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題名：省立醫院最佳經營典範探討--技術效率、分配效率與整體效率之評估
書刊名：管理評論
作者：張睿詒／侯穎蕙
作者(外文)：Chang, Ray-e／Hou, Ying-hui
出版日期：2001
卷期：20:4
頁次：頁1-27
主題關鍵詞：資料包絡法；技術效率；分配效率；省立醫院；德菲法；Data envelopment analysis；Technical efficiency；Allocative efficiency；Provincial hospital；Delphi technique
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(8) 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:8
  • 共同引用共同引用:35
  • 點閱點閱:151
省立醫院是公立醫院中分佈最廣、為數最眾的體系，然而，近年來在競爭的醫療環境下，經營績效提升已成為其重要課題。本研究藉由德菲法收集專家意見，定義醫院之投入／產出，與不同投入／產出間之相對價值，並納入個別醫院產出異質性之考量。以資料包絡法及其保證區域模式探討22家省立醫院之技術效率、分配效率與整體效率。結果顯示各型醫院在營運策略運用得宜下，均有其較佳之營運模式，而省立醫院整體效率之改善，除了需改善內部生產作業系統與管理能力以提升其技術效率，對於增進分配效率之投入資源與產出服務組合的調整，應可給予更多的著力。
Provincial hospitals are the most widespread and numerous public hospital system. However, as the health care market has grown to be fiercely competitive in the recent years, the improvement of operating performance has become one of the most important issues faced by provincial hospitals. In order to define the input/output of hospitals and the relative values between input/output, a Delphi survey is employed to collect expert opinions for this study. The output heterogeneity resulting from the different case-mix among hospitals is also considered. The technical efficiency, allocation efficiency, and overall efficiency for twenty-two provincial hospitals are analyzed through DEA and DEA/AR models. The results show that hospitals of varying sizes could always improve their performances as long as they employ appropriate strategies. Moreover, in order to improve the overall efficiency of provincial hospitals, provincial hospitals should not only increase technical efficiency by strengthening their operation systems and management capabilities, but also place emphasis on improving allocative efficiency by adjusting their resource allocation and service mix distributions.
期刊論文
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2.Ferrier, G.、Valdmanis, V.(1996)。Rural hospital performance and its correlates。Journal of Productivity Analysis，7(1)，63-80。  new window
3.Cooper, W. W.、Thompson, R. G.、Thrall, R. M.(1996)。Introduction: Extensions and new developments in DEA。Annals of Operations Research，66，1-45。  new window
4.Thrall, R. M.、Lee, E.、Lee, C. T.、Thompson, R. G.、Langemeier, L. N.(1990)。The role of multiplier bounds in efficiency analysis with application to Kansas farming。Journal of Econometrics，46(1/ 2)，93-108。  new window
5.Vivian, G.、Valdmanis, V. G.(1990)。Ownership and technical efficiency of hospitals。Medical Care，28(6)，552-561。  new window
6.Sherman, H. D.(1984)。Hospital efficiency measurement and evaluation-Empirical test of a new technique。Medical Care，22(10)，922-938。  new window
7.Burgess, J.、Wilson, P.(1995)。Decomposing hospital productivity changes, 1985-1988: A nonparametric malmquist approach。Journal of Productivity Analysis，6(3)，343-363。  new window
8.Sexton, T. R.、Leiken, A. M.、Sleeper, S.、Coburn, A. F.(1989)。The Impact of Prospective Reimbursement on Nursing Home Efficiency。Medical Care，27(2)，154-163。  new window
9.Grosskopf, S.、Valdmanis, V.(1987)。Measuring hospital performance: A nonparametric approach。Journal of Health Economics，6(2)，89-107。  new window
10.黃月桂、張保隆、李延春(19960800)。臺北市立綜合醫院經營績效之評估。中華公共衛生雜誌，15(4)，382-390。new window  延伸查詢new window
11.Ozcan, Y. A.、Luke, R. D.、Haksever, C.(1992)。Ownership and organizational performance: A comparison of technical efficiency across hospital types。Medical Care，30(9)，781-794。  new window
12.Charnes, A.、Cooper, W. W.、Wei, Q. L.(1989)。Cone ratio data envelopment analysis and multi-objective programming。International Journal of Systems Science，20(7)，1099-1118。  new window
13.Freeh, H. E. III(1976)。The Property Rights Theory of the Firm: Empirical Results from a Natural Experiment。Journal of Political Economy，84，143-152。  new window
14.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
15.Charnes, A.、Cooper, W. W.(1962)。Programming with Linear Fractional Functions。Naval Research Logistics Quarterly，9(3/4)，181-186。  new window
16.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
17.Golany, Boaz、Roll, Yaakov(1989)。An application procedure for DEA。OMEGA: International Journal of Management Science，17(3)，237-250。  new window
