- 期刊
運用資料包括法評估醫院各科室之員工生產力
Evaluation worker productivity by data envelopment analysis in a hospital
摘要
目的：本研究挑選醫院之第一線醫療部科，並依其醫療性質將部科分類，透過各類別相關生產力投入指標的計算，建立客觀之員工生產力模型，精確地評估每位員工生產力。依據員工生產力模型計算結果加以分析診斷，瞭解員工生產力低落原因、環節為何，並提出解決方案。方法：本研究運用資料包絡分析法來調查，評估對象以院內一線醫療單位共14 個科室為主，考量到醫院內服務性質的差異，個別發展出適合的投入產出項指標，將有共同指標之科室歸類成同一模式，本研究共歸類成7 個分析模式，分析模式選定最大產出BCC 模式，藉此有效的衡量各部科的技術效率及規模效率。研究結果：分析結果發現投入項目人力相關指標如醫師人員、醫事人員等，需減少0%~14.19%，藥品耗材降低幅度為10%~40%之間是投入項指標中須降低幅度最高的項目；而產出項指標如門診病人、住院病人及健保醫療收入，需提升範圍為8.71%~51.22%之間。結論：在全民健保制度實施後，對台灣醫療環境造成了很大的影響，增加了醫療環境的競爭程度，因此，本研究可作為醫院管理者是否該調整醫療服務成本的依據，以成功降低成本，提升醫院獲利率。
並列摘要
Purpose: This study was based on first line department in the hospital, we established the objective model of personnel's productivity from the analysis of calculation for every categories of productivity in hospital which classified by the different departments. With this model, we precisely analyzed and evaluated every employee's productivity and found out what is the reason to kept the productivity down and make a solution to improve that. Methodology: The methodology applied in this study was Data Envelopment Analysis (DEA) and the object of this study was focus on 14 first line departments in the hospital which covered different medical services. 7 individual analyzing models have the same and suitable input and output indicators had developed from this study. Research data from 2006 to 2007 was collected and applied the BCC model to had the largest output result to effectively evaluated the technical and scale efficiency of every departments in the hospital. Result: According to the result of this study, the highest input indicators of the human resources should be reduced which covered the doctors and medical personnel should be reduced 0%~14.19% and the medical materials should be reduced 10%~40%. And the output indicators which covered the numbers of the outpatients and inpatients and the incomes of national medical insurance should be increased from 8.71%~51.22%. Conclusion: National Health Insurance System had a significant impacts because it caused the enormous competition in the medical environment once it had been implemented. The management of the hospital should adjust the medical service cost according to the result of this study. In other word, this study can be the reference for the management of the hospital to keep down the medical cost and raise the profit.