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研究生:吳淑珊
研究生(外文):Shu-Shan Wu
論文名稱:名人健康新聞事件與民眾醫療利用之相關性研究
論文名稱(外文):A study of the effect of celebrity illness news on public medical utilization
指導教授:陳育群陳育群引用關係
指導教授(外文):Yu-Chun Chen
學位類別:碩士
校院名稱:國立陽明大學
系所名稱:醫務管理研究所
學門:商業及管理學門
學類:醫管學類
論文種類:學術論文
論文出版年:2020
畢業學年度:108
語文別:中文
論文頁數:38
中文關鍵詞:名人健康醫療利用泊松回歸
外文關鍵詞:Celebrity Illness NewsPublic Medical UtilizationPoisson regression
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民眾的健康觀念往往受到他們周遭世界的影響,而越來越多媒體報導,當某位名人因疾病影響健康或死亡時,民眾的健康行為也會受到影響。名人可藉由自身的影響力來達到引人注意、強化事物及擴大影響的效應。本研究探討名人健康事件與民眾醫療利用之間的相關性,選取2010年至2013年收錄於台灣新聞智慧網中,刊登在名人相關版面上之新聞,並從中篩選出大腸癌、乳癌、子宮頸癌及胰臟癌作為指標疾病,進一步與全民健保資料庫進行分析,以了解名人健康事件與民眾對於指標疾病檢查的醫療利用之間的相關性,並觀察受名人健康事件影響民眾人口特徵群體對醫療利用影響的差異情形。結果顯示民眾在名人健康新聞事件發生後第7天至第12天期間,在相關疾病檢查的使用上有顯著的增加,另外在人口特徵群體分析上則顯示,相較男性及其他年齡層民眾,女性以及40歲至60歲民眾在相關疾病檢查的使用有顯著關係,而透過民眾對名人的信任傳播正確的健康訊息,能夠改變民眾對疾病的態度及醫療利用行為,進一步降低罹患疾病的風險,以提高民眾生活品質及健康水準,政府部門在推動相關健康促進活動時,可做為參考。
The health concepts of the general public are frequently and more often affected by the living world which surrounds them. There are more and more news reports saying that when the health condition of one of the celebrities is deteriorating owing to some illness or even in the case of facing death, the health behaviors of the general public will be affected. The celebrities acquire the effects of attracting people’s attention, enhancing or expanding their influence with their own individual charisma. This study explores the correlative relationship between Celebrity Illness News and Public Medical Utilization. We have selected news reports that were issued in the section related to the celebrities, which were recorded in TAIWAN NEWS SMART WEB from 2010 to 2013, and have chosen the colorectal cancer, the breast cancer, the cervical cancer and the pancreatic cancer as our disease index. Through the process of taking some data analysis with the Taiwan’s National Health Insurance Database, we have been trying to understand the correlative relationship between the celebrity illness news and the medical utilization in regard to the disease index checking of the general public and make a close observation about the difference of how the public demographic characteristics that are affected by the celebrity illness news work on the medical utilization. The result indicates that the significant effect of how the relative illness news affects the medical utilization of the public disease checking up occurs or falls between the 7th day and the 12th day. However, the general public is reluctant to take medical examinations immediately after the celebrity illness news is released. Moreover, while compared to the male and people of all other ages, the celebrity illness news attains more obviously significant influences on the medical checking up between the female and people of ages between 40 and 60. Through the trust of the general public in the celebrities, correct messages concerning health care can be spread in vast numbers, and thus affect their attitudes towards illness and the behavior of public medical examinations. Furthermore, the risks of suffering from an illness will be reduced and the quality of life of the general public will be respectively ameliorated and standards of better health will be attained in consequence. It can be taken as a reference while the government departments promote health care activities in further steps.
目錄
誌謝........................................... i
中文摘要....................................... ii
Abstract....................................... iii
目錄........................................... v
圖目錄......................................... vi
表目錄......................................... vii
第一章 緒論.................................... 1
第一節 研究背景與動機.......................... 1
第二節 研究目的................................ 3
第二章 文獻探討................................ 4
第一節 名人效應................................ 4
第二節 文字探勘與視覺化........................ 8
第三章 研究方法................................ 9
第一節 研究架構................................ 9
第二節 研究資料來源及處理...................... 10
第三節 資料分析方法............................ 15
第四章 研究結果................................ 16
第一節 新聞標題文字探勘分析結果................ 16
第二節 名人健康新聞事件與民眾醫療利用之相關結果 26
第三節 人口特徵群體對醫療利用影響的差異情形.... 29
第五章 討論與結論.............................. 33
第六章 研究限制................................ 35
第七章 參考文獻................................ 36

圖目錄
圖2-1名人對於民眾健康行為的短期,中期和長期影響 7
圖3-1 研究架構 9
圖3-2 觀察區間 12
圖4-1 名人健康新聞事件標題斷詞文字雲 16
圖4-2 事件相關日與民眾醫療利用Exp(B)分布圖 28

表目錄
表2-1解釋名人影響力的14種機制 5
表3-1 名人健康新聞事件疾病名稱 11
表3-2 指標疾病事件刊登日期 12
表3-3 研究變項與操作型定義 14
表4-1 名人健康新聞標題斷詞字彙結果 17
表4-2 事件相關日與民眾醫療利用POSSION迴歸分析結果 27
表4-3 人口特徵群體統計資料 29
表4-4人口特徵群體統POISSON迴歸分析結果 30
表4-5 就診醫院縣市成對比較 31
表4-6 年齡成對比較 31
表4-7 性別成對比較 32
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