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    政大機構典藏 > 商學院 > 統計學系 > 學位論文 >  Item 140.119/125519
    Please use this identifier to cite or link to this item: http://nccur.lib.nccu.edu.tw/handle/140.119/125519


    Title: 以全民健保資料庫探討選舉與高齡人口醫療利用的關聯
    Using National Health Insurance Database to Explore the Elderly’s Medical Usage During the Elections
    Authors: 余佑駿
    Yu, You-Jun
    Contributors: 余清祥
    黃泓智

    余佑駿
    Yu, You-Jun
    Keywords: 健保資料庫
    高齡人口
    死亡率
    醫療利用
    選舉
    Big Data
    National Health Insurance
    Election Effect
    Medical Utilization
    Mortality Rates
    Date: 2019
    Issue Date: 2019-09-05 15:42:31 (UTC+8)
    Abstract:   我國在2018年進入高齡社會(Aged Society),65歲以上(高齡)人口超過總人口的14%,預計2026年將突破20%,成為超高齡社會(Super-aged Society)。全民健保等社會保險支出隨人口老化快速增加,2013年老年人健保總支出約2040億元台幣,2018年增至2612億元,預期在2023年之前突破3000億元,十年間增了將近1/3。除了較高的醫療需求,高齡人口的退休生活安排及照護,近年也逐漸受到臺灣各界關切,希望老年人活得幸福、有尊嚴。由於我國各級民意代表選舉頻繁,每隔一段時間就有全國性選舉,而高齡人口對政治熱衷程度又遠高於年輕族群,似乎選舉相關活動成為退休生活的一部份,因此本文以高齡人口在投票前後時間的健康變化為研究目標。

      本文以高齡人口在選舉期間的死亡風險與醫療利用為研究目標,根據候選人得票率接近程度或不均度分組,使用健保資料庫的2005年百萬老人抽樣檔(資料期間1996年至2013年),包含承保資料檔(ID)、門診處方及治療明細檔(CD)、住院醫療費用清單明細檔(DD)、重大傷病證明明細檔(HV)、醫事機構基本資料檔(HOSB)等資料。整體而言,本文發現選舉與高齡人口的健康高度相關。在選情激烈的地區,標準化死亡率在投票前下降、投票後回升;其次,門診次數隨著選舉的介入而增加,但平均費用卻減少,原因主要是單病門診次數所致;住院則是平均次數沒有增加,每次的平均天數上升。
      Population aging is speeding up in Taiwan and the elderly population (65 years and older) surpassed 14% in 2018, expected to reaching 20% in 2026. An increasing elderly population means a higher demand of medical utilization and the medical expenditure of Taiwan’s elderly was 204 billion NT dollars in 2013, increasing to 261 billion in 2018, and is expected to reach 300 billion NT dollars in 2023, equivalent to 1/3 increment in 10 years. In addition to medical cost, the life-style management and long-term care of the elderly also draw attention to the public in recent years. In this study, we aim to explore the health status of the elderly during the time of Taiwan’s national elections and evaluate its impact on the elderly’s health.

      We use the data from the National Health Insurance Research Database (NHIRD) to check if medical utilization and mortality rates of Taiwan’s elderly are different before and after the national election days. The dataset used in this study is a sample (one million aged 65 and beyond, about 46% of total population) of Taiwan’s elderly, containing records of registry for beneficiaries (ID), outpatient visit (CD), and inpatient admissions (DD). We found that there is a close connection between the election and elderly’s health. The elderly’s mortality rates, the numbers of out-patient visits, and the days of in-patient visits are all larger after the election days, although the average cost of out-patient visit decreases and the number of in-patient visits does not change much.
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    Description: 碩士
    國立政治大學
    統計學系
    106354005
    Source URI: http://thesis.lib.nccu.edu.tw/record/#G1063540052
    Data Type: thesis
    DOI: 10.6814/NCCU201901132
    Appears in Collections:[統計學系] 學位論文

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