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題名 台灣各縣市所得水準與所得分配對其國民健康之影響
作者 魏郁倫
貢獻者 羅光達
魏郁倫
關鍵詞 國民健康
所得水準
所得分配
日期 2008
上傳時間 14-Sep-2009 13:40:36 (UTC+8)
摘要 本研究欲探討國民健康、所得水準與所得分配之關係,檢視兩者對國民健康是否造成影響,利用內政部戶政司之「中華民國台閩地區人口統計」年報,以及行政院主計處「台灣地區各縣市重要家庭收支指標」之資料,建立台灣地區1998年至2005年23個縣市所得與健康的資料,以標準化總死亡率、男性死亡率、女性死亡率及嬰兒死亡率作為衡量國民健康之指標,平均每人每年可支配所得衡量絕對所得,Gini係數來衡量所得不均度,採固定效果模型,實證分析各縣市所得水準、所得分配與各死亡率間之關係。
      根據實證結果發現,台灣地區絕對所得對各死亡率影響方向為負,而絕對所得之平方,對各死亡率影響符號為正,但均僅對標準化後之國民總死亡率、男性死亡率及女性死亡率影響顯著,對嬰兒死亡率並不顯著,故可知台灣地區除嬰兒之外,絕對所得增加可降低死亡率,改善國民健康,且隨著絕對所得的成長,呈現邊際報酬遞減效果,支持絕對所得假說。而所得分配對各死亡率影響均未達顯著水準,顯示台灣各縣市所得分配對國民健康影響並不顯著,不支持所得不均假說。此結果顯示所得水準的提升對台灣地區國民健康之改善有顯著的貢獻,而所得分配對國民健康並無顯著影響,因此增加經濟弱勢者之所得水準為提升國民健康之有效方法。
參考文獻 英文文獻:
Anand, S., and M. Ravallion (1993),“Human development in poor countries: on the role of private incomes and public services.” Journal of Economic Perspectives, 7(1), 135-50.
Auster, R., I. Leveson, and D. Sarachek (1969),“The production of health: An
exploratory study.” Journal of Human Resources, 4,411-36.
Berkman, L., and I. K. Eds (2000) Social epidemiology. New York: Oxford University Press.
Berkman, L., and S. Syme (1979),“Social networks, host resistance, and mortality: A nine year follow-up study of Alameda country residents.” American Journal of Epidemiology, 109, 186-204.
Casanova, C., C. Colomer, and B. Starfield (1996),“Pediatric hospitalization due to ambulatory care-sensitive conditions in Valencia (Spain),” International Journal for Quality in Health Care, 8, 51-19.
Casanova, C., and B. Starfield (1995),“Hospitalizations of children and access to primary care: A cross-national comparison,” International Journal of Health Services, 25, 283-94.
Chiang, T. L. (1999),“Economic transition and changing relation between income inequality and mortality in Taiwan: regression analysis,” British Medical Journal, 319, 1162-65.
Durkheim, E. (1951) Suicide. New York: Free Press.
Franzini, L., J. Ribble, and W. Spears (2001),“The Effects of Income Inequality and Income Level on Mortality Vary by Population Size in Texas Counties,” Journal of Health and Social Behavior, 42(4), 373-387.
Gerdtham U. G., and M. Johannesson (2004),“Absolute Income, Relative Income, Income Inequality and Mortality.” The Journal of Human Resources, 39(1), 228-248.
Judge, G.G., Hill, R.C., Griffiths, W., Lutkepohl, H. and T. C. Lee (1988), Introduction to the theory and practice of econometrics, 2 edition, New York, Wiley.
Leigh, A., and C. Jencks (2007), “Inequality and mortality: Long-run evidence from a panel of countries.” Journal of Health Economics, 26, 1-24.
Li, H., and Y. Zhu (2006),“Income, Income Inequality, and Health Evidence from China,” United Nations University – World Institute for Development Economics Research.
Lynch, J. W., and G. A. Kaplan (1997),“Understanding How Inequality in the
Distribution of Income Affects Health,” Journal of Health Psychology, 2(3), 297-314.
