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題名:以資料包絡分析法評估醫院臨床科別經營績效--以某區域教學醫院為例
書刊名:醫務管理期刊
作者:鍾漢軍范保羅薄喬萍石惠美
作者(外文):Chung, Han-chiumFan, Pao-luoBao, Chiao-pingShih, Whei-mei
出版日期:2008
卷期:9:1
頁次:頁36-52
主題關鍵詞:資料包絡分析法績效評估Malmquist指數DEAData envelopment analysisPerformance evaluationMalmquist index
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(1) 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:1
  • 共同引用共同引用:38
  • 點閱點閱:30
目的:以資料包絡分析法評估出醫院臨床科別經營績效的優劣,及逐年改善情形。 方法:以資料包絡分析法(Data Envelopment Analysis, DEA)爲方法,評估某區域教學醫院臨床各科的經營績效。決策單位包括内科組7個臨床科,外科組12個臨床科,利用93及94年度兩個投入變項(醫師人數、護理人數)與3個產出變項(門急診人數、住院人日、醫療收入)的資料進行分析,以DEA中CCR模式(Charnes Cooper Rhodes mode)評估該醫院各年度及跨年度各單位的相對效率值,並作内科組與外科組相對效率的比較,之後以Malmquist指數做跨期效率分析,探討技術移動及追趕程度。 結果:内科組跨年度平均效率值爲96.25%,外科組跨年度平均效率值為84.03%,該院的内科經營績效優於外科。94年度全部臨床科別的平均效率值爲92.29%,其經營績效亦比93年度的87.28%優異。依照Malmquist指數計算,有14個科都逐年改善。 結論:以DEA投入導向的CCR模式,分辨出各臨床科別經營績效的好壞,以及Malmquist指數看出逐年進步與退步的趨勢,將有助於決策者對投入資源的正確分配,以達整體規模的最適境界。
Objectives: To evaluate the operative performance and efficiency of clinical sections and its improvement year by year using Data Envelopment Analysis (DEA) Methods: We evaluated the operative performance of each clinical section in a regional teaching hospital using the DEA method. The Decision Making Units (DMU) includes 7 sections of the internal medicine group, and 12 sections of the surgical group. The study was conducted using data in years 2004 to 2005. The two input variables were the number of attending doctors and nurses, and the three output variables were OPD and emergency case number, admission day medical income. The aforementioned data was analyzed with the CCR model of the DEA method to obtain the relative efficiency scores of various sections in the hospital, after which a comparison was made between the relative efficiency score of sections in the internal medicine group and those belonging to the surgical group. Finally, we discuss the shift in technology and catching up in efficiency by calculating cross-year efficiency score according to the Malmquist index. Results: The average efficiency score of the internal medicine group in the cross-year was 96.25%, and the average efficiency score of the surgical group in the cross-year was 84.03%. This result indicates that the operative performance of the internal medicine group in this hospital is higher than that of the surgical group. The average efficiency score of all the clinical sections in the year 2005 was 92.29%, which also indicates a higher operative performance than the 87.28% in 2004. From calculations according to the Malmquist index, we can see that there are 14 sections whose performance is increasing year by year. Conclusions: By using the CCR model of DEA, we can distinguish the performance of each clinical section; by suing the Malmquist index, we can follow trend of improvement or recession year. There results can help the decision-maker of the hospital use resources allocation correctly to achieve the optimal level of the institution.
期刊論文
1.Sherman, H. D.(1984)。Hospital efficiency measurement and evaluation-Empirical test of a new technique。Medical Care,22(10),922-938。  new window
2.翁興利、李豔玲、潘婉如(19960900)。相對效率之衡量:DEA之運用。中國行政評論,5(4),63-106。new window  延伸查詢new window
3.王媛慧、李文福(20040100)。我國地區醫院技術效率之研究--DEA方法的應用。經濟研究.臺北大學經濟學系,40(1),61-95。new window  延伸查詢new window
4.張石柱、廖哲聖(20000500)。國軍醫院經營效率之實證研究。國防管理學院學報,21(1),1-17。  延伸查詢new window
5.孫遜(20031000)。臺北市立綜合醫院營運績效評估之研究。管理學報,20(5),993-1022。new window  延伸查詢new window
學位論文
1.王慕凡(2000)。全民健保對各型醫院生產力之影響(碩士論文)。國立中正大學。  延伸查詢new window
2.吳家思(2000)。醫院經營效率之研究--以衛生署所屬醫院為例(碩士論文)。國立交通大學。  延伸查詢new window
圖書
1.薄喬萍(2005)。績效評估之資料包絡分析法。臺北:五南圖書出版股份有限公司。  延伸查詢new window
2.孫遜(2004)。資料包絡分析法:理論與應用。揚智文化事業股份有限公司。  延伸查詢new window
其他
1.Vaslis, Sarafidis(2002)。An assessment of comparative efficiency measurement techniques。  new window
2.Harrison JP(2005)。An efficiency analysis of veterans health administration hospitals。  new window
3.Harrison JP; Coppola MN; Wakefield M(2004)。Efficiency of federal hospitals in the United States。  new window
4.Staevski S(2002)。Alternative methods to examine hospital efficiency-data envelopment analysis and stochastic frontier analysis。  new window
5.Fare R; Grosskopf S; Lindgren B; Ross P(1992)。Productivity changes in Swedish pharmacies 1980-1989: a non-paramet-ric Malmquist approach。  new window
6.Hofmarcher MM; Paterson I; Riedel M(2002)。Measuring hospital efficiency in Austria- a DEA approach。  new window
7.Joses MK; Emrouznejad A; Luis GS(2002)。Measurement of technical efficiency of public hospitals in Kenya: using data envelopment analysis。  new window
8.Bhat VN(2003)。Health systems performance: a statewide analysis。  new window
9.Chang HH; Chang WJ; Somnath D; Li SH(2004)。Health care regulation and the operating efficiency of hospitals: Evidence from Taiwan。  new window
10.楊蕙旭(1995)。台灣地區醫院生產力之決定因素。  延伸查詢new window
11.Ozcan YA; Cotter JJ(1994)。An assessment of efficiency of area agencies on aging in Virginia through data envelopment analysis。  new window
 
 
 
 
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