過去的研究和報導發現選舉會對選民造成壓力，導致選民的心理健康惡化，卻少有研究針對其他疾病作深入探討。本研究利用2010年縣市改制升格為直轄市造成鄉鎮市區議員當選席次變化以及全民健康保險資料庫，使用差異中的差異法來分析當選席次變化對選民健康狀況的影響。本研究將當選席次變化對選民健康狀況的影響分為選前以及選後當選席次變化對選民健康狀況的影響。估計結果發現，在選前，當選席次減少較大地區會增加心血管疾病、肺部疾病、消化系統疾病、頭痛和心理疾病的就醫次數以及費用。而選後，當選席次減少較大地區會增加心血管疾病、肺部疾病、消化系統疾病和心理疾病的就醫次數以及費用。此外，當選席次變化對不同年齡層及性別亦會有顯著性的差異影響。

Previous studies and reports have found that elections can cause stress among voters, leading to a deterioration in their mental health. However, few studies have delved into the impact on other diseases. This study utilizes the changes in the number of elected township and district council members caused by the administrative restructuring of counties and cities into municipalities in 2010, along with data from the National Health Insurance Database, using the difference-in-differences method to analyze the impact of changes in the number of elected seats on voters' health status. This study examines the impact of changes in elected seats on voters' health status both before and after the election. The estimation results reveal that, before the election, regions with a significant reduction in elected seats experienced an increase in the number of medical visits and expenses related to cardiovascular diseases, lung diseases, digestive system diseases, headaches, and mental illnesses. After the election, regions with a significant reduction in elected seats saw an increase in the number of medical visits and expenses for cardiovascular diseases, lung diseases, digestive system diseases, and mental illnesses. Additionally, the impact of changes in elected seats varies significantly across different age groups and genders.

目錄

第壹章　研究動機.......................................................1
第貳章　文獻回顧.......................................................1
第參章　研究目的.......................................................3
第肆章　資料介紹.......................................................3
　第一節　臺灣全民健康保險簡介.........................................3
　第二節　政府公開資料庫介紹...........................................4
  第三節  變量敘述統計量...............................................5
第伍章　研究方法...................................................... 7
第陸章　數據分析.......................................................9
第一節　當選席次變化對選民投票率影響................................10
　第二節　圖形分析....................................................10
　第三節　選前當選席次變化對選民健康影響..............................11
　第四節　選後當選席次變化對選民健康影響..............................13
第柒章　結論..........................................................15
參考文獻..............................................................18










圖目錄

圖1 當選席次變化和投票率變化散布圖...................................22
圖2 選前上呼吸道感染.................................................22
圖3 選前下呼吸道感染.................................................22
圖4 選前心血管疾病...................................................22
圖5 選前肺部疾病.....................................................22
圖6 選前消化系統疾病.................................................23
圖7 選前頭痛.........................................................23
圖8 選前心理疾病.....................................................23
圖9 選前高血壓.......................................................23
圖10 選後上呼吸道感染................................................23
圖11 選後下呼吸道感染................................................23
圖12 選後心血管疾病..................................................24
圖13 選後肺部疾病....................................................24
圖14 選後消化系統疾病................................................24
圖15 選後頭痛........................................................24
圖16 選後心理疾病....................................................24
圖17 選後高血壓......................................................24









表目錄

表1 鄉鎮市區議員當選席次變化.........................................25
表2 醫療資源敘述統計量...............................................25
表3 鄉鎮市區就醫次數變數敘述統計量...................................26
表4 鄉鎮市區就醫費用變數敘述統計量...................................26
表5 個人就醫次數變數敘述統計量.......................................27
表6 個人就醫費用變數敘述統計量.......................................27
表7 投保類別比例.....................................................28
表8 投保金額比例.....................................................28
表9 席次變化對於投票率的影響.........................................28
表10 選前當選席次變化對20到39歲男性不同疾病就醫次數及費用影響......29
表11 選前當選席次變化對40到64歲男性不同疾病就醫次數及費用影響......31
表12 選前當選席次變化對65到85歲男性不同疾病就醫次數及費用影響......33
表13 選前當選席次變化對20到39歲女性不同疾病就醫次數及費用影響......35
表14 選前當選席次變化對40到64歲女性不同疾病就醫次數及費用影響......37
表15 選前當選席次變化對65到85歲女性不同疾病就醫次數及費用影響......39
表16 選後當選席次變化對20到39歲男性不同疾病就醫次數及費用影響......41
表17 選後當選席次變化對40到64歲男性不同疾病就醫次數及費用影響......43
表18 選後當選席次變化對65到85歲男性不同疾病就醫次數及費用影響......45
表19 選後當選席次變化對20到39歲女性不同疾病就醫次數及費用影響......47
表20 選後當選席次變化對40到64歲女性不同疾病就醫次數及費用影響......49
表21 選後當選席次變化對65到85歲女性不同疾病就醫次數及費用影響......51

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