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題名：新設醫療院所選擇醫療區域之研究--資料包絡分析法之運用
書刊名：健康管理學刊
作者：林進財／陳啟斌 引用關係／陳稚均／吳文祥
作者(外文)：Lin, Chin-tsai／Chen, Chie-bein／Chen, Zhi-jun／Wu, Wen-hsiang
出版日期：2005
卷期：3:1
頁次：頁71-83
主題關鍵詞：空間競爭理論；執業地點；醫療照護分配公平性；資料包絡分析；效能；Spatial competition；Medical region；Eequality of medical resources distribution；Data envelopment analysis；Effectiveness
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(3) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:3
  • 共同引用共同引用:17
  • 點閱點閱:27
醫院設置地點之決定首先必須選擇醫療區域，且醫院一旦設置後，將會帶給醫療區域不少的醫師與醫療設備。這會影響醫療區域之醫療資源分配，更會直接造成當地醫療院所間之競爭加劇，以及政府是否同意興建的問題，故醫療區域的決定具重要的政策意涵。本文根據空間競爭理論將醫療照護相關資料，透過資料包絡分析建構效能指標，來探討台灣地區醫療照護分配之公平性。並從此公平性來瞭解有那些醫療區域之醫療資源是相對不足，而有相對較低的競爭程度，是值得投入醫療資源的。本文之研究結果，可以提供醫療院所擬定選擇醫療區域政策之參考，不但可避免投入醫療資源過剩之醫療區域，而且可以減少因過度競爭而產生之風險。
Selecting medical region is a cornerstone in establishing a new hospital. Various physicians and facilities are introduced to the selected medical region during this selection process, and may influence the distribution of medical resources in that medical region. Furthermore, the competition among different institutes in the medical region may be enhanced and the government will also have to consider the issue of medical resources distribution. This study used spatial competition theory to identify effective indicators using data envelopment analysis (DEA) for exploring the equality of medical resources distribution among regions, and used this model to identify medical regions that lacked medical resources. Less competitive places ere considered deserving of investment. The considerations involved in establishing a brand new hospital are complex, and this study can help avoid investment risks in overly competitive places.
期刊論文
1.李玉春、賴美淑、盛培珠(20010600)。九十年度全民健保年度醫療費用總額範圍之擬定及其政策意函。醫務管理期刊，2(2)，72-86。new window  延伸查詢new window
2.Acton, J. P.(1975)。Nonmonetary Factors in the Demand for Medical Services: Some Empirical Evidence。Journal of Political Economy，83(3)，595-614。  new window
3.Anderson, R. M.、Newman, J. F.(1973)。Societal and Individual Determinates of Medical Care Utilization in the United States。Milbank Mem Fund Quarterly，51，95-124。  new window
4.Cauley, S. D.(1987)。The Time Price of Medical Care。Review of Economics and Statistics，69(1)，59-66。  new window
5.Chiang, T. L.(1995)。Deviation from the Carrying Capacity for Physicians and Growth Rate of Physician Supply: The Taiwan Case。Social Science and Medicine，40(3)，371-377。  new window
6.Coffey, R. M.(1983)。The Effect of Time Price on the Demand for Medical Care Services。Journal of Human Resources，18(3)，407-424。  new window
7.Cox, C.(2000)。Physician Utilization by Three Groups of Ethnic Elderly。Medical Care，4，667-676。  new window
8.Culyer, A. J.、Wagstaff, A.(1993)。Equity and Inequity in Health and Health Care。Journal of Health Economics，12，431-457。  new window
9.Drezner, Z.(1990)。A Note on the Location of Medical Facility。Journal of Regional Science，30(2)，281-286。  new window
10.Hsiao, C. L.、Yang, C. L.、Lu, J. F.(1990)。Health-Care Financing and Delivery in the ROC: Current Conditions and Future Challenges。Industry of Free China，73(2)，13-38。  new window
11.Le Grand, J.(1987)。Health and Health Care。Social Justice Research，1，257-274。  new window
12.Mooney, G.(1983)。Equity in Health Care: Confronting the Confusion。Effective Health Care，1，179-185。  new window
13.Mooney, G.、Hall, J.、Donaldson, C.、Gerard, K.(1992)。Reweighing Heat: Response to Culyer, Van Doorslaer and Wagstaff。Journal of Health Economics，11(2)，199-205。  new window
14.Mooney, G.、Hall, J.、Donaldson, C.、Gerard, K.(1991)。Utilization as a Measure of Equity: Weighing Heat?。Journal of Health Economics，10，475-480。  new window
15.Newhouse, J. P.、Williams, A. P.、Bennett, B. W.、Schwartz, W. B.(1982)。Does the Geographical Distribution of Physicians Reflect Market Failure?。Bell Journal of Economics，13，493-505。  new window
