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題名:營運管制對台灣老人福利機構經濟規模之影響
作者:游青士
作者(外文):Ching-Shyh Yeo
校院名稱:國立雲林科技大學
系所名稱:管理研究所博士班
指導教授:傅鍾仁
學位類別:博士
出版日期:2013
主題關鍵詞:老人福利機構營運管制規模經濟護理之家成本函數Cost functionNursing homeOperation regulationEconomies of scaleElderly Welfare Institutions
原始連結:連回原系統網址new window
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本研究以規模經濟理論,探討營運管制對台灣老人福利機構經濟效率之影響。隨著我國邁入高齡化社會,老年人的安養照護需求日增,亦有許多業者積極投入此市場。政府為避免產業過度集中影響競爭,而對老人福利產業之經營規模設有限制,是否會因而使其偏離最適規模,進而無法提供適切的服務,影響其永續經營,是亟待探討的議題。本研究以Cobb-Douglas的成本函數模型來估計該產業的經濟規模,資料來源取自2004與2007兩個評鑑年度的評鑑報告與會計師查核報告。實證結果顯示,台灣地區老人福利產業因勞力成本具有半固定性質,成本結構近似於資本密集產業,較具規模的老人福利機構,其資本投資的使用效率相對較高。然因受限於營運管制,經營規模普遍偏低。在健全的市場機制下,理性的機構會選擇最有效率的營運規模,故建議主管機關,可適度放寬養護床位的規模限制,以兼顧業者之照護品質與營運目標。各機構亦可以透過合併或策略聯盟的方式,以擴大規模;或提供專業聚焦的安養、照護服務,有效利用已投入的資源,減少非必要性的重複設定成本。
The research is based on economic theory to discuss governments’ operation regulation impact on scale economies of Taiwanese elderly welfare institutions. In aging era, deviate from the optimal size under limited scale, the institutions cannot provide appropriate services, and ultimately affect the going concern. Government and the industry effort to set the optimal scale of operation to meet both nursing care quality and financial balance, is the main social welfare issue this research intended to explore. This research analyzes total 95 observations from the 2004 and 2007 government’s evaluation, and the accountants’ financial statement audited on that two year. With one output two inputs Cobb-Douglas cost function model to estimate the economies of scale of the industry. The result reveals the industry’s labor cost has a semi-fixed nature. Its cost structure is similar to that of capital intensive industry; yet their operating scale is limited which the majority of the institutions operate at an inappropriately low scale. The larger institutions are more capable of increasing their return on bed, and thus to reduce their costs. The empirical results of this study may provide the competent authorities and institutions the following recommendations: policy formulation by the government agency may loosen the scale control of the beds. With the market mechanism, rational institutions will choose the most efficient scale of operation.
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網路資料
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番社采風圖-以台灣歷史初期平埔族之社會文化為中心(下)【整理╱鄭寶珍(中央大學客家社會文化研究所) http://140.115.170.1/Hakkacollege/big5/ network/paper/paper36/30.html retrived on 2012/7/25 10:03am
 
 
 
 
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