台灣地區民眾高門診就醫族群家庭特性的研究

The study of the family characteristics of high outpatient medical group in Taiwan

王慧齡(Hui-Ling Wang)

指導教授 ： 洪嘉良

國立暨南國際大學/管理學院/資訊管理學系/碩士(2008年)

https://doi.org/10.6837/NCNU.2008.00128

摘要

本文旨在探討自全民健保實施後醫療需求與家庭特性之關聯性分析，高門診就醫族群家庭的特性，其家庭人口組成、教育程度、所得與保健及醫療支出等因素是否都可能影響醫療資源之使用。
本研究利用全民健保實施後的主計處民國94年「家庭收支調查報告」資料作為研究分析，針對台灣地區的家庭，從所得、年齡、教育程度、就業別、門診次數、住院日數和保健及醫療支出等層面的因素，應用主成分分析法、集群分析及區別分析進行資料剖析，透過家庭特性的分群觀察高門診次數與家庭特性的關聯性。
全民健保制度的實施使民眾看診次數逐年不斷增加，研究結果發現，年齡、教育程度、就業人口數、失業人口數、社會保險投保數和保健及醫療支出因素，是驅使民眾就醫的差異原因，上述因素所造成之醫療資源使用的不同，未來政府在研訂醫療政策、社會發展計畫，改善國民健康醫療品質，增進社會福利等，可以家庭為單位，將家庭特性因素納入參考。

關鍵字

醫療需求 ； 家庭特性 ； 高門診次數

並列摘要

After National Health Insurance implementation, the consumption behavior of medical resource has been changed. The research will discuss the relationship between medical resource demand and family characteristics. We study about the family characteristics of the high outpatient group such as their family structure, the education level, income, health care and medical expense. All of those factors might be the critical factors that affect the consumption of medical resource.
The research based on the data of “The 2005 Survey Report of family income and Expenditure” from Directorate-General of Budget, Accounting and Statistics of Taiwan Executive Yuan. The author applied Principal Components Analysis, Cluster Analysis, and Discriminated Analysis to analyze the income, age, educational level, job, insured number on private insurance, uninsured number, outpatient medical, inpatient medical, and health care and medical expense from “2005 family income and budget survey report” to find out the family characteristics of the high outpatient medical group.
After National Health Insurance implementation, outpatient medical has been increasing every year. The result of this study found out that the factors such as age, educational level, the number of employed and unemployed, insured number on private insurance, and health care and medical expense might be the root causes of medical resource consumption. If the Government will make the new medical policy and society development plan to improve the quality of national health and social welfare in the future, they can refer to characteristics of each family.

並列關鍵字

Medical Resource Demand ； Family Characteristic ； Outpatient Group

參考文獻

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