健保的六大迷思 -...

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健保的六大迷思 政大財政 連賢明

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  • 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%

  • 34

    -

  • 1.5%3.1%26.2%

    6.429.437.694.6

  • 36

    10

    6550788 179760

    97370 600CT MRI

    10

    65 788 760

    600

  • /Newhouse (1992)

  • (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 -

  • ?

  • 2002Sinzac

  • 77881010

  • 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)

  • 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