Apply the Data Envelopment Analysis to Evaluate the Operational Efficiency of Public Hospital: A Perspective on the Role of Nursing

運用資料包絡分析法探討公立醫院之經營效率：強調護理人員之角色

林瑞青(Ruey-Ching Lin) ； 卓佳慶(Chia-Ching Cho) ； 楊一芳(Yi-Fang Yang)

《輔仁管理評論》 23卷3期 (2016/09) Pp. 1-27

摘要

本文研究之目的在於分析公立醫院的經營效率，並考量護理人員之觀點，特別將護理人力之薪資作為重要的投入項目。採用Charnes, Cooper and Rhodes（1978）的資料包絡分析法（Data Envelopment Analysis, DEA），即所謂CCR模式來估算效率值，本文共使用6個投入變項及3個產出變項。研究期間為2010年一個完整年度，資料則以個別醫院為一決策單位（DMU），共包含54家醫院。實證結果發現，相對效率小於1，即相對無效率者有33家，佔61.11%。可見公立醫院中，半數以上仍處於效率待提升的狀態。而比較刪除正職護理人員薪資及約用護理人員薪資2項投入項測試其效率值與原效率值間的差異，發現平均效率值大幅下降。顯示正職護理人員薪資及約用護理人員薪資對於公立醫院經營績效有顯著的貢獻，也可間接觀察出護理人員待遇有改善之空間。

關鍵字

資料包絡分析法 ； 經營效率 ； 公立醫院

並列摘要

This study analyzes the operational efficiency of public hospitals in Taiwan, with a special emphasis on the role of nurses. Nursing staff salaries are taken as a key input factor. We use the CCR model (Charnes, Cooper and Rhodes, 1978) of data envelopment analysis (DEA) to evaluate efficiency. The study includes 6 inputs and 3 outputs and covers all of 2010. 54 public hospitals are sampled and each is treated as a DMU. The empirical results show that more than half of the sample are relatively inefficient and need to take action to make improvements. An adjusted efficiency score is measured by excluding the inputs of full-time and agency nursing staff salaries; results show that the adjusted score is lower than original one. This finding suggests that nursing staff salaries make positive contribution to operational efficiency, though there may be room for improvement.

並列關鍵字

Data Envelopment Analysis ； Operational Efficiency ； Public Hospital

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