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研究生:楊惟智
研究生(外文):Wei-Chih Yang
論文名稱:醫療需求理論之台灣實證分析
論文名稱(外文):Empirical Study of the Demand for Medical Care -Application to Taiwan
指導教授:陳世能陳世能引用關係陳麗光陳麗光引用關係林卓民林卓民引用關係
指導教授(外文):Shih-Neng ChenLi-Kwang ChenCho-Min Lin
學位類別:碩士
校院名稱:世新大學
系所名稱:經濟學研究所(含碩專班)
學門:社會及行為科學學門
學類:經濟學類
論文種類:學術論文
論文出版年:2001
畢業學年度:89
語文別:中文
論文頁數:102
中文關鍵詞:Tobit 模型OLS模型醫療需求
外文關鍵詞:OLS modelthe demand for medical careTobit model
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隨著經濟的發展與國民所得的提高,民眾對生活品質的需求標準日益提昇,其中對醫療服務的需求更是獨占鰲頭,使得近十年來醫療及保健消費支出增幅為各類消費支出之首。本文的目的即在探討經濟與非經濟因素對台灣醫療需求選擇行為之影響,實證資料主要是來自行政院主計處的《民國八十八年家庭收支調查報告》,估計方法針對相依變數的性質,分別以OLS與Tobit模型進行迴歸分析。

我們將醫療需求考慮為「家庭醫療總支出」、「家庭總門診次數」、「家庭總住院日數」、「個人門診次數」與「個人住院日數」;在獨立變數方面,我們考慮了戶長、供給面、家庭、交互作用、資訊、都市化以及環境等七大因素群組。實證分析主要可分為兩部分:第一部分以家庭為單位,利用所有樣本進行家庭醫療需求之迴歸分析;第二部分試圖以個人為單位,進行個人醫療需求之迴歸分析。

本研究結果指出家庭醫療總支出的所得彈性為0.335~0.824,顯示其為正常財且為必需品;此外,行業型態別、家庭型態別與資訊對醫療支出、門診及住院需求的影響,更是本研究相對於以往文獻的新發現。期盼本文之研究結果能為醫療經濟領域略盡棉薄之貢獻,並提供政府單位相關醫療政策建議,解決醫療支出與醫療需求日益增加之問題,以減少醫療資源之浪費,進而促進全民健康,提昇全民福祉。
The economic development and increase of GDP raises the demand for the quality of life, especially for the demand of medical care. The aim of this thesis is to assess economic and non-economic factors influencing the demand for medical care in Taiwan. Empirical data used are 1999 Survey of Family Income and Expenditure conducted by DGBS of Executive Yuan. OLS and Tobit regression models are used separately according to the attribute of each dependent variable.

Dependent variables considered are total family medical expenditures, total family outpatient visits, total family inpatient days, individual outpatient visits, and individual inpatient days. Independent variables include seven categories: head of household, supply side, family, interaction, information, urbanization, and environment. Empirical analysis consists of two parts. The first part is household demand analysis while the second individual demand analysis.

Results show that the income elasticity of total family medical expenditures ranges from 0.335 to 0.824, which indicates that medical care is a normal and necessity good. Moreover, type of occupation, structure of family, and information factors significantly affect total family medical expenditures, outpatient, and inpatient demands. Policy implications are also recommended in order to save medical resources and improve health of all people.
第一章 緒論

第一節 研究背景與動機

第二節 研究問題與目的

第三節 預期的結果與貢獻

第二章 文獻回顧

第一節 理論文獻回顧

第二節 實證文獻回顧

第三章 模型設定

第一節 模型建構

第二節 理論分析

本章小結

第四章 資料描述與實證方法

第一節 資料描述

第二節 實證方法

第五章 實證結果

第一節 家庭醫療需求之迴歸分析

第二節 個人醫療需求之迴歸分析

本章小結

第六章 結論與建議

第一節 結論與建議

第二節 研究之限制

第三節 未來研究方向

參考文獻

一、中文文獻

二、英文文獻

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