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The Efficiency of Nursing Homes in Taiwan: An Empirical Study Using Data Envelopment Analysis

我國老人照護機構技術效率之研究-資料包絡分析法的應用

摘要


近年來台灣地區人口老化速度持續上升,老人照護問題值得重視。然而,長久以來,國內老人照護機構缺乏全面性、系統性的生産效率評估指標,致使公私部門資源於長期照護市場未能有效配置。爲了避免廠商效率值發生censoring問題,本文利用修正的資料包絡分析法(data envelopment analysis,簡稱DEA)模式,衡量台灣地區老人照護機構的生産效率狀況,藉以找出超效率(super-efficient)之照護機構。此外,進一步探討照護品質特性納入DEA模式與否,對照護機構生産效率的影響。最後,以非參敷方法Mann-Whitney U檢定生産效率差異的顯著性,並利用迴歸模型解釋老人照護機構生産效率的可能原因。

並列摘要


In this study, we measured and analyzed the production efficiency of nursing homes in Taiwan. The modified DEA (data envelopment analysis) technique was used in order to avoid the ”censoring problem” caused by the traditional DEA method. We were able to investigate the impact of the performance of individual decision-making units on the estimated production frontier. We also identified the trade-off between quantity and quality outputs through comparing the efficiency measurements of different indexes. The non-parametric U test was used 10 verify these differences and the regression analysis to isolate possible contributing factors of the estimation results.

參考文獻


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Bjorkgren, M.,Hakkinen U.,Linna M.(2001).Measuring Efficiency of Long-Term Care Units in Finland.Health Care Management Science.4,193-200.

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