教師資料查詢 | 類別: 期刊論文 | 教師: 廖承茂 CHEN-MAO LIAO (瀏覽個人網頁)

標題:Inpatient expenditures on alcohol-attributed diseases and alcohol tax policy: a nationwide analysis in Taiwan from 1966 to 2010
學年103
學期1
出版(發表)日期2014/11/01
作品名稱Inpatient expenditures on alcohol-attributed diseases and alcohol tax policy: a nationwide analysis in Taiwan from 1966 to 2010
作品名稱(其他語言)
著者Chih-Ming Lin; Chen-Mao Liao
單位
出版者
著錄名稱、卷期、頁數Public Health 128(11), pp.977-984
摘要Objectives

To assess the two opposing effects of alcohol tax policy interventions (tax rate increase in 2002 and decrease in 2009) on hospitalization in monetary terms of alcohol-attributed diseases (AADs) in Taiwan.

Study design

An interrupted time-series analysis.

Methods

Admissions data from 1996 to 2010 were retrieved from the National Health Insurance Research Database claims file and analysed in this study. Data for 430,388 males and 34,874 females aged 15 or above who were admitted due to an AAD were collected. An interrupted time-series analysis examining the effects of the implementation of alcohol tax policy on quarterly adjusted hospital inpatient charges (HICs) for AADs was employed.

Results

The study showed significant (p < 0.001) changes in the adjusted HICs for AADs in 2002. Quarterly HICs showed an abrupt 14.8% decline (i.e., a 1.3 million US dollar reduction) after the first tax policy was implemented. No change in quarterly HICs for AADs was found after the alcohol tax increase. The total cost of treating these AAD inpatients over the course of the 15-year period was 640.9 million US dollars. Each inpatient with an AAD costs an average of $900-$2000 depending on the patient's sex and age with the cost increasing gradually after the two tax interventions. More than 80% of the HICs were attributed to alcoholic liver diseases. Psychoses accounted for 6%–18% of the total HICs. Alcohol abuse and alcohol poisoning accounted for less than 2% of the total HICs.

Conclusions

This study provides evidence that alcohol taxation has resulted in an immediate reduction of medical expenditures related to AADs. The policy of increasing alcohol tax rates may have favourable influences on health care resources related to treating AADs.
關鍵字Alcohol-attributed disease;Medical expenditure;Tax;Time-series;ARIMA
語言英文
ISSN0033-3506;1476-5616
期刊性質國外
收錄於SCI;SSCI;
產學合作
通訊作者Chih-Ming Lin
審稿制度
國別英國
公開徵稿
出版型式,電子版,紙本
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