Lynch, J., P. Due, C. Muntaner, and G. D. Smith (2000),“Social capital: Is it a good investment strategy for public health?” Journal of Epidemiology and Community Health, 54, 404-8.
Macinko, J. A., L. Shi, B. Starfield, and J. T. Wulu Jr. (2003),“Income Inequality and Health: A Critical Review of the Literature,” Medical Care Research and Review, 60(4), 407-452.
Materia, E., L. Cacciani, G. Bugarini, G. Cesaroni, M. Davoli, M. P. Mirale, L.
Vergine, G. Baglio, G. Simeone, and C. A. Perucci (2005),“Health Inequalities Income inequality and mortality in Italy,” European Journal of Public Health, 15(4), 411-417.
McKeown, T. (1976). The role of medicine: Dream, mirage or nemesis. London: Nuffield Provincial Hospital Trust.
McKeown, T., R. G. Record, and R. D. Turner (1975),“An interpretation of the
decline in mortality in England and Wales during the twentieth century.”
Population Studies, 29, 391-422.
McKinlay, J., and S. McKinlay (1977),“The questionable contribution of medical measures to the decline of mortality in the United States in the twentieth century.” Milbank Memorial Fund Quarterly Health and Society, 55(3), 405-28.
Mellor, J. M., J. Milyo (2002),“Income inequality and health status in the
United States: evidence from the current population survey.” The Journal of Human Resources, 37, 510-539.
Preston, S. H. (1975),“The changing relation between mortality and level of
development.” Population Studies, 29, 231-248.
Shea, S., D. Misra, M. Ehrlich, L. Field, and C. Frances (1992),“Predisposing factors for severe, uncontrolled hypertension in an inner-city minority population.” New England Journal of Medicine, 327, 776-81.
Sohler, N. L., P. S. Arno, C. J. Chang, J. Fang, and C. Schechter (2003),“Income Inequality and Infant Mortality in New York City,” Journal of Urban Health: Bulletin of the New York Academy of Medicine, 80(4), 650-657.
Stanistreet, D., A. S. Samuel, and M. A. Bellis (1999),“Income inequality and
mortality in England,” Journal of Public Health Medicine, 21(2), 205-207.
Starfield, B. (1996),“Is strong primary care good for health outcomes?”In The future of primary care: Papers for a symposium held on 13th Spetember 1995, edited by J. Griffin, 18-29. London: Office of Health Economics.
Starfield, B. (1998) Primary care: Balancing health needs, services and
technology. New York: Oxford University Press.
Waldmann, R. J. (1992),“Income Distribution and Infant Mortality.” The Quarterly Journal of Economics, 107(4), 1283-1302.
Wilkinson, R. (1996) Unhealthy societies: The afflictions of inequality.
London: Routledge.
Wilkinson, R. (1998),“Income inequality and population health.” Social Science & Medicine, 47, 411-12.
