The Impact of the Global Budget on Hospital Prescription Decision in Taiwan - an Empirical Study on Hypertensive Patients
碩士 === 淡江大學 === 會計學系碩士班 === 100 === To control the medical expenses and prevent health insurance deficit expanded continually, the Bureau of National Health Insurance implement the Global Budget (GB) on July 1, 1998 and the Hospital-Based GB on July 1, 2002. Additionally, in economics, supplier ind...
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| Format: | Others |
| Language: | zh-TW |
| Published: |
2012
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| Online Access: | http://ndltd.ncl.edu.tw/handle/89284962518905026825 |
| Summary: | 碩士 === 淡江大學 === 會計學系碩士班 === 100 === To control the medical expenses and prevent health insurance deficit expanded continually, the Bureau of National Health Insurance implement the Global Budget (GB) on July 1, 1998 and the Hospital-Based GB on July 1, 2002. Additionally, in economics, supplier induced demand (SID) may occur when asymmetric information exists between supplier and consumer. The theory is particularly important in health economic whereby doctors may encourage patients th demand healthcare they do not necessarily need.
The purpose of the study is to explore the impact of GB and SID on pharmaceutical behaviors in hospital on antihypertensive drugs and we use Taiwan National Health Insurance Data from 2000 to 2004. We use a first difference approach to control for unobserved characteristics of provider.
The result shows that the relationship between the income effect of the for-profit hospitals and the prescription decision is significantly negative as GB was applied. This result reveals that the for-profit hospitals have stronger financial incentives, which is consistent with prior studies.
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