regression approach to analyze the causal relationship between a dependent variable and a set of independent variables. In this study, we use a quantile regression method to assess the various marginal effects of an independent on the distribution of household health care expenditure in comparison with the OLS mean regression method.
The household data used are the SFIE in 1992, 1997, and 2002. Empirical results show that quantile regression offers broader estimates of marginal effects than the OLS regression method. Family income and family medical expenditure have significantly positive relationship. The factors of family members, family mean age, number of kids (below 6 years old) and elders (above 65 years old), and residence region influence the portion of the highest medical expenditure quantile. In addition to economic factors, family traits have greater influences than interests and hobbies in the non-economic factors. The medical income elasticities of OLS estimates are 0.33 to 0.53 and of the quantile estimates are 0.209 to 0.539. This implies that family medical expenditure is a normal good and also a necessity.
中文摘要……………………………………………………………………………... i
英文摘要…………………………………………………………………………… ii
目錄…………………………………………………………………………………... iii
表目錄………………………………………………………………………………... v
圖目錄………………………………………………………………………………... vi
第一章 緒論
第一節 研究動機與背景…………………………………………………… 1
第二節 研究目的與方法…………………………………………………….. 3
第三節 預期結果與全文架構……………………………………………….. 4
第二章 文獻探討
第一節 總體經濟關於醫療支出影響因素的探討………………………….. 6
第二節 個體經濟關於醫療支出影響因素的探討………………………….. 15
第三節 綜合歸納…………………………………………………………….. 22
第三章 模型設定
第一節 Becker家庭生產函數(純消費模型, pure consumption model)… 25
第二節 分量迴歸法………………………………………………………….. 27
第三節 模型的建構…………………………………………………………... 31
第四章 資料描述
第一節 資料來源……………………………………………………………... 36
第二節 經濟因素的基本描述………………………………………………... 37
第三節 其他因素的基本描述………………………………………………... 39
第五章 實證結果
第一節 81年度所得的結果…………………………………………………. 45
第二節 86年度所得的結果………………………………………………….. 48
第三節 91年度所得的結果…………………………………………………. 51
第四節 綜合歸納……………………………………………………………. 54
第六章 結論與建議
第一節 結論與建議………………………………………………………….. 56
第二節 研究的限制…………………………………………………………. 59
參考文獻………………………………………………………………………… 67
1.方文秀(2004),“分量迴歸在三因子模型的應用-以台灣股票市場為例”,樹德科技大學金融保險研究所碩士論文
2.方曉娟 (1992),”台北市兒童醫療需求的實證研究”,國立政治大學經濟學研究所碩士論文。
3.王顯達,網站http://emag.ncnu.edu.tw/show.asp?dataID={1630CE53-DE5B-4B66-B4D9-202DE5440EFB}
4.行政院主計處(1992、1997、2002),“家庭收支調查報告”,行政院主計處出版
5.吳聖良等(2000),”原住民健康情形之研究”,中華民國健康暨促進衛生教育學會出版
6.林于權(2004),“ 臺灣地區教育投資報酬率之實證分析 : 以分量迴歸模型探討”,暨南國際大學經濟學系碩士論文
7.林政勳(2004),“Fama-French三因子模式之實證研究 : GARCH模型與分量迴歸之應用 : an application of GARCH model and quantile regression”,真理大學管理科學研究所碩士論文。
8.邱雅苓,台灣醫療保健支出成長因素之探討—時間序列及門檻模型之應用,世新大學管理學院經濟學系碩士論文,2001年6月。
9.胡文川(2003),“初構醫療產業經濟學 : 科際整合的新取向”,四章堂文化。
10.曹嬿�� (1992),”醫療需求理論與台灣實證研究”,國立政治大學經濟學研究所碩士論文。
11.許瑞宏(2003),“臺灣貨幣需求實證研究 : 誤差修正模型之分量迴歸”,國立臺灣大學經濟學研究所碩士論文。
12.陳世能 (1998),“醫療保健與經濟發展關聯性之研究”,世新大學學報,8:35-63。
13.陳世能 (1999),“醫療保健與經濟成長-價格分析法”,東吳經濟商學學報,26:55-85。
14.陳世能 (2004),“資訊來源、營養知識與營養攝取量之分配探討一分量迴歸法”,台灣經濟學會 2004 年會論文。
15.彭裕嘉(2002),“分量迴歸在流動性風險上的應用”,國立中正大學企業管理研究所碩士論文。
16. 黃信樺(2003),名次檢定在線性迴歸與分量迴歸顯著性檢定之探討,國立中正大學國際經濟研究所碩士論文
17.楊惟智(2001),“醫療需求理論之台灣實証分析”,私立世新大學經濟研究所碩士論文。
18.管中閩教授,分量迴歸模型 (Quantile Regression Model),財務時間數列分析應用講習會,世新大學財金系主辦,民國 92 年 6 月 25 日至 6 月 27 日。
19.劉宜芳(2003),“拔靴法在分量迴歸顯著性檢定之應用”,國立中正大學國際經濟研究所碩士論文
20.鄭保志,胡玉蕙 (1997),“台灣家庭醫療需求的實證分析”,台北銀行月刊,27:71-88。
21.鄭新慶(2004),“台灣醫療支出成長因素之探討-時間序列與有像圖之應用”,逢甲大學會計與財稅研究所碩士論文
22.盧瑞芬、謝啟瑞(2000),“醫療經濟學”,學富文化事業有限公司。
23.謝啟瑞 (1994),“兒童醫療需求的實證分析”,經濟論文叢刊,22(1):1-23。
24.謝啟瑞 (1997),“健康經濟學”,五南書局
25.謝啟瑞、林建甫、游慧光,”台灣醫療保健支出成長原因的探討”,人文及社會科學集刊,第十卷第一期,87年3月,頁1~32。
26.Abrevaya,J.(2001),“The Effects of Demographics and Maternal Behavior on the Distribution of Birth Outcomes”,Empirical Economics,26:247-57.