中文文獻:
陳芷玲 (2008),《台灣各縣市所得分配不均對社會福利支出的影響》,國立政治大學財政研究所碩士論文。
蔡偉德 (2001),「健康與所得 ─ 台灣地區國民死亡率與所得及所得分配之間的關聯」,《台灣經濟學會年會論文集》,189-217。
政府出版品:
1998年到2005年中華民國台閩地區人口統計年報,台北:行政院內政部戶政司。
2006中華民國國民經濟動向統計季報,台北行政院主計處。
1998年到2005年台灣地區人力資源統計年報,台北:行政院主計處。
2004我國與主要國家所得分配之比較,台北:行政院主計處。
2004、2006衛生統計系列之衛生統計動向,台北:行政院衛生署。
2006衛生統計系列之死因統計,台北:行政院衛生署。
描述 碩士
國立政治大學
財政研究所
95255009
97
資料來源 http://thesis.lib.nccu.edu.tw/record/#G0095255009
資料類型 thesis
dc.contributor.advisor 羅光達zh_TW
dc.contributor.author (Authors) 魏郁倫zh_TW
dc.creator (作者) 魏郁倫zh_TW
dc.date (日期) 2008en_US
dc.date.accessioned 14-Sep-2009 13:40:36 (UTC+8)-
dc.date.available 14-Sep-2009 13:40:36 (UTC+8)-
dc.date.issued (上傳時間) 14-Sep-2009 13:40:36 (UTC+8)-
dc.identifier (Other Identifiers) G0095255009en_US
dc.identifier.uri (URI) https://nccur.lib.nccu.edu.tw/handle/140.119/32327-
dc.description (描述) 碩士zh_TW
dc.description (描述) 國立政治大學zh_TW
dc.description (描述) 財政研究所zh_TW
dc.description (描述) 95255009zh_TW
dc.description (描述) 97zh_TW
dc.description.abstract (摘要) 本研究欲探討國民健康、所得水準與所得分配之關係,檢視兩者對國民健康是否造成影響,利用內政部戶政司之「中華民國台閩地區人口統計」年報,以及行政院主計處「台灣地區各縣市重要家庭收支指標」之資料,建立台灣地區1998年至2005年23個縣市所得與健康的資料,以標準化總死亡率、男性死亡率、女性死亡率及嬰兒死亡率作為衡量國民健康之指標,平均每人每年可支配所得衡量絕對所得,Gini係數來衡量所得不均度,採固定效果模型,實證分析各縣市所得水準、所得分配與各死亡率間之關係。
      根據實證結果發現,台灣地區絕對所得對各死亡率影響方向為負,而絕對所得之平方,對各死亡率影響符號為正,但均僅對標準化後之國民總死亡率、男性死亡率及女性死亡率影響顯著,對嬰兒死亡率並不顯著,故可知台灣地區除嬰兒之外,絕對所得增加可降低死亡率,改善國民健康,且隨著絕對所得的成長,呈現邊際報酬遞減效果,支持絕對所得假說。而所得分配對各死亡率影響均未達顯著水準,顯示台灣各縣市所得分配對國民健康影響並不顯著,不支持所得不均假說。此結果顯示所得水準的提升對台灣地區國民健康之改善有顯著的貢獻,而所得分配對國民健康並無顯著影響,因此增加經濟弱勢者之所得水準為提升國民健康之有效方法。
zh_TW
dc.description.tableofcontents 第一章 緒論 1
     第一節 研究背景及目的 1
     第二節 研究方法及限制 3
     第三節 研究架構 3
     
     第二章 相關文獻回顧 5
     第一節 所得分配與國民健康的關係 5
     第二節 所得水準、所得不均與國民健康的相關假說 7
     第三節 相關的實證結果 9
     第四節 小結 11
     
     第三章 所得水準、所得分配與國民健康之現況分析 14
     第一節 台灣國民健康之現況 14
     第二節 台灣所得水準與所得分配之現況 16
     第三節 與世界各國比較 17
     
     第四章 研究設計 21
     第一節 實證模型 21
     第二節 模型設定 22
     第三節 資料來源 24
     第四節 變數說明 24
     
     第五章 實證結果 29
     第一節 敘述統計 29
     第二節 台灣各縣市死亡率之概況 30
     第三節 實證結果與分析 38
     
     第六章 結論與建議 42
     第一節 結論 42
     第二節 建議 43
     
     參考文獻 44
zh_TW
dc.language.iso en_US-
dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0095255009en_US
dc.subject (關鍵詞) 國民健康zh_TW
dc.subject (關鍵詞) 所得水準zh_TW
dc.subject (關鍵詞) 所得分配zh_TW
dc.title (題名) 台灣各縣市所得水準與所得分配對其國民健康之影響zh_TW
dc.type (資料類型) thesisen
dc.relation.reference (參考文獻) 英文文獻:zh_TW
dc.relation.reference (參考文獻) Anand, S., and M. Ravallion (1993),“Human development in poor countries: on the role of private incomes and public services.” Journal of Economic Perspectives, 7(1), 135-50.zh_TW
dc.relation.reference (參考文獻) Auster, R., I. Leveson, and D. Sarachek (1969),“The production of health: Anzh_TW
dc.relation.reference (參考文獻) exploratory study.” Journal of Human Resources, 4,411-36.zh_TW
dc.relation.reference (參考文獻) Berkman, L., and I. K. Eds (2000) Social epidemiology. New York: Oxford University Press.zh_TW
dc.relation.reference (參考文獻) Berkman, L., and S. Syme (1979),“Social networks, host resistance, and mortality: A nine year follow-up study of Alameda country residents.” American Journal of Epidemiology, 109, 186-204.zh_TW
