研究結果顯示,洗腎確實會對就業產生負面影響,在洗腎後繼續存活的患者中,勞保相較於公保的洗腎患者,在洗腎後第1年就業率下降11.68%,到了洗腎後第3年就業率更是下降到15.72%,而就所得面來看,洗腎患者在洗腎後仍持續就業者,其所得水準及變動率,並未隨著洗腎年數的延長而有明顯下降的傾向,另外,洗腎後因身體健康受到影響,男性相較於女性更容易選擇退出就業,但情況並不明顯。 ;In recent years, the developments in society and technology have brought prosperity. However, pressure of work and the change in diet have put more and more people under the threat of physical and mental diseases. The number of suffering from chronic diseases is increasing and the symptoms of chronic diseases are various.
In 1995, there was a sudden increase in dialysis population. One of the reasons is the implementation of the National Health Insurance system, which offered copayment exemptions, making most patients with chronic kidney diseases able to afford the treatment. The other reason is that chronic kidney diseases are the common symptoms of many other chronic diseases, which increases the number of dialysis patients. Dialysis not only leads to changes in physical health but also reduces patients’ willingness and ability to work.
In this study, we used the national healthy insurance database published by the National Institutes of Health, using 2000 and 2005 million sample files to select patients who had renal dialysis between 1996 and 2013, labor insurance as the experimental group and civil servant insurance as the control group. DID was used to analyze the influence on labor participation and income of dialysis patients.
The study shows that dialysis does have a negative impact on the employment of dialysis patients who have survived dialysis. Compared to the dialysis patients with labor insurance, the employment rate of those with civil servant insurance declines by 11.68% in the first year and by 15.72% in the third year. As for the income level and change rate, both of which do not decline obviously with the extension of time for dialysis. In addtion, because of their health condition, men are more likely than women to quit their iob. But the situation is not obvious.