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

Best Practice Models of Provincial Hospitals: Evaluating Technical, Allocative, and Overall Efficiency

張睿詒(Ray-E Chang) ； 侯穎蕙(Ying-Hui Hou)

《管理評論》 20卷4期 (2001/10) Pp. 1-27

https://doi.org/10.6656/MR.2001.20.4.CHI.1

摘要

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。

關鍵字

資料包絡法 ； 技術效率 ； 分配效率 ； 省立醫院 ； 德菲法

並列摘要

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.

並列關鍵字

Data envelopment analysis ； Technical efficiency ； Allocative efficiency ； Provincial hospital ； Delphi technique

參考文獻

Alchian, A.(1969).Economic Policy and the Regulation of Corporate Securities.Washington, D. C.:American Enterprise Institute Public Policy Res..

American Hospital Association(1994).Hospital Statistics.Chicago:American Hospital Association.

Banker, R. D.,Conrad, R. F.,Strauss, R. P.(1986).A Comparative Application of Data Envelopment Analysis (DEA) and Translog Methods: An Illustrative Study of Hospital Production.Management Science.32(1)

Bannick, R. R.,Ozcan, Y. A.(1995).Efficiency Analysis of Federally Funded Hospital: Comparison of DOD and VA Hospital Using Data Envelopment Analysis.Health Services Management Research.8(5)

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)