16.Rossiter, L. F.、Wilensky, G. R.(1984)。Identification of Physician-Induced Demand。Journal of Human Resources，19，231-244。  new window
17.Schalick, L. M.、Hadden, W. C.、Pamuk, E.、Navarro, V.、Pappas, G.(1967)。The Widening Gap in Death Rates Among Income Groups in The United States From 1967 To 1986。International Journal of Health Services，30(11)，13-26。  new window
18.Van Doorslaer, E.、Wagstaff, A、Van Der Burg, H.、Christiansen, T、Graeve, D. D.、Duchesne, I.、Gerdtham, U. G.、Gerfin, M.、Geurts, J.、Gross, L.、Hakinen, U.、John, J.、Klavus, J.、Leu, R. E.、Nolan, B.、O’Donnell, O.、Propper, C.、Puffer, F.、Schellhorn, M.、Sundberg, G.、Winkelhake, O.(2000)。Equity in the Delivery of Health Care in Europe and US。Journal of Health Economics，19，553-583。  new window
19.Wagstaff, A.、Doorslaer, E.、Van, R. P.(1989)。Equity in the Finance and Delivery of Health Care: Some Tentative Cross-Country Comparison。Oxford Review of Economic Policy，5，89-112。  new window
20.劉彩卿、吳佩璟(20010600)。全民健保下病患在各醫療層級間的就醫選擇--臺北市小兒科病患為例。醫務管理期刊，2(2)，87-108。new window  延伸查詢new window
21.Getzen, Thomas E.(2000)。Health Care is an Individual Necessity and a National Luxury: Applying Multilevel Decision Model to the Analysis of Health Care Expenditures。Journal of Health Economics，19(2)，259-270。  new window
22.Penchansky, R.、Thomas, J. W.(1981)。The Concept of Access: Definition and Relationship to Consumer Satisfaction。Medical Care，19(2)，127-140。  new window
23.d'Aspremont, Claude、Gabszewicz, Jean、Thisse, Jacques(1979)。On Hotelling's "Stability in Competition"。Economitrica，47(5)，1145-1150。  new window
24.Pedraja-Chaparro, F.、Salinas-Jiménez, J.、Smith, P.(1999)。On the Quality of the Data Envelopment Analysis Model。Journal of the Operational Research Society，50(6)，636-644。  new window
25.Chang, P. L.、Hwang, S. N.、Cheng, W. Y.(1995)。Using Data Envelopment Analysis to Measure the Achievement and Change of Regional Development in Taiwan。Journal of Environmental Management，43(1)，49-66。  new window
26.Seiford, Lawrence M.(1996)。Data Envelopment Analysis: The Evolution of the state of the Art (1978-1995)。Journal of Pharmaceutical Analysis，7(2/3)，99-137。  new window
27.Charnes, Abraham、Cooper, William W.、Rhodes, Edwardo(1978)。Measuring the efficiency of decision making units。European Journal of Operational Research，2(6)，429-444。  new window
會議論文
1.Cheng, S. W. H.、Su, J. R.(1999)。The Incidence of Expenditures and Revenues in Taiwan’s National Health Insurance。Taipei International Conference on Health Economics。Taipei。  new window
研究報告
1.(2000)。Health and Vital Statistics。Department of Health。  new window
2.(2000)。Statistical Yearbook of Highway Bureau, M.O.T.C.。Highway Bureau, Ministry of Transportation and Communications。  new window
3.(2000)。The National Health Insurance Statistics。Bureau of National Health Insurance。  new window
圖書
1.江東亮(1999)。醫療保健政策：臺灣經驗。臺北：巨流圖書公司。  延伸查詢new window
2.蕭峯雄(2002)。產業經濟學。臺北：植根雜誌出版社。  延伸查詢new window
3.Le Grand, J.(1991)。Equity and Choice。London：Harper Collins。  new window
4.Phelps, Charles E.(1997)。Health Economics。New York：Addison-Wesley Educational Publishers Inc。  new window
5.Santerre, R. E.、Neun, S. P.(2000)。Health Economics: Theories. Insights, and Industry Studies。Orlando：Harcourt Brace and Company。  new window
6.Wagstaff, A.、Van Doorslaer, E.(1993)。Equity in the Finance of Health Care: Methods and Finding。New York：Oxford University Press。  new window
7.Weisbrod, B. A.(1975)。Toward a Theory of the Voluntary Non-Profit Sdctor in a Three-Sector Economy, Altruism, Mortality and Economic Theory。New York：Rusell Sage Foundation。  new window
8.衛生署(2001)。衛生統計。臺北：行政院衛生署。  延伸查詢new window
9.Van Doorslaer, E.、Wagstaff, A.、Rutten, F.(1993)。Equity in the Finance and Delivery of Health Care: An International Perspective。Oxford University Press。  new window
10.盧瑞芬、謝啟瑞(2000)。醫療經濟學。學富文化事業有限公司。  延伸查詢new window
 
 
 
 
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