實證結果發現，在控制時間趨勢與家庭特性(如家庭所得、家庭人口數等)之後，失業率增加會造成家庭門診次數以及家庭住院日數減少，而低所得家庭之家庭醫療利用受景氣衰退的影響而下降的程度更為明顯。在投保別方面，相較於投保別為軍公保之家庭，家庭戶長投保別為勞保、農漁保、低收入戶以及地區人口之家庭在景氣衰退期間的家庭醫療保健支出有明顯減少；家庭戶長投保別為農漁保之家庭在景氣衰退期間的家庭門診次數有明顯下降。 ;Since the implementation of Taiwan National Health Insurance (NHI) from March 1995, the family that cannot afford medical expenses can also use medical resources. However, Recession will lead to decline family income, even if the NHI has paid the most of medical expenses, but family still need to pay the registration fee and the part of medical expenses.
The purpose of this article is to investigate the relationship between business cycle and health care utilization in Taiwan household during the period from 1996 to 2006. Data used in this research are from “Survey of Family Income and Expenditure.” We use ordinary least squares method (OLS), Negative Binomial Regression Model (NBR), Two-part model and take family health care expenditure, times of outpatients and family and staying days from hospital as dependent variables.
After controlling time trend and family characteristics (such as family income, the number of family members, etc.), the principal results show that high unemployment rate will result in family health care utilization decreased, low-income family especially.
