國民醫療保健支出對產業影響－產業關聯之實證分析

Effects of National Health Expenditure on Industries－An Application of Input-output Analysi

張嘉元(Chia-Yuan Chang)

指導教授 ： 洪振義

朝陽科技大學/管理學院/財務金融系/碩士(2009年)

摘要

國民醫療保健支出統計係以當期價格計算醫療經費總值，其中以全民健康保險支出佔最大比例，支出費用逐年快速攀升，顯示醫療服務市場涵蓋的領域日漸擴大，相關產業正蓬勃發展，本研究採用行政院主計處公佈產業關聯表，將1984年至2004年產業各項資料運用「鳥居-深作模型」探討醫療相關產業變化情形；另以1999年及2004年資料為基準，運用波及效果模型探討我國國民醫療保健支出對台灣產業所帶來之經濟效果。
實證結果顯示：
一、經比較1994年至1999年與1999年至2004年醫療相關產業要因產值變動情形，醫療藥品產業及醫療保健服務產業於輸出要因和投入係數要因呈現正向變動，顯示兩項產業在出口經濟率及產業技術提升表現有所進步，至精密器械五項要因變化效果皆呈現正向變動，代表該產業蓬勃發展。
二、運用波及效果模型分別計算1999年、2003年及2007年我國醫療保健支出對台灣產業所產生的效果，實證發現1999年波及效果倍率為1.88，2003年及2007年則上升至1.95，表示醫療保健支出每增加一元所獲得之產值逐漸上揚，代表對整體經濟影響程度增加。

關鍵字

國民醫療保健支出 ； 鳥居-深作模型 ； 要因分解分析 ； 波及效果

並列摘要

National Health Expenditure Statistics were total medical expenses in current prices. Among them, National Health Insurance expenditures accounted for the largest proportion of. Expenditures rise rapidly year by year. It showed the areas covered by the medical service market continue to expand. Related industries were booming. In this study, Directorate-General of Budget, Accounting and Statistics, Executive, R.O.C. published the input-output table by used. All the data on industry from 1984 to 2004, the case of medical-related changes on industry were used in 「Torii-Fukasaku Model」. Another probe was the 1999 and 2004 data as a benchmark. We have analyzed in Spillover effect model to explore the use of our national health care spending for Taiwan''s industry caused by the economic effects.
The results showed that:
1.The comparisons from 1994 to 1999 and from 1999 to 2004 due to production of medical-related industries changed in circumstances. Output value was showed positive changes in Factor analysis of output and input coefficient due to a result of medical pharmaceutical industries and health care service industries. It showed the performances of two industries in the export economy rate and the industrial technology promotion had progresses. The industries of precision machinery flourish on behalf because of positive changed in 5 Factor analysis.
2.The use of Spillover effects model were calculated effects of health expenditure on Taiwan''s industry. The results showed that the magnification toSpillover effects model was 1.88 in 1999. In 2003 and 2007, it was rose to 1.95. It was appeared that health expenditure for each additional dollar of value received by a gradual rise, and effects of the overall economics had increased.

並列關鍵字

Spillover effect model ； Factor analysis model ； Effects of National Health Expenditure ； Torii-Fukasaku Model

參考文獻

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