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題 名 | 全民健保藥品政策與藥品費用的經濟分析=Economic Analysis of NHI Pharmaceutical Policies and Drug Expenditures |
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作 者 | 程馨; 謝啟瑞; | 書刊名 | 經社法制論叢 |
卷 期 | 35 2005.01[民94.01] |
頁 次 | 頁1-42 |
分類號 | 412.24 |
關鍵詞 | 藥品政策; 藥品費用; 全民健保; 藥品價格; 藥價差; Pharmaceutical policy; Drug expenditure; National health insurance; Drug price; Price difference on drugs; |
語 文 | 中文(Chinese) |
中文摘要 | 本文分析全民健保藥品政策內涵與其發展歷程,並結合實證資料,探討藥品政策對臺灣藥費成長趨勢與結構之影響。本文的分析顯示,全民健保藥品政策對藥費成長的控制,具有顯著的成效。在1996年到2002年之間,健保藥品支出的平均年成長率只有6.4%,遠低於同一時期歐美諸多先進國家的藥費成長率。儘管在藥費控管方面的成效卓著,但全民健保的藥品政策也產生許多政策扭曲效果,包括促成病患向大型醫院集中,以及忽略醫療提供者之藥價差誘因機制,導致醫療院所不斷更換藥品的品項替代現象。另一方面,健保藥品政策能達到使藥品支出溫和成長的成效,有很大的比例是要歸因於新藥佔率偏低的結果。在新藥具有顯著健康效益的情況下,以延緩新藥上市為代價來降低藥品費用的成長,使健保藥品政策陷入藥品費用控制與國民健康改善無法同時兼顧的兩難困境。因此,消除或減緩政策的扭曲效果,並在價格管制之外,尋求更多的政策工具搭配,使費用控制與健康效益改善等兩個不同目標能同時平衡兼顧,是健保藥品政策改革的重要努力方向。 |
英文摘要 | This paper investigates the evolution of pharmaceutical policies under the system of National Health Insurance (NHI) in Taiwan, and empirically examines the effect of these policies on drug expenditure. Overall, the effect of pharmaceutical policies on drug expenditure. Overall, the effect of pharmaceutical policies on cost control is significant. During the period between 1996 and 2002, the average annual growth rate on NHI drug expenditure was 6.4%, which is lower than the growth rates of most OECD countries. However, the pharmaceutical policies led to many distortion effects, including the adverse effect on patient flows toward larger hospitals, and the financial incentives of drug substitutions. Furthermore, the moderate growth on drug expenditure is mainly due to the low share of newer drugs. As a result, the pharmaceutical policies fall into a fundamental tradeoff between cost control and health gain, given the fact that newer drugs often generate significant net benefits for people health. An important policy implication for our study is that the government needs to adopt more policy tools to avoid the conflicts between different policy objectives and make a balance between cost control and health benefits. |
本系統中英文摘要資訊取自各篇刊載內容。