臺灣博碩士論文加值系統

摘要 i
ABSTRACT ii
誌謝 iv
目錄 v
表目錄 vii
圖目錄 viii
第一章 緒論 1
1.1 研究背景與動機 1
1.2 研究目的 3
1.3 研究架構 4
第二章 文獻探討 5
2.1 醫療保險詐欺 5
2.1.1 醫療保險詐欺定義 5
2.1.2 醫療保險詐欺類型 5
2.2 詐欺偵測方式 7
2.2.1 詐欺辨識模型 8
第三章 研究方法 11
3.1 研究流程 11
3.2 廣義線性模型 12
3.3 多元適應性雲形迴歸 13
3.4 機器學習 15
3.4.1 分類與迴歸樹 16
3.4.2 隨機森林 17
3.4.3 混淆矩陣 19
第四章 研究結果 21
4.1 資料處理 21
4.1.1 資料來源 21
4.1.2 資料描述 22
4.1.3 資料預處理 25
4.1.4 資料分組 28
4.2 詐欺標籤定義與詐欺偵測模型建構 30
4.2.1 詐欺標籤定義 30
4.2.2 詐欺偵測模型建構 37
4.3 模型結果 38
4.3.1 模型比較 44
第五章 結論與建議 45
5.1 研究發現與結論 45
5.2 限制與建議 46
參考文獻 47

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