健保保費改制對養育兒童家戶財務負擔公平性之影響

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Title:	健保保費改制對養育兒童家戶財務負擔公平性之影響
Other Titles:	Assessing Redistributional Effects of a New Financing Mechanism for Households Raising Children
Authors:	韓幸紋;徐偉初;鄭文輝
Contributors:	淡江大學會計學系
Keywords:	全民健保;財務負擔;公平性;National Health Insurance;Financial Burdens;Equity
Date:	2013-07
Issue Date:	2012-12-04 14:48:36 (UTC+8)
Publisher:	臺北市：臺北大學經濟學系
Abstract:	本文比較保費現制（含補充保費）以及二代健保規劃小組提出保費新制方案，觀察保費新制是否使得養育兒童家戶健保財務負擔公平性獲得具體改善。本研究使用1999年綜合所得稅核定檔、承保檔（ID檔），以及門診及住院醫療費用檔等資料，並利用Aronson et al.（1994）模型評估健保財務負擔公平性。結果發現在新制保費計徵方式可大幅減輕養育兒童家戶健保財務負擔，且有效提升其公平性，此結果可供主管機關改革時之參考。 This study aims to evaluate the changes in redistributional effects of current (including supplementary premium) and new financing mechanisms for raising children households. We use 1999 personal income tax files data and National Health Insurance Data as well as utilize the framework of Aronson et al. (1994) to decompose the total redistributional effects of health care financing into vertical, horizontal, and re-ranking effects. The analysis shows that the health care financial burdens and the regressivity of the premium distribution for households raising children would decrease under the proposed new financing mechanism.
Relation:	經濟研究=Taipei Economic Inquiry 49(2)，頁253-296
Appears in Collections:	[Graduate Institute & Department of Accounting] Journal Article

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