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題名：考量醫護人力短缺及兼顧醫療品質之醫院經營績效評估模式--以臺灣急性照護醫院為例
書刊名：企業管理學報
作者：洪素英／吳泰熙 引用關係
作者(外文)：Hung, Su-ying／Wu, Tai-hsi
出版日期：2019
卷期：44:4
頁次：頁57-89
主題關鍵詞：資料包絡分析法；醫院經營效率；醫療品質；非意欲產出；不可控制投入；Data envelopment analysis；DEA；Hospital managerial efficiency；Healthcare quality；Undesirable output；Un-controllable input
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(0) 博士論文(0) 專書(0) 專書論文(0)
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  • 共同引用共同引用:215
  • 點閱點閱:13
台灣地區之醫院績效評估過去多偏重在經營效率，顯少同時兼顧醫療品質，加上現今醫護人力短缺的問題，傳統的效率評估模型已無法符合現況。本研究應用資料包絡分析法建構兩階段評估模式：階段一建立技術效率評估模式，在現有醫護人力不可減少之限制下，求得各醫院之最佳經營效率；階段二則在階段一之基礎上，再納入醫療照護品質考量，建立綜合效率模式。本次研究之分析數據量涵蓋全國急性醫療照護之大部分數據，研究結果亦高度符合實務現況。針對效率值未臻理想之醫院，本研究提出調整病床配置、增加初診與轉診人數，並提升照護品質等建議。
In Taiwan, hospital performance evaluations largely focus on managerial efficiency and rarely on healthcare quality, together with the growing shortage of medical professionals, the conventional performance evaluation models can thus no longer truly reflect current situation. In this context, the authors proposed a practical hospital performance evaluation method based on the data envelopment analysis. The method comprises two stages. During the first stage, a technical efficiency evaluation model was developed to calculate the optimal managerial performance of hospitals, while in the second stage, results from the first stage were incorporated into the analysis of healthcare quality to create a comprehensive efficiency model that conformed to current situations. Hospitals evaluated in this study include medical centers, regional hospitals, and district hospital; data analyzed in this study has encompassed a large portion of the acute medical care of the entire country. The research results and findings of this study accurately match the current situations. For hospitals failing to reach ideal efficiency values, suggestions for adjusting bed configuration were proposed.
期刊論文
1.林江亮、楊志春、郭弘卿(2007)。臺灣公立醫院經營效率之實證研究。現代會計與審計，3(5)，45-52。  延伸查詢new window
2.張石柱、蕭幸金、陳美惠、王詩鳳(20080500)。醫療品質與生產力變動之評估--以臺灣醫療品質指標計畫(TQIP)為例。當代會計，9(1)，1-32。new window  延伸查詢new window
3.陳巧珊、程于珊、許怡欣(20080700)。運用資料包絡分析法探討署立醫院、縣市立醫院及其委託經營醫院經營效率。澄清醫護管理雜誌，4(3)，7-13。  延伸查詢new window
4.Kruk, M. E.、Freedman, L. P.(2008)。Assessing health system performance in developing countries: A review of the literature。Health Policy，85(3)，263-276。  new window
5.Zhou, Peng、Poh, Kim Leng、Ang, Beng Wah(2007)。A non-radial DEA approach to measuring environmental performance。European Journal of Operational Research，178(1)，1-9。  new window
6.Liu, John S.、Lu, Louis Y. Y.、Lu, Wen-Min、Lin, Bruce J. Y.(2013)。A survey of DEA applications。Omega，41(5)，893-902。  new window
7.Banker, Rajiv D.、Morey, Richard C.(1986)。Efficiency Analysis for Exogenously Fixed Inputs and Outputs。Operations Research，34(4)，513-521。  new window
8.Veillard, J.、Champagne, F.、Klazinga, N.、Kazanldjian, V.、Arah, O.、Guisset, A. L.(2005)。A performance assessment framework for hospitals: the WHO regional office for Europe PATH project。International journal for quality in Health Care，17(6)，487-496。  new window
9.Hu, H. H.、Qi, Q. H.、Yang, C. H.(2012)。Analysis of hospital technical efficiency in China: Effect of health insurance reform。China Economic Review，23(4)，865-877。  new window
10.鍾國彪、游宗憲(20120900)。臺灣醫療品質指標發展現況與挑戰。醫療品質雜誌，6(5)，8-14。new window  延伸查詢new window
11.Clement, J. P.、Valdmanis, V. G.、Bazzoli, G. J.(2008)。Is More Better? An Analysis of Hospital Outcomes and Efficiency with a DEA Model of Output Congestion。Health Care Management Science，11(1)，67-77。  new window
