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    Please use this identifier to cite or link to this item: https://nccur.lib.nccu.edu.tw/handle/140.119/98845

    Title: 肺癌之研究及保單設計
    Study and price insurance for the lung cancer
    Authors: 葉步釩
    Ye, Bu Fan
    Contributors: 劉惠美
    Ye, Bu Fan
    Keywords: 全民健康保險研究資料庫
    National Health Insurance Research Database
    Lung cancer
    Medical cost estimation
    Multiple state model
    Transition intensity
    Pure premium
    Date: 2016
    Issue Date: 2016-07-11 16:54:47 (UTC+8)
    Abstract: 本次研究使用全民健康保險研究資料庫2005承保抽樣歸人檔(LHID2005),共40萬人的承保資料,針對肺癌患者的特徵進行分析,並與美國國家癌症研究所的肺癌資料作比較,罹患肺癌的人數都呈現男性多於女性,罹癌年齡的最高峰同樣落在65歲至74歲。
    This study used Longitudinal Health Insurance Database 2005 (LHID2005) from Taiwan’s National Health Insurance Research Database (NHIRD). Screening the 400,000 insured of NHIRD to select the lung and bronchus cancer patients. This study analyzed and described their characteristics. Furthermore, it compared Taiwan’s lung and bronchus cancer data with the data in the United States derived from National Cancer Institute of the USA. The results revealed that the number of male patients is more than female patients and lung cancer is most frequently diagnosed among people aged 65-74 in both countries.
    Another aim was to sum up the lung cancer medical cost in 2005 to 2012 from NHIRD database, including ambulatory care expenditures by visits and inpatient expenditures by admissions. The highest cost of outpatients was medicine fee. The top five inpatient expenditures were medicine fee, ward fee, radiation therapy fee, inspection fee and therapeutic treatment fee.
    Finally, this study constructed a multiple state model of lung cancer treatment, including surgery, radiotherapy, chemotherapy. Estimating the transition intensities from multiple state model to calculate the pure premium of a five-year lung cancer policy.
    Reference: Chou, Li-Fang (2004). Estimating medical costs of gastroenterological diseases. World Journal of Gastroenterology. 10(2). 273-278.
    National Cancer Institute. SEER Stat fact sheets:Lung and Bronchus Cancer.
    Retrieved April 12 2016. From http://seer.cancer.gov/statfacts/html/lungb.html.
    Ross, S. M. (1996). Stochastic Processes, 2nd Edition. John Wiley & Sons, Inc. New York.
    Waters, H. R. (1984). An approach to the study of multiple state models. Journal of Institute of Acturial. Volume 111. 363-374.
    王儀瑄 (2013),婦癌弱體保單設計及定價,東吳大學,財務工程與精算數學系碩士論文。
    江啟輝 (2012),肺癌防治,聲洋防癌之聲,137期,2-5。
    陳晉興 (2014),肺癌防治即刻行動!Part 2 肺癌治療篇,財團法人全民健康基金會,健康報導,第28期。
    Description: 碩士
    Source URI: http://thesis.lib.nccu.edu.tw/record/#G0103354004
    Data Type: thesis
    Appears in Collections:[Department of Statistics] Theses

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