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研究生:林衣瑄
研究生(外文):Yi-Hsuan Lin
論文名稱:失業對醫療利用、健康狀況之探討
論文名稱(外文):Unemployment, Medical Care Utilization and Health in Taiwan
指導教授:許聖章許聖章引用關係
指導教授(外文):Sheng-Jang Sheu
學位類別:碩士
校院名稱:國立高雄大學
系所名稱:應用經濟學系碩士班
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:2011
畢業學年度:99
語文別:中文
論文頁數:64
中文關鍵詞:失業醫療利用健康
外文關鍵詞:unemploymentmedical care utilizationhealth
相關次數:
  • 被引用被引用:4
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  • 下載下載:45
  • 收藏至我的研究室書目清單書目收藏:1
全球金融危機造成全球經濟蕭條,臺灣亦受到此波金融風暴的衝擊,經濟成長減緩、出口衰退、失業率上升等。國內企業因景氣持續低迷,許多企業面臨關廠歇業、大規模裁員或無薪假等危機。隨著產業環境變遷,臺灣失業的問題日益嚴重,而世界許多國家的失業率也持續攀升,顯示失業已成為全球共同的焦點。失業使得勞工所得降低失去主要經濟來源,長期對個人、家庭、社會的影響甚巨。在此利用國民健康調查與全民健康保險資料庫了解失業對醫療利用、健康狀況的影響。實證結果發現失業對醫療利用、健康狀況之影響,依據不同的疾病其結果會有程度上不同。整體而言曾罹患精神疾病在失業時之門診醫療利用、住院次數上升;曾罹患心血管疾病在失業時之門診醫療利用、住院次數上升,心血管疾病就診之機率提高;曾罹患呼吸道疾病在失業時門診醫療利用、住院次數上升,呼吸道感染疾病就診之機率提高;曾罹患糖尿病在失業時之門診醫療利用降低、住院次數上升;同時考量上述四種疾病下,失業時的醫療利用呈現門診醫療利用、住院次數上升,並提高疾病就診之機率。
As the world was hit by the global financial crisis and the resulting economic recession, Taiwan also experienced stagnations of economic growth, wanes of export, and risings of unemployment in this crisis. Because of the continuing distressed economy, workers in Taiwan were dismayed by plant closure, layoff, and unpaid leave. As economic structure changed, the problem of unemployment became more severe in Taiwan. Unemployment rate are usually high in many developed countries. Unemployment made workers lose their main economic sources, which have enormous effects over a long period of time on individuals, families, and societies. In this study, we use National Health Interview Survey and National Health Insurance Research Database to examine the effect of unemployment on total medical care utilizations and health. The empirical results show that, the effect of unemployment on medical care utilization and health are varied by pre-health conditions. Unemployment made those who had mental diseases, cardiovascular diseases, or respiratory diseases need more clinical medical care utilization and were hospitalized more frequently; those who had diabetes need more hospital services and less clinical medical care utilization; considering those four diseases discussed above in the meantime, we find that clinic and hospital medical care utilization increase, and the probability of taking medical treatment rises after being unemployed.
目錄
致謝詞................................i
中文摘要.............................ii
英文摘要............................iii
目錄.................................iv
圖目錄...............................vi
表目錄..............................vii
第一章 研究動機與目的.................1
第二章 文獻回顧.......................5
第三章 實證模型.......................8
第四章 資料來源......................10
第一節 資料來源與選取..............10
4.1 資料來源.....................10
4.2 資料選取.....................11
第二節 變數衡量....................12
第五章 實證結果與分析................26
第一節 敘述統計....................26
第二節 失業對醫療利用之分析........28
5.2.1 失業對門診次數之影響.......28
5.2.2 失業對門診費用之影響.......32
5.2.3 失業對住院次數之影響.......37
5.2.4 失業對住院費用之影響.......42
第三節 失業對健康狀況之探討........46
第六章 結論..........................52
參考文獻.............................55
圖目錄
圖1-1臺灣歷年失業率......................1
圖1-2臺灣歷年非初次尋職者主要失業原因....2
表目錄
表4-1 2001年國民健康調查不同意提供全民健康保險就醫資料之樣本特性...13
表4-2 2001年國民健康調查同意提供全民健康保險就醫資料之樣本特性.....14
表4-3變數定義–國民健康調查與門診合併檔(失業者)....................16
表4-4變數定義–國民健康調查與門診合併檔(就業者)....................19
表4-5變數定義–國民健康調查與住院合併檔(失業者)....................22
表4-6變數定義–國民健康調查與住院合併檔(就業者)....................24
表5-1變數資料基本統計特性─國民健康調查與健保資料庫合併檔..........27
表5-2失業對於2001年8月後門診次數之影響-OLS迴歸模型估計結果.........29
表5-3失業對於2001年8月後門診費用之影響-OLS迴歸模型估計結果.........34
表5-4失業對於2001年8月後住院次數之影響-OLS迴歸模型估計結果.........38
表5-5失業對於2001年8月後住院費用之影響-OLS迴歸模型估計結果.........43
表5-6失業後罹患特定疾病就診之機率-Logit迴歸模型估計之邊際效果......47
全民健康保險研究資料庫,www.nhri.org.tw/nhird/
行政院衛生署國民健康局,www.bhp.doh.gov.tw
行政院主計處,www.dgbas.gov.tw
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