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題名:我國地區醫院經營效率影響因素之探討
書刊名:管理評論
作者:張錫惠王巧雲蕭家旗
作者(外文):Chang, Hsi-huiWang, Cheau-yunHsiao, Chia-chi
出版日期:1998
卷期:17:1
頁次:頁21-38
主題關鍵詞:地區醫院經營效率資料包絡分析迴歸分析District hospitalsEfficiency performanceDEARegression analysis
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(9) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:9
  • 共同引用共同引用:67
  • 點閱點閱:30
     本研究以衛生署民國八十三年「臺灣地區公私立醫療院所現況與服務量調查」資 料之「地區性」醫院為樣本,結合資料包絡分析與迴歸分析模式,探討我國地區醫院經營效 率之影響因素。本研究先就樣本醫院之投入及產出數據,應用資料包絡分析估計各醫院之經 營效率值,再以此效率值為依變數,運用迴歸分析模式確認和評估影響地區醫院經營效率之 相關因素。實證研究結果顯示,代表醫院所有權型態、病情嚴重程度、服務科別數,以及市 場競爭性等變數,對地區醫院經營效率具有負面之影響,而代表病床佔床率之變數,對地區 醫院經營效率則具有正面之效用。
     Using sample data from the 1994 survey of hospitals compiled by the Department of Health, this study combines Data Envelopment Analysis (DEA) with regression analysis to analyze factors affecting the efficiency performance of Taiwanese district hospitals. In particular, this study employs DEA with the choice of inputs and outputs being specific to sample hospitals to estimate efficiency scores, and then specifies a multiple regression model to identify and evaluate factors associated with these efficiency scores. Ther results indicate that hospital ownership, scope of services, degree of illness severity and market competition intensity have negative impacts on hospital efficiency performance, while occupancy rates have a positive impact on hospital efficiency performance.
期刊論文
1.Becker, E. R.、Sloan, F. A.(1985)。Hospital Ownership and Performance。Economic Inquiry,23(1),21-36。  new window
2.Wilson, G. W.、Jadlow, J. M.(1982)。Competition, Profit Incentives, and Technical Efficiency in the Provision of Nuclear Medicine Services。The Bell Journal of Economics,13,472-482。  new window
3.Grosskopf, S.、Valdmanis, V.(1987)。Measuring hospital performance: A nonparametric approach。Journal of Health Economics,6(2),89-107。  new window
4.Banker, R. D.、Conrad, R. F.、Strauss, R. P.(1986)。A comparative application of data envelopment analysis and translog methods: an illustrative study of hospital production。Management Science,32(1),30-44。  new window
5.Mensah, Y. M.、Li, S. H.(1993)。Measuring Production Efficiency in a Not-for-profit Setting: An Extension。The Accounting Review,68(1),66-88。  new window
6.羅紀瓊、石淦生、陳國樑(19960900)。醫院效率之衡量--DEA方法之應用。經濟論文,24(3),375-396。new window  延伸查詢new window
7.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
8.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
9.張錫惠、蕭家旗(19951000)。我國醫療基金營運效率之評估。會計評論,29,41-78。new window  延伸查詢new window
10.White, Halbert L. Jr.(1980)。A Heteroskedasticity-Consistent Covariance Matrix Estimator and a Direct Test for Heteroskedasticity。Econometrica: Journal of the Econometric Society,48(4),817-838。  new window
11.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
12.Seiford, L. M.、Thrall, R. M.(1990)。Recent Development in Data Envelopment Analysis (DEA): The Mathematical Programming Approach to Frontier Analysis。Journal of Econometrics,46(1/ 2),7-38。  new window
13.李玉春(1995)。從經濟理論探討全民健康保險費用之控制。全民健康保險法回顧與展望學術研討會。  延伸查詢new window
14.Banker, R. D.、Slaughter, S. A.(1997)。An Empirical Study of The Impact of Software Complexity on Software Maintenance。Management Science。  new window
15.Banker, R. D.、Chang, H.、Kemerer, K.(1994)。Evidence on Economies of Scale in Software Development。Information and Software Technology,36(5),275-282。  new window
16.Banker, R. D.、Gadh, V.、Gorr, W.(1993)。A Monte Comparison of Two Production Function Estimation Methods - COLS and DEA。European Journal of Operational Research,67,323-343。  new window
17.Hogan, A.、Wroblewski, R.(1993)。The Determinants of Hospital Efficiency: A Data Envelopment Analysis。Applications of Management Science,7,115-144。  new window
18.Kooreman, P.(1994)。Data Envelopment Analysis and Parametric Frontier Estimation: Complementary Tools。Journal of Health Economics,13(3),345-346。  new window
19.Lambert, R. A.、Larcker, D. F.(1995)。The Prospective Payment System, Hospital Efficiency, and Compensation Contracts for Senior Hospital Administrations。Journal of Accounting and Public Policy,14(1),1-31。  new window
20.Nishanen, W. A.(1968)。The Peculiar Economies of Bureaucracy。The American Economic Review,58,293-365。  new window
21.Qzcan, Y. A.、Roice, L. D.(1993)。A National Study of Efficiency of Hospitals in Urban Markets。Health Services Research,27,719-739。  new window
22.Banker, R. D.、張錫惠、Natarajan, R.(1995)。A simulation study of hypothesis tests for differences in efficiencies。International Journal of Production Economics,39(1/ 2),37-54。  new window
會議論文
1.張石柱、蕭幸金(1995)。我國公私立醫院經營效率之評估。第七屆會計理論與實務研討會。  延伸查詢new window
學位論文
1.王信仁(1992)。醫學中心與區域醫院之效率評估--資料包絡法之運用(碩士論文)。高雄醫學院。  延伸查詢new window
2.林瓊香(1993)。醫院生產效率之探討,0。  延伸查詢new window
3.楊靜婷(1996)。醫院經營績效之實證研究-以臺北市市立醫院為例,臺北。  延伸查詢new window
圖書
1.楊志良(1993)。健康保險。台北:巨流出版社。new window  延伸查詢new window
2.Fox, John(1991)。Regression Diagnostics: An Introduction。Newbury Park, CA:Sage Publications。  new window
3.Färe, Rolf S.、Grosskopf, Shawna、Lovell, C. A. Knox(1994)。Production Frontiers。Cambridge University Press。  new window
4.Scherer, Frederic M.、Ross, David(1990)。Industrial Market Structure and Economic Performance。Houghton Mifflin Company。  new window
5.行政院衛生署(1998)。中華民國公共衛生概況。台北:行政院衛生署。  延伸查詢new window
6.Niskanen, William A. Jr.(1971)。Bureaucracy and Representative Government。Chicago, IL:Aldine-Atherton。  new window
7.行政院衛生署(1995)。中華民國八十三年衛生年鑑。中華民國八十三年衛生年鑑。沒有紀錄。  延伸查詢new window
8.Rakich, J.、Longest, B.、Darr, K.(1985)。Managing Health Services Organization。Managing Health Services Organization。沒有紀錄。  new window
其他
1.Banker, R. D.,Chang, H.(1993)。Test of Monotone Concave Production Functions,0。  new window
圖書論文
1.Ali, A. I.、Seiford, L. M.(1993)。The mathematical programming approach to efficiency analysis。The Measurement of Productive Efficiency: Techniques and Applications。Oxford University Press。  new window
 
 
 
 
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