题名

如何使用健保資料進行經濟研究

并列篇名

How to Use National Health Insurance Data to Conduct Health Economics Research

DOI

10.6277/ter.2008.361.4

作者

連賢明(Hsien-Ming Lien)

关键词

健保資料庫 ； 醫療研究資料 ； 全民健保 ； Taiwan national health insurance data ； Health research data ； Universal health insurance

期刊名称

經濟論文叢刊

卷期/出版年月

36卷1期（2008 / 03 / 01）

页次

115 - 143

内容语文

繁體中文
中文摘要

全民健保自民國84年開辦後，至今已累積近10年的健保資料。如何透過已累積經驗，從中學習控制逐年高漲的健保費用是衛生當局的一個重要課題。本文從一個健保資料研究者的角度，討論健保資料庫的優點和缺點，使用原則和操作技巧，以及潛力和限制。作者首先透過和其他現有醫療資料庫的比較，使讀者瞭解健保資料庫的優缺點。由於健保資料庫檔案衆多，依據各檔案特性，作者先將健保資料庫區分為三大子資料庫：費用檔，醫令檔，和基本資料檔；其次，針對各子資料庫的整理、各子資料庫間的串結、以及健保和非健保資料連結這三部分，說明健保資料的處理原則。最後，透過一個研究實例，詳細解釋如何將處理原則和實務操作相結合，並提供一些研究方向供參考。
英文摘要

Since the inception of National Health Insurance in 1995, Taiwan has accumulated a decade of National Health Insurance Data (NHID). This data can assist the health authority to learn to help control the rising health spending. From a researcher's perspective, this paper discusses advantages and disadvantages, possibilities and restrictions, as well as principles and skills for using NHID. I first show the strength and weakness of NHID by comparing NHID with other important health data sets in Taiwan. Because NHID consists of many data files, I regroup these files into three sub-databases based on each file's specific role: expenditures, medical orders, and basic characteristics of patients, providers and physicians. Then I describe the rules concerning how to analyze each sub-database, how to merge files from two different sub-databases, and how to connect NHID with other non-health data. Finally, I use a research example to explain in detail the process of data construction, and discuss directions of future research.
主题分类 社會科學 > 經濟學
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被引用次数
  1. 黃寶(Pao Huang);王仁宏(Jen-Hung Wang);樊志成(Chih-Cheng Fan);陳柏廷(Po-Ting Chen);梁忠詔(Chung-Chao Liang)(2021)。外傷性脊髓損傷者使用健保資源秏用率及復健之介入初探。台灣復健醫學雜誌。49(2)。173-182。 
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