dc.relation.reference (參考文獻) Casanova, C., C. Colomer, and B. Starfield (1996),“Pediatric hospitalization due to ambulatory care-sensitive conditions in Valencia (Spain),” International Journal for Quality in Health Care, 8, 51-19.zh_TW
dc.relation.reference (參考文獻) Casanova, C., and B. Starfield (1995),“Hospitalizations of children and access to primary care: A cross-national comparison,” International Journal of Health Services, 25, 283-94.zh_TW
dc.relation.reference (參考文獻) Chiang, T. L. (1999),“Economic transition and changing relation between income inequality and mortality in Taiwan: regression analysis,” British Medical Journal, 319, 1162-65.zh_TW
dc.relation.reference (參考文獻) Durkheim, E. (1951) Suicide. New York: Free Press.zh_TW
dc.relation.reference (參考文獻) Franzini, L., J. Ribble, and W. Spears (2001),“The Effects of Income Inequality and Income Level on Mortality Vary by Population Size in Texas Counties,” Journal of Health and Social Behavior, 42(4), 373-387.zh_TW
dc.relation.reference (參考文獻) Gerdtham U. G., and M. Johannesson (2004),“Absolute Income, Relative Income, Income Inequality and Mortality.” The Journal of Human Resources, 39(1), 228-248.zh_TW
dc.relation.reference (參考文獻) Judge, G.G., Hill, R.C., Griffiths, W., Lutkepohl, H. and T. C. Lee (1988), Introduction to the theory and practice of econometrics, 2 edition, New York, Wiley.zh_TW
dc.relation.reference (參考文獻) Leigh, A., and C. Jencks (2007), “Inequality and mortality: Long-run evidence from a panel of countries.” Journal of Health Economics, 26, 1-24.zh_TW
dc.relation.reference (參考文獻) Li, H., and Y. Zhu (2006),“Income, Income Inequality, and Health Evidence from China,” United Nations University – World Institute for Development Economics Research.zh_TW
dc.relation.reference (參考文獻) Lynch, J. W., and G. A. Kaplan (1997),“Understanding How Inequality in thezh_TW
dc.relation.reference (參考文獻) Distribution of Income Affects Health,” Journal of Health Psychology, 2(3), 297-314.zh_TW
dc.relation.reference (參考文獻) Lynch, J., P. Due, C. Muntaner, and G. D. Smith (2000),“Social capital: Is it a good investment strategy for public health?” Journal of Epidemiology and Community Health, 54, 404-8.zh_TW
dc.relation.reference (參考文獻) Macinko, J. A., L. Shi, B. Starfield, and J. T. Wulu Jr. (2003),“Income Inequality and Health: A Critical Review of the Literature,” Medical Care Research and Review, 60(4), 407-452.zh_TW
dc.relation.reference (參考文獻) Materia, E., L. Cacciani, G. Bugarini, G. Cesaroni, M. Davoli, M. P. Mirale, L.zh_TW
dc.relation.reference (參考文獻) Vergine, G. Baglio, G. Simeone, and C. A. Perucci (2005),“Health Inequalities Income inequality and mortality in Italy,” European Journal of Public Health, 15(4), 411-417.zh_TW
dc.relation.reference (參考文獻) McKeown, T. (1976). The role of medicine: Dream, mirage or nemesis. London: Nuffield Provincial Hospital Trust.zh_TW
dc.relation.reference (參考文獻) McKeown, T., R. G. Record, and R. D. Turner (1975),“An interpretation of thezh_TW
dc.relation.reference (參考文獻) decline in mortality in England and Wales during the twentieth century.”zh_TW
