家戶二手菸對醫療費用的影響

中國醫藥大學機構典藏 China Medical University Repository, Taiwan > 公共衛生學院 > 環境醫學研究所(已停用) > 博碩士論文 > Item 310903500/643

jsp.display-item.identifier=請使用永久網址來引用或連結此文件: http://ir.cmu.edu.tw/ir/handle/310903500/643

题名:	家戶二手菸對醫療費用的影響
作者:	吳倫愷;Lun-Kai Wu
贡献者:	中國醫藥大學：環境醫學研究所碩士班
关键词:	二手菸;醫療費用;四部分模型;兩階段最小平方法;邊際效果;environmental tobacco smoke;medical expenditures;four-part model;two stage least square regression;marginal effects
日期:	2007-07-02
上传时间:	2009-08-11 16:56:30 (UTC+8)
摘要:	本研究嘗試以1998年至2004年的健保申報檔案作為估算家戶二手菸對醫療費用的影響，以計量模型(four-part model)推估二手菸對醫療費用之邊際影響效果；依本研究的目的，依變項為醫療費用，包括門診費用、住院費用以及總醫療費用；主要的解釋變項為家戶二手菸暴露量以及香菸攝取終身累積暴露量，個人家戶二手菸累積暴露量是以每個家戶的香菸總攝取量減去個人的終身香菸攝取量，暴露量是以「包數」為計算單位；控制變項包括年齡、性別、教育年數、家庭人口數、家戶所得與健康狀態；並以兩階段最小平方法評估二手菸對健康狀態的影響。實證推估結果發現，二手菸主要是透過健康狀態改變而間接影響醫療費用，其對醫療費用的直接效果並不強烈，最後的估算結果為一包香菸量的二手菸暴露所引起的七年醫療費用增加之估計值為6.95元，每包香菸引起的七年醫療費用增加之估計值為1.54元，二手菸對醫療費用的影響效果是主動攝取香菸的兩倍以上。 This study attempted to evaluate the impact of household environmental tobacco smoke (ETS) to medical expenditures with the econometric model (four-part model), using the declarative files of the national health insurance between 1998 and 2004 year. According to the purpose of this study, the dependent variable is the medical expenditures, including outpatient expenditures, inpatient expenditures and total medical expenditures. The accumulative exposure of household environmental tobacco smoke and the accumulative exposure of tobacco use are explained variables in this study. This study measured the individual exposure of household environmental tobacco smoke through subtract individual lifetime uptake of tobacco use from household lifetime uptake of tobacco use. “The pack” is the calculative unit of ETS exposure in this study. Age, sex, education year, family size, family income and health status are control variables in this study. For the purpose of calculate the marginal effects of household environmental tobacco smoke to medical expenditures, this study evaluated the impact of household environmental tobacco smoke to health status with two stage least square regression (2SLS) first. We could find the main effect of the environmental tobacco smoke to medical expenditures is indirect through the change of health status, and the direct effect of the environmental tobacco smoke to medical expenditures is not strong. The final calculation, one-pack-tobacco exposure of the environmental tobacco smoke caused an increase of NT 6.95 of medical expenditures in seven years, and one-pack-tobacco exposure caused an increase of NT 1.54 of medical expenditures in seven years. The impact of environmental tobacco smoke to medical expenditures doubled over that of active tobacco use.
显示于类别:	[環境醫學研究所(已停用)] 博碩士論文

文件中的档案:

档案	描述	大小	格式	浏览次数
cmu-96-9465011-1.pdf		445Kb	Adobe PDF	637	检视/开启
index.html		0Kb	HTML	12	检视/开启

在CMUR中所有的数据项都受到原著作权保护.

TAIR相关文章

数据加载中.....