 |
English
|
正體中文
|
简体中文
|
Items with full text/Total items : 94286/110023 (86%)
Visitors : 21692979
Online Users : 1036
|
|
|
Loading...
|
Please use this identifier to cite or link to this item:
http://asiair.asia.edu.tw/ir/handle/310904400/9413
|
| Title: | 台灣不同族群老人之健康不平等與全民健保 |
| Authors: | 董和銳 |
| Contributors: | 健康學院
健康產業管理學系 |
| Keywords: | 台灣
老人
族群
全民健保
健康不平等
Health disparities,
Ethnicity
National Health Insurance
Elderly, Taiwan. |
| Date: | 2009 |
| Issue Date: | 2010-05-07 03:14:43 (UTC+0) |
| Abstract: | 90/12/21 修訂
十一、研究計畫中英文摘要：請就本計畫要點作一概述，並依本計畫性質自訂關鍵詞。
（一）計畫中文摘要。（五百字以內）
計畫名稱：台灣不同族群老人之健康不平等與全民健保
計畫摘要
全民健保是台灣第一個根據公民身份將全民都納入的健康保險制度，在1995 年開辦之後
對台灣民眾醫療的可近性（accessibility）及醫療利用（utilization）的提升是非常顯著的。有
研究顯示健保的實施對於台灣健康不平等的縮小有正面影響。但這些研究用的都是地區集體
層次（area-level or aggregate-level）的資料，而且是直接比較健保前後的死亡率，而從二十世
紀初到現在，人類死亡率的長期趨勢（Secular Trend）都是下降的。單單比較健保前後的全國
死亡率的差距是很難將這些差距完全歸因於全民健保的開辦。因此，本研究將利用具全國代
表性的調查樣本，進一步了解全民健保的實施對台灣社會族群間的醫療照顧與健康不平等現
象產生了什麼樣的影響？本研究將利用「臺灣地區老人保健與生活問題長期追蹤研究調查」
與衛生署之死亡檔之連結後的資料檔案，針對台灣三大族群（外省、閩南及客家籍）間的健
康不平等情形做下面的分析：
（一）分析健保實施前後，不同世代（cohort）的台灣老年人口族群、社經地位與死亡情
形三者之間的互相關聯，進一步釐清「全民健保」在其中所扮演的角色。
（二）全民健保實施前後，不同族群或社經地位的老人在可預防之死亡（preventable
deaths）方面的差異。
（三）實施全民健保之後不同族群老人的主要死因疾病與醫療照顧品質之間的關聯。
90/12/21 修訂
十一、研究計畫中英文摘要：請就本計畫要點作一概述，並依本計畫性質自訂關鍵詞。
（二）計畫英文摘要。（五百字以內）
Ethnic Health Disparities and the National Health Insurance
Abstract
Health disparities research has long documented that women live longer than men, infant
mortality is higher among the lower socioeconomic status (SES), and African Americans suffer
markedly higher rates of death and disease than American whites. In recent years, this line of
research has shifted from documenting different patterns of disparities to focusing more on
identifying the underlying causes of health disparities and it has been argued that the access,
utilization, and quality of health care might explain, in a great part, why ethnic health disparities
persist. In Taiwan, the launch of National Health Insurance (NHI) has greatly improved the
accessibility and utilization of health care services, especially for the newly insured elderly
population. However, it is not clear if the program’s impacts on reducing ethnic mortality
differentials across three major ethnic groups of elders in Taiwan.
By taking advantage of a longitudinal data from the Survey of Health and Living Status of the
Elderly in Taiwan and linking the survey data to the biomarkers collected by researchers from the
Georgetown University and Princeton University, this study proposes to conduct the following
analyses:
1. By analyzing ethnic mortality differentials before and after NHI and across successive
cohorts, I will be able to clarify the role NHI has played in explaining the ethnic health
disparities among the elderly in Taiwan.
2. By linking the survey data to the National Death Index file, I will identify what are the
major causes of death that lead to the observed ethnic mortality differentials. Plus, I will
also examine the strength of associations between mortality and preventable deaths to
further understand the impacts of NHI on ethnic health disparities in Taiwan.
3. By linking the survey data to the Social Environmental Biomarkers of Aging Study
(SEBAS) in Taiwan, I will be able to examine the associations between care quality and
ethnic distributions of risk factors. |
| Appears in Collections: | [健康管理組] 國科會研究計畫
|
All items in ASIAIR are protected by copyright, with all rights reserved.
|
