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  • 學位論文

Grossman模型的延伸:二分性醫療需求與不確定性

An Extension of Grossman’s Model: A Treatise on Dichotomous Health Consumption and Uncertainty

指導教授 : 林建甫

摘要


本文主旨在延伸Grossman的健康資本模型,延伸考慮醫療需求以及不確定性的二分性。醫療需求可分為兩類:預防性以及治療性醫療需求;而不確定性亦可分為兩類:罹病的不確定性,以及治療的不確定性。 本文除建立醫療需求及不確定性的二分模型外,亦應用模擬的方法得到類似Grossman比較靜態之結果如下:第一,當治療性醫療的價格下降時,預防性醫療的需求會減少,而治療性醫療的需求會增加;第二,當工資率上升時,預防性醫療的需求將減少,而治療性需求將增加;第三,當健康資本的折舊率上升時,將帶動預防性以及治療性醫療需求之增加。 在考慮不確定性的隨機模型中,由於不確定性之存在以及效用函數的凹性,將使得風險趨避者有更高的健康需求。但在最適情況下,不確定性下的健康資本邊際價值將較確定性下小,因此在隨機模型中,健康資本存量將較大。

並列摘要


The main purpose of this paper is to extand Grossman's health capital model, both consider the dichotomous medical consumption and uncertainty. Medical consumption is separated into two kinds: preventive and curative medical consumption, and uncertainty is separated into two kinds as well: the uncertainty of getting ill and the uncertainty of curing for illness. In addition of modeling the dichotomous medical consumption and uncertainty, I apply the method of simulation to point out some similar results to the original Grossman's comparative statics results: (i) when the price of curative medical consumption decreases, the consumption of preventive medical care decreases, and the demand for curative medical consumption rises; (ii) when the wage rate rises, it makes the use of preventive medical care decrease, and the demand for curative medical care rise; (iii) when the depreciation rate increases, both curative and preventive medical care increase. In the stochastic model considering uncertainty, I conclude that because of the uncertainty and the concavity of the utility function, the risk-averse individual values health more. However, the marginal valuation of health capital, at optimum, is smaller in the uncertain case than in the certain case, and thus I conclude that the stock of health capital is larger in the stochastic case. This is the same as our intuition.

參考文獻


Block, M. K. and Heineke, J. M. (1973), "The allocation of effort under uncertainty: the case of risk-averse behavior", Journal of Political Economy 81: 376-385.
Chang, F.-R. (1996), "Uncertainty and investment in health", Journal of Health Economics 15: 369-376.
Cropper, M. L., (1977), "Health, investment in health, and occupational choice", Journal of Political Economy 85: 1273-1294.
Dardanoni, V., and A. Wagstaff (1987), "Uncertainty, inequalities in health and the demand for health", Journal of Health Economics 6: 283-290.
Dardanoni, V., and A. Wagstaff (1990), "Uncertainty and the demand for medical care", Journal of Health Economics 9: 23-38.

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