影響各國國民健康的國際評比因素：以教育、經濟、人口因素為主

Study on the Impacted Factors of Population Health Rank: The Educational, Economical, and Population Factors

10.6778/NTTUERJ.201006.0057

張芳全(Fang-Chung Chang)

人口因素 ； 教育因素 ； 國民健康指數 ； 經濟因素 ； population factor ； educational factor ； composite of people health indices ； economical factor

臺東大學教育學報

21卷1期（2010 / 06 / 01）

57 - 92

繁體中文

國民的健康對於國家發展相當重要。本研究主要目的係以2005年的146個國家的資料來評比各國國民健康情形，同時更要分析教育、經濟、人口與健康的關係。本研究方法為次級資料分析，運用各國國民健康變項進行分析，包括國民的健康資源投入、健康環境及健康結果，透過因素分數的轉換別對國民健康結果進行指數計算與評比，接著再以教育、經濟與人口因素來瞭解變項之間的關係。研究發現：一、各國國民健康資源投入、國民健康環境及健康成果差異大。二、國民健康情形排名以先進國家較優異，然而，開發中國家亦有表現優異者，美國僅排第29名，這說明各國經濟愈發展，健康投入愈多，健康環境愈佳，進而提高健康評比。三、國民健康指數排於後的都是非洲國家。四、教育發展、經濟提升、人口成長緩慢對國民健康環境有正向影響，同時這三個因素透過了健康經費與健康環境對於國民健康亦有正向的顯著貢獻。

People health was important for national development. This paper covered 146 countries to provide a comparative analysis on people health, and to test the interrelationships among the educational, economic, and population development in 2005. It used the secondary data to analyze. On the basis of the factor coefficients, we employed 14 variables, and these variables were categorized to three dimension-indices, including people health resource input, health environment, and health outcome, and employed the health outcome to construct the comparative indices. We also study the correlation among the educational, economic, population development, health resource input, health environment, and health outcome. The results were as following: First, people health resource input, health environment, and health outcome were much more different in respectively. Secondly, most of the advanced countries were ranked on the top performance, and there were some developing countries also on the top rank, however, US was only ranked on 29. This meant that the economical development well and more health resources, the health environment better, and the health index was high. Thirdly, most of the African countries were ranked on the low performance. Finally, we also found the contribution of the educational, economic, and population development to health environment were positively significant each other, besides, the input expenditure and health environment can increase population health in respectively.

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