運用DEA模型分析牙科醫療連鎖加盟診所的營運績效 —以D牙科醫療連鎖加盟診所為例

Analysis of Operating Performance of the Dental Franchise Clinics Using DEA Model —A Case Study of D Dental Franchise Clinics

鄭牧民(Mu-Min Cheng)

指導教授 ： 黃崇興

國立臺灣大學/管理學院/商學組/碩士(2016年)

https://doi.org/10.6342/NTU201700051

摘要

我國自從1995年實施全民健康保險以來，提供給人民基本的健康醫療照護保障，民眾的評價良好，但亦是對於整個醫療照護體系全面的翻修，隨著醫療給付制度的改變，醫療產業也隨之產生巨大的變化，除了更加專精化，也出現了一些採用加盟連鎖經營的醫療機構，本文係探討在我國醫療產業環境下，基層醫療機構採用連鎖經營的模式，在運行了若干年後，如何評估各個診所的營運績效問題?
本研究希望可以找到適合評估醫療連鎖體系下各加盟診所營運績效的方法，提供醫療連鎖總部一個客觀的數據，並能給予各加盟診所一些改善的建議，以達到營運優化及效率最大化的目標。本研究以D醫療連鎖機構下的加盟牙科診所為績效評估的對象，所挑選的加盟牙科診所兼顧同質性及異質性，加盟診所提供類似的服務，均有加入全民健康保險體制及提供類似的自費醫療項目，懸掛相同的識別標章，在診所的裝潢、外觀，內部人員的服裝及教育訓練也由總部規劃，但各個加盟診所的院長仍有一定的自主性，其醫療行為的主體-牙醫師，來自不同的教育訓練背景，有著不同的人格特質，加盟診所也面對不同的競爭環境，最後挑選D醫療連鎖機構位於大台北地區的加盟牙科診所共九家，其於2010、2011、2012年共三年的資料進行分析，共27個DMU。
本研究使用資料包絡分析法(DEA)的CCR模式及BCC模式進行分析比較，結果發現各加盟診所的營運績效大多需進行投入變數的調整，表示在大部分的加盟診所都有改善的空間，但在CCR模式及BCC模式求得之差額變數有所不同，此乃因為在CCR模式之下的差額變數須透過技術及規模兩者同時改善方能減少投入變數，而幾乎所有的加盟診所在CCR模式下的每一個投入變數都有進行改善的空間，但規模調整需要一定的時間，而BCC模式下的差額變數透過技術改善即能減少投入變數，調整時間較短，故建議先從BCC模式下的差額變數提供加盟診所改善建議。

關鍵字

績效評估 ； 資料包絡分析法 ； 醫療連鎖體系 ； 加盟診所

並列摘要

Since the implementation of national health insurance in 1995, Taiwan has provided people with basic health care. Public evaluation is good. But it is also a complete overhaul of the entire health care system. With the medical payment system changes, the medical industry also will have a huge change. In addition to more specialized, there have been a number of franchisees to join the use of medical institutions, This article discusses how to evaluate the operational performance of the clinics after a few years of operation using the chain management model in the medical industry environment in Taiwan.
This study hopes to find a suitable method for assessing the performance of franchised clinics under the medical chain system. We provide an objective data to the medical chain headquarters, and give some advice to the franchise clinics to achieve operational optimization and efficiency maximization. In this study, the dental clinics of D medical chain institutions were chosen as the target of performance evaluation, and the selected dental clinics were both homogeneity and heterogeneity. These Clinics provide similar services by joining the National Health Insurance Scheme and offering similar self-funded health care items with the same identification badges. The decor, appearance, interior clothing and education training of the clinic are also planned by the Headquarters. But each clinic's dean is still a certain degree of autonomy, the main body of their medical behavior - dentists, from different educational and training background, has a different personality traits. These clinics also face different competitive environments. Finally, we selected nine D clinics located in the Greater Taipei area. The data were analyzed in 2010, 2011 and 2012 for a total of 27 DMUs.
In this study, data envelopment analysis (DEA) of which the CCR mode and BCC model were used to analyze and compare. The results found that the operating performance of the franchise clinics are mostly required to adjust the input variables, said most of the joining clinics have improved space. However, the difference between the CCR and BCC models is different because the variance under the CCR model needs to be improved by both the technology and the size to reduce the input variables. And almost all of the participating clinic in CCR mode, each input variable has space for improvement. But the size of the adjustment will take some time. While the difference variable in BCC mode through technical improvements that can reduce the input variables, the adjustment time is shorter. It is recommended to start from the BCC mode difference variables to offer Dental Clinic Improvements.

並列關鍵字

Operating Performance Analysis ； Data Envelopment Analysis (DEA) ； Medical Chain System ； Franchise Clinic

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