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    Title: 重大傷病保險成本推估:以原位癌保險為例
    Estimation of Catastrophic Illness Insurance Cost : Using Carcinoma In Situ As An Example
    Authors: 唐茜
    Tang, Qian
    Contributors: 黃泓智
    Huang, Hong Chih
    唐茜
    Tang, Qian
    Keywords: 保險
    醫療成本
    重大傷病
    原位癌
    癌症
    Insurance
    The cost of catastrophic illness
    Cancer in situ
    Date: 2016
    Issue Date: 2016-07-01 15:03:03 (UTC+8)
    Abstract: 本文對重大傷病的醫療成本推估進行研究,并以癌症為例,利用台灣癌症中心及健保資料庫數據對其成本進行討論。分別對男性及女性罹患率最高的前十大癌症的發生率、首年生存率、持續生存率、原位癌的罹患率進行討論。
    文中将醫療科技發展對於原位癌及早期癌症檢測對保險承保範圍及理賠產生的影響進行討論,並且以各個國家地區的重大傷病保險在早期治療過程中是否納入承保範圍進行歸納。本文以台灣的數據討論了乳癌原位癌及子宮頸原位癌的罹患狀況,并考慮時間趨勢下推估其醫療保險成本。
    This paper will study the cost of catastrophic illness. The paper will use the data from Taiwan Cancer Registry and Nation Health Insurance Research Database to examine the cost of cancer insurance. With the use of these data, we will look into factors such as sex, the highest prevalence rate of the top ten cancers, first-year survival rate, survival duration, and carcinoma in situ of the prevalence.
    This paper will also look into the effect of the insurance coverage because of the development of medical technology, and compare and contrast with laws and insurance’s terms of different countries. This paper will use Taiwan’s data to discuss the incidence rate of carcinoma and cervical carcinoma in situ, and research the time trend of the insurance cost.
    Reference: 一、 中文部分
    1. 行政院衛生福利部(2011),十大惡性腫瘤申報發生人數及發生率;
    2. 行政院衛生福利部,疾病分類代碼及範圍;
    3. 行政院衛生福利部(2014),民國102年主要死因分析;
    4. 內政部(2015)內政統計年報,人口年齡分配;
    5. 癌症登記中心,台灣癌症申報發生人數按原發部位性別及報告年分類(1982﹣2009);
    6. 癌症登記中心,年齡標準化發生率長期趨勢;
    7. 癌症登記中心,76﹣96癌症十年相對存活率;
    8. 癌症登記中心,癌症五年相對存活率;
    9. 余清祥(2013),全民健保資料庫的重大傷病研究,「全民健保資料庫在醫療保險之應用」研討會;
    10. 連宏銘、余清祥(2000),終身癌症保險費率之釐定,保險專刊,第62期,頁49-119;
    11. 黃泓智、劉明昌、余清祥(2004),台灣地區重大傷病醫療費用推估,人口學刊, 第29期,頁35-70;
    12. 王敏淇(2014),癌症醫療成本研究,國立政治大學風險管理與保險學系碩士論文;
    13. 張士傑、黃泓智、蔡政憲、黃國祥(2001),全民健保財務精算之研究期末報告;
    14. 黃泓智、林家玉、余清祥(2004),癌症醫療費用之推估:馬可夫鏈模型之應用,保險專刊,第20卷,第1期,頁1-10;
    15. 蘇維屏(2014),全民健保資料庫分析:重大傷病及癌症之研究,國立政治大學統計學系碩士論文;
    16. 黃仁傑(2009),台灣癌症病患於死前一年健保醫療費用支出之相關因素分析,中國醫藥大學醫務管理學研究所碩士論文;
    17. 中國人壽再保險股份有限公司(2014),原位癌診療技術及發生率介紹,壽再探索,第5期,頁46;

    二、 英文部分
    1. Rebecca Siegel, MPH,Jiemin Ma, PhD, Zhaohui Zou, MS,Ahmedin Jemal, DVM, PhD(2014),Cancer Stßatistics,CA CANCER J CLIN
    2. HongKong Cancer Statistics Query System
    3. Chun JunChiang(2015),Quality assessment and improvement of nationwide cancer registration system in Taiwan: a review, Japanese Journal of Clinical Oncology Advance Access published January 18, 2015
    4. Lewis, (1982), Control of Body Segment differentiation in Drosophila by the Bithorax Gene Complex, Embryonic Development, Part A: Genetics Aspects, Edited by Burger, M.M. and R. Weber. Alan R. Liss, New York, pp269-288.
    Description: 碩士
    國立政治大學
    風險管理與保險研究所
    103358030
    Source URI: http://thesis.lib.nccu.edu.tw/record/#G1033580301
    Data Type: thesis
    Appears in Collections:[風險管理與保險學系] 學位論文

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