27.Acton, J.P. (1975),“Nonmonetary Factors in the Demand for Medical Services: Some Empirical Evidence”,Journal of Political Economy , 83(3):595-614.
28.Arrow, Kenneth (1963), “Uncertainty and the Welfare Economics of Medical Care.” American Economic Review, Vol.53, 941-973.
29.Auster, R.D., Leveson, I., and Sarachek, D. (1969),“The Production of Health,and Exploratory Study” ,Journal of Human Resources, 4:411-436.
30.Becker, G.S. (1965),“A Theory of the Allocation of Time”,〞The Economic Journal, 75:299, 493-517.
31.Blomqvist, A.G. and R.A.L. Carter (1997), “Is health care really a Luxury?” Journal of Health Economics,Vol.16, 227-234.
32.Brook, R.H., et al. (1983),“Dose Free Care Improve Adults’ Health ?: Results from a Randomized Controlled Trial” ,The New England Journal of Medicine, 309:1426-1434.
33.Buchinsky, M. (1994),“Changes in the U.S. Wage Structure 1963-1987:Application of Quantile Regression.”Econometrica, 62:405-58.
34.Buchinsky, M. (1998),“The Dynamics of Changes in the Female Wage Distribution in the USA: A Quantile Regression Approach”,Journal of Applied Econometrics , vol 13, 1-30.
35.Cauley, S.D. (1987),“The Time Price of Medical care ,”Review of Economics &Statistics, 69(1):59-66.
36.Chen, S. (1996),“Nutrition, Health, and Prices: A Household Production Approach, ” Journal of Shih-Hsin University, 6:163-198。
37.Chen, S., Shogren, J.F., Orazem, P.F., and Crocker, T.D. (2000),“Price and Health: Identifying the Effects of Nutrition, Exercise, and Medication Choices on Blood Pressure” ,Working Paper.
38.Cheng, S.H., and Chiang, T.L. (1997),〝The Effect of Universal Health Insurance on Health Care Utilization in Taiwan,〞Journal of the American Medical Association,278(2):89-93.
39.Corman, H., Joyce, T.J., and Grossman, M. (1987),“Birth Outcome Production Functions in United States” ,Journal of Human Resources,22:339-360.
40.Culyer,A. J. (1989) "Cost Containment in Europe",Health Care Review,Annual Supplement.
41.Engale, R. and S. Manganelli (1999), “CAViaR: Conditional Autoregressive Value at Risk by Regression Quantiles,” NBER working paper No. 7341.
42.Feldstein, M.S.(1995), “The Economics of Health Care: What Have We Learned? What Have I Learned?” American Economics Review, 85(2):28-31.
43.Fuchs, V.R. (1974), Who Shall Live? New York: Basic Books, Inc. Getzen, T.E. (2000),“Health Care is an Individual Necessity and a National Luxury : Applying Multilevel Decision Models to the Analysis of Health care Expenditures” ,Journal of Health Economics,19:259-270.
44.Gerdtham, U. and M. Lothgren (2000), “On Stationarity and Cointegration of International Health Expenditure and GDP.” Journal of Health Economics, Vol. 19, pp.461~75.
45.Gerdtham, U., J. Søgaard, F. Andersson and B. Jönsson (1992), “An Econometric Analysis of Health Care Expenditure: A Cross-Section Study of the OECD Countries.” Journal of Health Economics, Vol. 11, pp.63~84.
46.Getzen, T.E. (1990), “Macro Forecasting of National Health Expenditures.” in Richard M. Scheffler and Louis F. Rossiter eds. Advances in Health Economics and Health Services Research, Vol. 11, Greenwich, Conn: JAI Press.
47.Getzen, T.E.(2000), “Health Care is an Individual Necessity and a National Luxury: Applying Multilevel Decision Models to the Analysis of Health Care Expenditures.” Jurnal of Health Economics, Vol.19, 259-270
48.Grossman, Micheal(1972),“On the Concept of Health Capital and the Demand for Health,”Journal of Political Economy, 80(2):223-255
49.Hadley, J. (1982), More Medical Care, Better Health?, Washington, D.C.: Urban Institute
50.Hadley, J. (1988),“Medicare Spending and Mortality Rates of the Elderly” ,Inquiry,25:485-493.