dc.relation.reference (參考文獻) Population Studies, 29, 391-422.zh_TW
dc.relation.reference (參考文獻) McKinlay, J., and S. McKinlay (1977),“The questionable contribution of medical measures to the decline of mortality in the United States in the twentieth century.” Milbank Memorial Fund Quarterly Health and Society, 55(3), 405-28.zh_TW
dc.relation.reference (參考文獻) Mellor, J. M., J. Milyo (2002),“Income inequality and health status in thezh_TW
dc.relation.reference (參考文獻) United States: evidence from the current population survey.” The Journal of Human Resources, 37, 510-539.zh_TW
dc.relation.reference (參考文獻) Preston, S. H. (1975),“The changing relation between mortality and level ofzh_TW
dc.relation.reference (參考文獻) development.” Population Studies, 29, 231-248.zh_TW
dc.relation.reference (參考文獻) Shea, S., D. Misra, M. Ehrlich, L. Field, and C. Frances (1992),“Predisposing factors for severe, uncontrolled hypertension in an inner-city minority population.” New England Journal of Medicine, 327, 776-81.zh_TW
dc.relation.reference (參考文獻) Sohler, N. L., P. S. Arno, C. J. Chang, J. Fang, and C. Schechter (2003),“Income Inequality and Infant Mortality in New York City,” Journal of Urban Health: Bulletin of the New York Academy of Medicine, 80(4), 650-657.zh_TW
dc.relation.reference (參考文獻) Stanistreet, D., A. S. Samuel, and M. A. Bellis (1999),“Income inequality andzh_TW
dc.relation.reference (參考文獻) mortality in England,” Journal of Public Health Medicine, 21(2), 205-207.zh_TW
dc.relation.reference (參考文獻) Starfield, B. (1996),“Is strong primary care good for health outcomes?”In The future of primary care: Papers for a symposium held on 13th Spetember 1995, edited by J. Griffin, 18-29. London: Office of Health Economics.zh_TW
dc.relation.reference (參考文獻) Starfield, B. (1998) Primary care: Balancing health needs, services andzh_TW
dc.relation.reference (參考文獻) technology. New York: Oxford University Press.zh_TW
dc.relation.reference (參考文獻) Waldmann, R. J. (1992),“Income Distribution and Infant Mortality.” The Quarterly Journal of Economics, 107(4), 1283-1302.zh_TW
dc.relation.reference (參考文獻) Wilkinson, R. (1996) Unhealthy societies: The afflictions of inequality.zh_TW
dc.relation.reference (參考文獻) London: Routledge.zh_TW
dc.relation.reference (參考文獻) Wilkinson, R. (1998),“Income inequality and population health.” Social Science & Medicine, 47, 411-12.zh_TW
dc.relation.reference (參考文獻) 中文文獻:zh_TW
dc.relation.reference (參考文獻) 陳芷玲 (2008),《台灣各縣市所得分配不均對社會福利支出的影響》,國立政治大學財政研究所碩士論文。zh_TW
dc.relation.reference (參考文獻) 蔡偉德 (2001),「健康與所得 ─ 台灣地區國民死亡率與所得及所得分配之間的關聯」,《台灣經濟學會年會論文集》,189-217。zh_TW
dc.relation.reference (參考文獻) 政府出版品:zh_TW
dc.relation.reference (參考文獻) 1998年到2005年中華民國台閩地區人口統計年報,台北:行政院內政部戶政司。zh_TW
dc.relation.reference (參考文獻) 2006中華民國國民經濟動向統計季報,台北行政院主計處。zh_TW
dc.relation.reference (參考文獻) 1998年到2005年台灣地區人力資源統計年報,台北:行政院主計處。zh_TW
dc.relation.reference (參考文獻) 2004我國與主要國家所得分配之比較,台北:行政院主計處。zh_TW
dc.relation.reference (參考文獻) 2004、2006衛生統計系列之衛生統計動向,台北:行政院衛生署。zh_TW
dc.relation.reference (參考文獻) 2006衛生統計系列之死因統計,台北:行政院衛生署。zh_TW