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研究生: 翁晧倫
Weng, Hao-Lun
論文名稱: 台灣健康不均等的分析
The Analysis of Health Inequality in Taiwan
指導教授: 王富美
Wang, Fuh-Mei
學位類別: 碩士
Master
系所名稱: 社會科學院 - 經濟學系
Department of Economics
論文出版年: 2016
畢業學年度: 104
語文別: 中文
論文頁數: 39
中文關鍵詞: 健康不平等地理資訊系統空間延遲模型
外文關鍵詞: health inequality, GIS, spatial lag model
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  • 本研究探討台灣健康不平等(Health Inequality)之現象。除了傳統的迴歸分析方法外,並且採用空間計量模型進行分析,以平均每一執業醫師服務之人口數、社會福利支出占政府支出之百分比、15歲以上人口識字率、醫療保健支出占政府支出比率、死亡率等五項變數分析影響健康效用的因素。透過地理資訊系統(Geographic Information System, GIS)呈現健康效用具有空間自相關(spatial autocorrelation)現象,並藉由莫蘭指數檢定(Moran's I test)、LISA群聚圖 (Local Indicator of Spatial Association)、空間延遲模型(spatial lag model, SLM),分別驗證健康效用具有空間集聚效果。由空間延遲效果值顯示:健康效用存在鄰近效果,表示健康效用會受鄰近區域的影響。平均每一執業醫師服務之人口數、死亡率對健康效用有負面顯著影響;社會福利支出占政府支出之百分比、15歲以上人口識字率、醫療保健支出占政府支出比率、皆對健康效用有正面顯著影響。

    This study aims to investigate the health inequality in Taiwan. Applying the methods of ordinary least squares, this research uses the spatial regression model and incorporates the number of persons that per doctor serves, the ratios of social welfare expenditure to government expenditure, literacy rates above age fifteenth, the ratios of health care expenditure to government expenditure, and mortality rates for investigation. Moreover, this research uses Geographic Information System (GIS) to examine whether health utility has spatial autocorrelation. By using Moran's index test, local indicator of spatial association (LISA) cluster, and spatial lag model (SLM). All examinations show that health inequality in Taiwan does exist.

    目錄 第一章 緒論 1 第一節 研究動機與目的 2 第二節 章節架構 4 第二章 文獻回顧 6 第一節 健康生活品質的概念 7 第二節 健康生活品質測量問卷 8 第三節 健康生活品質的研究及影響因素 9 第四節 生活品質調整後存活人年 13 第三章 研究方法 18 第一節 空間分析方法 18 第二節 空間自相關 18 第三節 空間迴歸模型 20 第四章 實證結果 22 第一節 健康效用之空間分佈 22 第二節 迴歸分析 25 第五章 結論與建議 31 附錄一 33 參考文獻 35

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