台北市立綜合醫院營運績效評估之研究

Performance Evaluation of Taipei Municipal General Hospitals

孫遜(Shinn Sun)

《管理學報》 20卷5期 (2003/10) Pp. 993-1022

https://doi.org/10.6504/JOM.2003.20.05.06

摘要

本研究的目的在於運用資料包絡分析法（Data Envelopment Analysis）與Free Disposal Hull來分析七所市立綜合醫院８７－８９年度經營績效，並比較二者之效率區別能力。另外，亦採交叉效率模式來找出最佳營運績效醫院。本研究提出四個績效評估模式，分別用以分析醫院總體營運效率、醫療效率、人力效率與收入效率。研究發現：１．萬芳（８８－８９）、中興、婦幼、忠孝與陽明四所醫院（８９）有總體經營效率，七所醫院89年度均達最適生產規模大小；２．平均而言，無效率醫院在醫療產出部份有相當大的改善空間，在投入部份則較少；３．經與DEA作比較，FDH模式會發覺許多醫院變為有效率，顯示FDH的效率區別能力較差，無法找出真正有效率醫院；４．公辦民營醫院較公家醫院有營運績效；５．中興、婦幼、陽明、和平、與仁愛（８９）有醫療效率；萬芳（８８－８９）、中興、婦幼、忠孝、仁愛與和平五所（８９）有收入效率；中興、仁愛、陽明與婦幼醫院（８９）有人力效率；６．最佳總體營運績效醫院為婦幼醫院（８９）；與７．高醫療效率的醫院均有高人力效率與高收入效率。最後，本研究提出改善建議，以提供主管機關政策制訂及市立醫院內部經營管理之參考。

關鍵字

資料包絡分析法,績效衡量,效率,醫院

並列摘要

The purpose of this paper is to measure the performance of 7 selected Taipei Municipal General Hospitals using Data Envelopment Analysis (DEA) and Free Disposal Hull (FDH) reference technologies and to make comparison of these two approaches in terms of their discriminations power of efficient decision making units (DMUs). The cross efficiency evaluation is also used to identify the most efficient hospital. Four performance models are developed for measuring overall performance, health service efficiency, manpower efficiency, and revenue efficiency. This paper concludes that: 1. Hospitals including Wang-fang (1999-2000) and Chung-Hsing, Women and & Children’s General Hospital, and Yang-Ming BA (2000) are overall efficient; and all the selected hospitals already operate at the most productive scale Size in 2000; 2. In general, inefficient hospitals have more room for making improvements on the outputs than the inputs; 3. FDH yields more efficient hospitals than DEA does, and thus cannot critically identify most efficient units; 4. The public-owned and private-operated hospital outperforms the public-owned hospital at the significant level of 5%; 5. Hospitals such as Chung-Hsing, Jen-Ai, Ho-Ping, Women and & Children’s General Hospital (2000) are rated 100% service efficiency; Wang-Fang (1999-2000), Chung-Hsing, Women & Children’s General Hospital, Chung-Hsiao, len-Ai, and Ho-Ping hospitals (2000) are rated 100% revenue efficiency, and Chung-Hsing, Jen-Ai, Yang-Ming, and Women & Children’s General Hospitals (2000) are rated manpower efficiency; 6. Women and & Children’s General Hospital (2000) is the best performing hospital since it has the highest cross efficiency score; and 7. A hospital that is rated high service efficiency also has high. Manpower and revenue efficiencies. Finally, this study presents suggestions to the Department of Health and hospital management for improving the performance of these hospitals.

並列關鍵字

Data Envelopment Analysis,Performance Evaluation,Efficiency,Hospital

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