12.Seiford, Lawrence M.、Zhu, Joe(2002)。Modeling undesirable factors in efficiency evaluation。European Journal of Operational Research，142(1)，16-20。  new window
13.Banker, Rajiv D.、Charnes, Abraham、Cooper, William Wager(1984)。Some Models for Estimating Technical and Scale Inefficiencies in Data Envelopment Analysis。Management Science，30(9)，1078-1092。  new window
14.Golany, Boaz、Roll, Yaakov(1989)。An application procedure for DEA。OMEGA: International Journal of Management Science，17(3)，237-250。  new window
15.鍾漢軍、范保羅、薄喬萍、石惠美(20080300)。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。醫務管理期刊，9(1)，36-52。new window  延伸查詢new window
16.Chen, L. M.、Jha, A. K.、Guterman, S.、Ridgway, A. B.、Orav, E. J.、Epstein, A. M.(2010)。Hospital Cost of Care, Quality of Care, and Readmission Rates。Archives of Internal Medicine，170(4)，340-346。  new window
17.Chen, Long-sheng、Wang, Yi-ren(20150500)。A Conceptual Framework for Taiwan's Hospital Clinical Performance Indicators。Journal of the Formosan Medical Association，114(5)，381-383。  new window
18.Dharmarajan, K.、Hsieh, A. F.、Lin, Z.、Bueno, H.、Ross, J. S.、Horwitz, L. I.、Barreto-Filho, J. A.、Kim, N.、Suter, L. G.、Bernheim, S. M.、Drye, E. E.、Krumholz, H. M.(2013)。Hospital readmission performance and patterns of readmission: retrospective cohort study of Medicare admissions。British Medical Journal，347。  new window
19.Epstein, A. M.、Jha, A. K.、Orav, E. J.(2011)。The relationship between hospital admission rates and rehospitalizations。New England Journal of Medicine，365(24)，2287-2295。  new window
20.Matranga, D.、Sapienza, F.(2015)。Congestion analysis to evaluate the efficiency and appropriateness of hospitals in Sicily。Health Policy，119(3)，324-332。  new window
21.Nguyen, H. Bryant、Corbett, Stephen W.、Banta, Jim、Clark, Robin T.、Hayes, Sean R.、Edwards, Jeremy、Cho, Thomas W.、Wittlake, William A.(2007)。Implementation of a bundle of quality indicators for the early management of severe sepsis and septic shock is associated with decreased mortality。Critical care medicine，35(4)，1105-1112。  new window
22.游濬遠、邱健泰、耿慶瑞、黃馨瑩、邱志洲(20070600)。從效率性分析觀點探討醫療服務品質之提升--以臺灣地區大型醫院為例。品質學報，14(2)，197-206。new window  延伸查詢new window
23.翁瑞萱、徐愫萱、施至遠、黃勝堅(20150400)。臺灣社區安寧居家療護之現在與未來。護理雜誌，62(2)，18-24。new window  延伸查詢new window
24.Färe, Rolf、Grosskopf, Shawna、Lovell, C. A. K.、Pasurka, Carl(1989)。Multilateral productivity comparisons when some outputs are undesirable: A nonparametric approach。The Review of Economics and Statistics，71(1)，90-98。  new window
25.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
研究報告
1.Almeida, Á.、Fique, J. P.(2011)。Evaluating hospital efficiency adjusting for quality indicators: An application to Portuguese NHS hospitals。Universidade do Porto, Faculdade de Economia do Porto。  new window
2.Kalinichenko, O.、Amado, C. A. F.、Santos, S. P.(2013)。Performance Assessment in Primary Health Care: A Systematic Literature Review。  new window
圖書
1.Sueyoshi, Toshiyuki、高強、黃旭男(2003)。管理績效評估：資料包絡分析法。臺北：華泰文化事業股份有限公司。new window  延伸查詢new window
2.Ozcan, Y. A.(2014)。Health Care Benchmarking and Performance Evaluation: An Assessment using Data Envelopment Analysis (DEA)。NY：Springer。  new window
圖書論文
1.Donabedian, A.(1980)。Basic Approaches to Assessment: Structure, Process and Outcome。The Definition of Quality and Approaches to Its Assessment。  new window
 
 
 
 
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