The Effect of Market Exposure on Public Hospitals' Performance
Date Issued
2004
Date
2004
Author(s)
Lin, Che-Yuan
DOI
zh-TW
Abstract
Objective：Around the globe, there are common problems in public hospitals in many countries for years, including inefficiency, low productivity, slow response to customer requirements, long waiting list, and insufficient market competition. To solve these deficiencies, since 80’s many countries have introduced market organizational reform and aimed at the fundamental problems of public hospitals. Recently, the public hospitals in Taiwan have faced similar operating difficulties shared by the globe. Due to the escalation of financial deficit, the government tried to decrease governmental subsidy to public hospitals by increasing their market exposure. This study examined the effects of market exposure on the performance of the public hospitals in Taiwan.
Data and methods：The sample of the study were public general hospitals with more than one hundred beds in Taiwan, consisting of six Taipei municipal hospitals, three Kaohsiung municipal hospitals, two Taipei county hospitals, twenty-one DOH owned hospitals, two university hospitals, three veterans medical centers and ten veterans hospitals. Data were collected from 1998 to 2002. The efficiency scores were first measured by data envelopment analysis. Inputs considered in efficiency analysis were physicians, medical persons, total beds, and outputs were inpatient discharges and outpatient visits, both adjusted by severity. SEM then was employed to analyze the effect of market exposure on production efficiency.
Principal findings：The market exposure trend has a positive and statistically significant effect on hospital efficiency. Subsidy trend however has a negative and statistically significant relation with hospital efficiency.
Conclusion：This study supports the theoretical perspective of increasing the degree of market exposure to improve efficiency in market organizational reform by the government. The increase in the production efficiency of Taiwan’s public hospitals also affirms the right track reform.
Subjects
生產效率
市場暴露
public hospital
production effieiency
market exposure
Type
thesis
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