18.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
19.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
20.Boussofiane, A.、Dyson, R. G.、Thanassoulis, E.(1991)。Applied data envelopment analysis。European Journal of Operational Research，52(1)，1-15。  new window
21.Farrell, Michael James(1957)。The Measurement of Productive Efficiency。Journal of the Royal Statistical Society: Series A (General)，120(3)，253-290。  new window
22.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
23.Ozcan, Y. A.、Bannick, R. R.(1995)。Efficiency Analysis of Federally Funded Hospital: Comparison of DOD and VA Hospital Using Data Envelopment Analysis。Health Services Management Research，8(5)，73-85。  new window
24.Borden, J. P.(1988)。An Assessment of the Impact of Diagnosis-Related Group (DRG) - Based Reimbursement on the Technical Efficiency of New Jersey Hospitals Using Data Envelopment Analysis。Journal of Accounting and Public Policy，7(2)，77-96。  new window
25.Burgess, J. F.、Wilson, P. W.(1998)。Variation in Inefficiency Among Us Hospitals。Canadian Journal of Information Systems and Operational Research，36(3)，84-102。  new window
26.Chilingerian, J. A.、Sherman, H. D.(1990)。Managing Physician Efficiency and Effectiveness Providing Hospital Services。Health Services Management Research，3(1)，3-15。  new window
27.Hollingsworth, B.、Dawson, P. J.、Maniadakis, N.(1999)。Efficiency Measurement of Health Care: A Review of Non-parametric Methods and Applications。Health Care Management Science，2(3)，161-172。  new window
28.Morey, R. C.、Fine, D. J.、Loree, S. W.(1990)。Comparing the Allocative Efficiencies of Hospitals。Omega: The International Journal of Management Science，18(1)，71-83。  new window
29.Ozcan, Y. A.、Lynch, J. R.(1992)。Rural Hospital Closures: An Inquiry into Efficiency。Advances in Health Economics and Health Services Research，13，205-224。  new window
30.Rosko, M. D.(1990)。Measuring Technical Efficiency in Health Care Organizations。Journal of Medical Systems，14(5)，307-322。  new window
31.Thomas, R. R.、Barr, R. S.、Cron, William L.、Slocum, J. W. Jr.(1998)。A Process for Evaluating Retail Store Efficiency: A Restricted DEA Approach。International Journal of Research in Marketing，15(5)，487-503。  new window
32.Thompson, R. G.、Singleton, F. D.、Thrall, R. M、Smith, B. A.(1986)。Comparative Site Evaluations for Locating High Energy Lab in Texas。Interfaces，16(6)，1380-1395。  new window
33.Ozcan, Y. A.、Wang, B. B.、Thomas, T. W.、Harrison, J.(1999)。Trend in Hospital Efficiency Among Metropolitan Markets。Journal of Medical Systems，23(2)，83-97。  new window
34.White, K. R.、Ozcan, Y. A.(1996)。Church Ownership and Hospital Efficiency。Hospital & Health Services Administration，41，297-310。  new window
35.Lynch, J. R.、Ozcan, Y. A.(1994)。Hospital Closure: An Efficiency Analysis。Hospital & Health Services Administration，39(2)，205-220。  new window
研究報告
1.楊志良、尤宜安、邱琮秀(1992)。省市立醫院財務問題之研究。沒有紀錄。  延伸查詢new window
2.藍忠孚、錢慶文、陳淑芬、呂思慧(1991)。省市立醫院生產力之研究－以DEA方法研究醫院生產力之運用。沒有紀錄。  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.魏慶國(1992)。省市立醫院與教會醫院生產力及其影響因素之研究(碩士論文)。國立臺灣大學。  延伸查詢new window
3.戴君芳(1996)。病例組合指標(CMI)與醫院分級(碩士論文)。國立臺灣大學。  延伸查詢new window
4.林瓊香(1993)。醫院生產效率之探討，0。  延伸查詢new window
5.林澤森(1991)。從財務分析面比較區域級省（市）立醫院及私立醫院經營績效，0。  延伸查詢new window
6.陳隆鴻(1997)。某醫學中心醫師生產績效與執業型態，0。  延伸查詢new window
圖書
1.江東亮(1999)。醫療保健政策：臺灣經驗。巨流圖書股份有限公司。  延伸查詢new window
2.陳楚杰(1998)。醫院組織與管理。臺北：宏翰文化事業公司。  延伸查詢new window
3.行政院衛生署(1999)。行政院衛生署醫院經營委員會第二次會議資料。行政院衛生署醫院經營委員會第二次會議資料。臺北。  延伸查詢new window
4.American Hospital Association(1994)。Hospital Statistics。Hospital Statistics。Chicago, IL。  new window
5.Byrnes, P.、Valdmanis, V.(1994)。Analyzing Technical and Allocative Efficiency of Hospitals。Data Envelopment Analysis: Theory, Methodology, and Application。Boston, MA。  new window
6.Iezzoni, L. I.(1995)。Severity of Illness Measures and Assessing The quality of Hospital Care。Providing Quality Care: Future Challenges。Michigan。  new window
圖書論文
1.Alchian, A. A.(1969)。Corporate Management and Property Rights。Economic Policy and the Regulation of Corporate Securities。Washington, DC：American Enterprise Institute for Public Policy Research。  new window
 
 
 
 
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