51.Hansen, P. and A. King (1996), “The Determinants of Health Care Expenditure: A Cointegration Approach.” Journal of Health Economics, Vol. 15, pp.127~37.
52.Haveman, R., Wolfe, B., Kreider, B., and Stone, M. (1994),“Market Work, Wages, and Men’s Health” ,Journal of Health Economics, 13:163-182.
53.Hitiris, T. and J. Posnett (1992), “Note: The Determinants and Effects of Health Expenditure in Developed Countries.” Journal of Health Economics, Vol.11, 173-181
54.Hunt-McCool, J., Kiker, B.F., and Ng, Y.C. (1995),“Gender and the Demand for Medical Care,”Applied Economics, 27:483-495.
55.James W. Henderson, “Health Economic & Policy,”2001.
56.Jewell, T., J. Lee, M. Tieslau and M.C. Strazicich, (2003), “Stationarity of health expenditures and GDP: evidence from panel unit root tests with heterogeneous structureal breaks.” Journal of Health Economics, Vol.22, 313-323.
57.Kamhon Kan, and Wei-Der Tsai(2004),”Obesity and Risk Knowledge,” Journal of Economics 23(5), 907-934.
58.Kenkel, D. (1990),“Consumer Health Information and the Demand for Medical Care”,The Review of Economics and Statistics, 72(3):587-595.
59.Kenkel, D.S. (1995),“Sould You Eat Breakfast? Estimates From Health Production Functions, ”Health Economics, 4:15-29.
60.Kleiman, E. (1974), “The determinants of national outlay on health.” The Economics of Health and Medical Care, In M. Perlman(ed.), London: Macmillan.
61.Koenker R. and K.F. Hallock(2001),“Quantile Regression: An Introduction.”Journal of Economic Perspectives, 15(4): 143-56.
62.Koenker, R. (1994) : “Confidence intervals for regression quantiles,” in Asymptotic Statistics: Proceedings of the 5th Prague Symposium on Asymptotic Statistics, ed. by M. P., and M. Huskova’. Physica-Verlag: Heidleberg.
63.Koenker, R. and G. Bassett(1978),“Regression Quantile.”Econometrica,46: 33-50.
64.Koenker, R. and Hallock K. F. (2001), “Quantile Regression. An introduction”,Working Paper.
65.Koenker, R. and V. d’Orey(1987),”Computing Regression Quantile,” Statistical Algorithms, 383-393.
66.Koenker, R.(2000),“ Quantile Regression.”
67.Leu, R.E. (1986), “The Public-private Mix and International Health Care Costs.” in Culyer, A. J. and B. Jonsson eds, Public and Private Health Services: Complementaries and Conflicts, Oxford: Basic Blackwell.
68.Manning, W.G., Newhouse, J.P., and Duan, N. et al. (1987),“Health Insurance and the Demand for Medical Care: Evidence from a Randomized Experiment” ,The American Economic Review,77(3):251-277.
69.McCoskey, S.K. and T.M. Selden (1998), “Health Care Expenditures and GDP: Panel Data Unit Root Test Results.” Journal of Health Economics, Vol. 17, pp.369~76.
70.Milne, R. and H. Molana (1991), “On the Effect of Income and Relative Price on Demand for Health Care: EC evidence.” Applied Economics, Vol. 23, pp.1221~26.
71.Murthy, N.R.V. and V. Ukpolo (1994), “Aggregate Health Care Expenditure in the United States: Evidence from Cointegration Tests.” Applied Economics, 26:8, pp.797~802.
72.Newhouse, J.P. (1977), “Medical-care Expenditure:A Cross-national Survey.” The Journal of Human Resources, Vol. 12, pp.115~25.
73.Newhouse, J.P. (1992), “Medical Care Cost:How Much Welfare Loss?” Journal of Economic Perspectives, Vol. 6:3, pp.3~21.
74.Newhouse, J.P., and Friedlander, L.J. (1980),“The Relationship Between Medical Resources and Measures of health: Some Additional Evidence”,Journal of Human Resources, 15:200-218.
75.Parkin, D., A. McGuire and B. Yule (1987), “Aggregate Health Care Expenditures and National Income: Is Health Care A Luxury Good?” Journal of Health Economics, Vol. 6, pp.109~27.
76.Powell, J.L. (2002), “Quantile Regression”, Lecture Notes, Department of Economics, UC Berkeley
77.Rexford E. Santerre , Stephen P. Neun ,“Health Economics”,1999.
78.Schieber GJ, Poullier JP, Greenwald LM. (1992) “ US health expenditure performance: an international comparison and data update.” Health care financing review; 13 (4): 1-88.
79.Taylor, J.W(1999),“A Quantile Regression Approach to Estimating the Distribution of Multiperiod Returns,”Journal of Derivatives, 7,64-78.
80.Valdez, R.B., et al. (1985),“Consequences of Cost-Sharing for Children’s Health”, Pediatrics,75:952-961.
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