题名

台灣地區中老年人肥胖相關疾病之改善效益－兩階段估計法之應用

并列篇名

Evaluating the Benefits of Ameliorating Obesity Relevant Diseases on Middle and Older Aged People in Taiwan-A Two-Stage Approach

作者

李杰憲(Chieh-Hsien Lee)

关键词

身體質量指數 ； 總醫療支出 ； 兩階段估計法 ； Body Mass Index ； Medical Expenditure ； Two-Stage Analysis

期刊名称

經濟研究

卷期/出版年月

49卷1期（2013 / 01 / 31）

页次

135 - 166

内容语文

繁體中文
中文摘要

本文從影響因素著手，使用「竹東及朴子地區心血管疾病長期追蹤研究」問卷與健保資料庫的資料，估計中老年人肥胖相關疾病之改善效益。另外，分析罹病者全部的總醫療支出有其政策涵義，因此我們增加非特定疾病的分析與肥胖相關疾病加以比較。結論顯示，若能改善台閩地區罹患肥胖相關疾病之中老年肥胖及過重罹病者的身體質量指數至正常水準，約可以減少總醫療支出57.1億元及10.2億元。若考量的是非特定疾病，約可以減少71.3億元及24.9億元。
英文摘要

This paper uses the impact factors to evaluate the benefits of ameliorating obesity relevant diseases among middle-aged and elderly people in Taiwan. Data from the ”Cardiovascular Disease Risk Factors: A Two Township Study” project and National Health Insurance (NHI) are used for the empirical analysis. Moreover, because realizing the total medical expenditure of the sample has policy implications, we also investigate the non-specific diseases and compare them with obesity relevant diseases. The results show that if we can ameliorate obesity among middle-aged and elderly people and reduce the body mass index of ill and overweight persons to the standard level, the costs of our medical services would decrease NT $5.71 billions and NT$1.02 billions, respectively. If the non-specific diseases are counted in as well, then the medical costs for corresponding groups would cut NT $7.13 billions and NT$2.49 billions respectively.
主题分类 社會科學 > 經濟學
参考文献
  1. 傅祖壇、李杰憲(2006)。改善心臟血管疾病之效益衡量—群體歸因風險模式之應用。經濟研究，42(2)，151-182。
    連結：
  2. WHO (2001), The International Classification of Diseases, 9th Revision, Clinical Modification: ICD-9-CM, http://www.who.int/classifications/icd/en/.
  3. 行政院衛生署 Department of Health, Executive Yuan (2011)，「中華民國98 年國民醫療保健支出報告」“The Expenditure of Medical and Health Care in Taiwan (2009)”，http://www.gov.tw/CHT2006/DM/DM2_2.aspx?now_fod_list_no=11662&class_no=440&level_no=2。(in Chinese)
  4. 潘文涵 Pan, Wen-Harn (1999)，「竹東及朴子地區心血管疾病長期追蹤研究，第五循環計畫」“Cardio Vascular Disease Risk Factor Two-Township Study, Cycle5”，http://www.ibms.sinica.edu.tw/~pan/cvdfacts/cvdfacts.html。(in Chinese)
  5. 行政院衛生署 Department of Health, Executive Yuan (2006)，「國人肥胖定義及處理原則」“Obesity Definition and Principle of Handling in Taiwan” ， http://www.doh.gov.tw/CHT2006/DM/DM2_p01.aspx?class_ no=25&now_fod_list_no=3942&level_no=2&doc_no=32。(in Chinese)
  6. 行政院衛生署 Department of Health, Executive Yuan (2009)，「國民營養健康狀況變遷調查報告」“Nutrition and Health Survey in Taiwan”，http://nahsit.nhri.org.tw/。(in Chinese)
  7. Anderson K. M.,Odell, P. M.,Wilson, P. W. F.,Kannel, W. B.(1991).Cardiovascular Disease Risk Profiles.American Heart Journal,121(1-2),293-298.
  8. Colditz, G. A.,Manson, J. E.,Stampfer, M. J.,Rosner, B.,Willett, W. C.,Speizer, F. E.(1992).Diet and Risk of Clinical Diabetes in Women.The American Journal of Clinical Nutrition,55(5),1018-1023.
  9. Daviglus, M. L.,Liu, K.,Yan, L. L.,Pirzada, A.,Manheim, L.,Manning, W.,Garside, D. B.,Wang, R.,Dyer, A. R.,Greenland, P.,Stamler, J.(2004).Relation of Body Mass Index in Young Adulthood and Middle Age to Medicare Expenditures in Older Age.The Journal of the American Medical Association,292(22),2743-2749.
  10. Fu, T.,Wen, T. K.,Yen, P.,Chang, H. Y.(2008).Costs of Metabolic Syndrome Related Diseases Induced by Obesity in Taiwan.Obesity Reviews,9(Suppl. 1),68-73.
  11. Heckman, J.(1974).Shadow Prices, Market Wages, and Labor Supply.Econometrica,42(4),679-694.
  12. Johnson, E.,McInnes, M. M.,Shinogle, J. A.(2006).What Is the Economic Cost of Overweight Children?.Eastern Economic Journal,32(1),171-187.
  13. Segal, M.(1994).Stalking the Wild Mushroom.FDA Consumer,28(8),20-24.
  14. Seidell, J. C.,Deerenberg, I.(1994).Obesity in Europe: Prevalence and Consequences for Use of Medical Care.Pharmacoeconomics,5(Suppl. 1),38-44.
  15. Swinburn, B. A.,Heitmann, B. L.,Carmichael, H.,Rowley, K.,Plank, L.,McDermott, R.,Leonard, D.,O''Dea, K.(1997).Are There Ethnic Differences in the Association between Body Weight and Resistance, Measured by Bioelectrical Impedance?.International Journal of Obesity,21(12),1085-1092.
  16. Thompson, D.,Brown, J. B.,Nichols, G. A.,Elmer, P. J.,Oster, G.(2001).Body Mass Index and Future Healthcare Costs: A Retrospective Cohort Study.Obesity Research,9(3),210-218.
  17. Wolf, A. M.,Colditz, G. A.(1996).Social and Economic Effects of Body Weight in the United States.The American Journal of Clinical Nutrition,63(3),4665-4695.
  18. Wolf, A. M.,Gortmaker, S. L.,Cheung, L.,Gray, H. M.,Hezog, D. B.,Colditz, G. A.(1993).Activity, Inactivity, and Obesity: Racial, Ethnic and Age Differences Among Schoolgirls.American Journal of Public Health,83(11),1625-1627.
  19. 王國恩(2003)。國立台灣大學農業經濟研究所=Department of Agricultural Economics, National Taiwan University。
  20. 張育菁(2005)。國立陽明大學醫務管理研究所=Institute of Hospital and Health Care Administration, National Yang-Ming University。
  21. 葉玫君(2004)。淡江大學產業經濟學系=Department of Industrial Economics, Tamkang University。
print cancel