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應用DEA評估地區醫院在健保總額支付制度下長期經營績效 = Evalua...

國立高雄大學亞太工商管理學系碩士班

應用DEA評估地區醫院在健保總額支付制度下長期經營績效 = Evaluate the Long-term Operational Efficiency of the District Hospitals in the NHI Global Budget System by Applying Data Envelopment Analysis

Record Type:	Language materials, printed : monographic
Paralel Title:	Evaluate the Long-term Operational Efficiency of the District Hospitals in the NHI Global Budget System by Applying Data Envelopment Analysis
Author:	黃如霞,
Secondary Intellectual Responsibility:	國立高雄大學
Place of Publication:	[高雄市]
Published:	撰者;
Year of Publication:	2012[民101]
Description:	89面圖，表 : 30公分;
Subject:	總額支付制度
Subject:	global budget system
Online resource:	http://handle.ncl.edu.tw/11296/ndltd/68619755360145747114
Notes:	參考書目：面62-68
Summary:	本研究利用資料包絡分析法(data envelopment analysis, DEA)針對臺灣全民健保總額支付制度實施後，連續9年(91-99年)之健保申報資料，進行地區醫院長期效率分析。採用投入項為醫師數及病床數共二項，產出項為門診申報案件數、門診申報點數、住診申報案件數及住診申報點數共四項，以CCR模式進行各年度地區醫院總體效率之分析，並進一步探討醫院特性與長期總體效率表現之關係，最後則之差額變數分析針對99年度地區醫院總體及個別可改善的方向與幅度進行建議。研究結果顯示在健保總額支付制度下，地區醫院經營效率有逐年下降趨勢。而不同地區之地區醫院長期之總體效率具有顯著差異，以中區表現最佳，南區效率最差。不同權屬之地區醫院長期之總體效率亦具顯著差異，且私立醫院表現明顯較公立醫院佳。在不同規模比較上，地區醫院所聘任之醫師數與長期總體效率間無顯著差異，但在設立之病床數部分，則具顯著差異，其中以201-300床之地區醫院表現最佳，而20床以下的小型地區醫院效率表現最差。 This study intends to use the data envelopment analysis (DEA) to evaluate the long-term efficiency of the district hospitals in Taiwan, based on the National Health Insurance information from 2002 to 2010 under the global budget system. The numbers of the physicians and the beds are used as the input factors. On the other hand, the output factors include the numbers of outpatient cases, outpatient payment points claimed, inpatient cases, and inpatient payment points claimed. The CCR model is employed to analyze the overall efficiency of the district hospitals. Besides, the relationship between the hospital characteristics and long-term overall efficiency is explored. Finally, focused on the year of 2010, the overall and specific improving directions and ranges of the district hospitals are suggested through the slack analysis. The results of the research showed that the overall efficiency of the district hospitals declined year by year in the global budget payment system. Regarding the long-term overall efficiency, there were significant differences among the district hospitals. The Central area was the best; the Southern area was the worst. Significant differences also resulted from different ownership of the district hospitals. The private hospitals outperformed the public ones. In the comparison of the different sized district hospitals, however, no significant differences were found concerning the physician number except for the bed number. The hospitals with 201-300 beds were considered the best, while the ones with less than 20 beds were the worst.

應用DEA評估地區醫院在健保總額支付制度下長期經營績效 = Evaluate the Long-term Operational Efficiency of the District Hospitals in the NHI Global Budget System by Applying Data Envelopment Analysis
黃, 如霞

應用DEA評估地區醫院在健保總額支付制度下長期經營績效 = Evaluate the Long-term Operational Efficiency of the District Hospitals in the NHI Global Budget System by Applying Data Envelopment Analysis / 黃如霞撰 - [高雄市] : 撰者, 2012[民101]. - 89面 ; 圖，表 ; 30公分.
參考書目：面62-68.
總額支付制度global budget system

應用DEA評估地區醫院在健保總額支付制度下長期經營績效 = Evaluate the Long-term Operational Efficiency of the District Hospitals in the NHI Global Budget System by Applying Data Envelopment Analysis
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328 $a 碩士論文--國立高雄大學亞太工商管理學系碩士班
330 $a 本研究利用資料包絡分析法(data envelopment analysis, DEA)針對臺灣全民健保總額支付制度實施後，連續9年(91-99年)之健保申報資料，進行地區醫院長期效率分析。採用投入項為醫師數及病床數共二項，產出項為門診申報案件數、門診申報點數、住診申報案件數及住診申報點數共四項，以CCR模式進行各年度地區醫院總體效率之分析，並進一步探討醫院特性與長期總體效率表現之關係，最後則之差額變數分析針對99年度地區醫院總體及個別可改善的方向與幅度進行建議。研究結果顯示在健保總額支付制度下，地區醫院經營效率有逐年下降趨勢。而不同地區之地區醫院長期之總體效率具有顯著差異，以中區表現最佳，南區效率最差。不同權屬之地區醫院長期之總體效率亦具顯著差異，且私立醫院表現明顯較公立醫院佳。在不同規模比較上，地區醫院所聘任之醫師數與長期總體效率間無顯著差異，但在設立之病床數部分，則具顯著差異，其中以201-300床之地區醫院表現最佳，而20床以下的小型地區醫院效率表現最差。 This study intends to use the data envelopment analysis (DEA) to evaluate the long-term efficiency of the district hospitals in Taiwan, based on the National Health Insurance information from 2002 to 2010 under the global budget system. The numbers of the physicians and the beds are used as the input factors. On the other hand, the output factors include the numbers of outpatient cases, outpatient payment points claimed, inpatient cases, and inpatient payment points claimed. The CCR model is employed to analyze the overall efficiency of the district hospitals. Besides, the relationship between the hospital characteristics and long-term overall efficiency is explored. Finally, focused on the year of 2010, the overall and specific improving directions and ranges of the district hospitals are suggested through the slack analysis. The results of the research showed that the overall efficiency of the district hospitals declined year by year in the global budget payment system. Regarding the long-term overall efficiency, there were significant differences among the district hospitals. The Central area was the best; the Southern area was the worst. Significant differences also resulted from different ownership of the district hospitals. The private hospitals outperformed the public ones. In the comparison of the different sized district hospitals, however, no significant differences were found concerning the physician number except for the bed number. The hospitals with 201-300 beds were considered the best, while the ones with less than 20 beds were the worst.
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