健保的六大迷思 -...
TRANSCRIPT
-
6.6
-
2300
1996-2012
Panel Data
-
()
-
63
-
67
-
20
-
20024.55 20105.17
2011
4.91
-
2011
-
> GDP
-
NHE200835000 NHE/GDP20086.4 NHE
OECD NHE/GDP GDP
-
65 201311.6%34.6 %
-
19,934
13,982
7,667
8,044
9,634 11,413
13,579
14,734
16,892 21,177
26,868
33,894
43,612
56,197
66,968
79,150
96,120
0
10,000
20,000
30,000
40,000
50,000
60,000
70,000
80,000
90,000
100,000
2008
2009
2010
2011
2012
/
-
33
65 65
(90~97) 6 12 18
(90~97) 2.84% 0.60% 0.81%
97() 71,810 15,643 21,412
71,810
15,643 =4.6
10
65 98 10.60% 103 12.09% 108 15.44%
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34
-
-
1.5%3.1%26.2%
6.429.437.694.6
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36
10
6550788 179760
97370 600CT MRI
10
65 788 760
600
-
/Newhouse (1992)
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(65
8%(1950) 12%(1980) +15% 5 3.75%
()
67%(1950) 27%(1980) +50% 5 12.5%
1940-90 180% +180% 780% 23%
minor -
minor -
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?
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2002Sinzac
-
77881010
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19771999(ATP)
(ATP)30.7% ATP
99.56%
-
()
95()15,8345,3403.0
-
: 2007
()
5.02
3.693.07
2.792.32
0
1
2
3
4
5
6
-
5.0
3.4
3.0 3.1
2.3
4.2
5.3 5.1 5.1
3.43.23.4
2.8
2.5 2.92.82.4
2.22.4
2.0
0.00
2.00
4.00
6.00
85 86 87 88 89 90 91 92 93 94
I() II III IV V()
=/
-
I II III IV V I II III IV V85 15,891 12,394 11,982 12,204 12,419 100.00 100.00 100.00 100.00 100.0086 16,687 13,225 13,157 12,530 13,088 105.01 106.70 109.81 102.67 105.3987 18,275 14,421 14,007 13,861 13,738 115.00 116.35 116.90 113.58 110.6288 19,921 15,445 15,048 15,625 15,278 125.36 124.62 125.59 128.03 123.0289 19,750 15,724 15,081 15,293 15,578 124.29 126.87 125.86 125.31 125.4490 19,449 16,231 15,474 15,969 16,707 122.39 130.96 129.15 130.85 134.5391 18,723 16,304 16,784 17,057 18,525 117.82 131.54 140.07 139.77 149.1792 20,304 17,064 16,367 18,293 19,651 127.77 137.68 136.60 149.89 158.2393 21,185 17,813 17,628 18,794 21,031 133.31 143.72 147.12 154.00 169.3494 22,952 19,555 19,269 20,265 21,708 144.43 157.78 160.81 166.05 174.8095 24,715 20,175 20,284 20,649 23,135 155.53 162.78 169.29 169.20 186.29
85~95 19,805 16,214 15,916 16,413 17,351 124.63 130.82 132.83 134.49 139.71
() (85=100)
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1999
-
76.3% 23.7%
76.6% 23.4%
78.3% 21.7%
78.6% 21.4%
78.3% 21.7%
78.2% 21.8%
78.0% 22.0%
78.0% 22.0%
76.6% 23.4%
74.7% 25.3%
73.4% 26.6%
0% 20% 40% 60% 80% 100%
85
86
87
88
89
90
91
92
93
94
95
19,197
17,426
18,231
16,488
15,890
15,841
14,462
13,411
12,682
20,590
21,570
-
1999
-
- 1.48%
1.70% 1.60% 1.56% 1.48%
0%
1%
2%
2005 2006 2007 2008
1.70%2.70%
3.60% 4.00%
7.30%
0%1%2%3%4%5%6%7%8%
2005
-
(expenditure target)
(expenditure cap)
-
20
-
DRG
Slide Number 3Slide Number 4Slide Number 6Slide Number 8() Slide Number 15Slide Number 16Slide Number 17Slide Number 18Slide Number 19Slide Number 20Slide Number 21Slide Number 23Slide Number 24Slide Number 26Slide Number 28Slide Number 3065Slide Number 34Slide Number 3510/Newhouse (1992)Slide Number 38Slide Number 40Slide Number 41Slide Number 43Slide Number 44Slide Number 45Slide Number 46Slide Number 48Slide Number 51Slide Number 52Slide Number 54Slide Number 55Slide Number 56Slide Number 57Slide Number 58Slide Number 59Slide Number 60Slide Number 63Slide Number 64