DC 欄位 | 值 | 語言 |
dc.contributor.author | 張睿詒 | zh_TW |
dc.creator | 張睿詒 | zh_TW |
dc.date | 1999-07-31 | zh_TW |
dc.date.accessioned | 2006-07-25T07:55:56Z | en |
dc.date.accessioned | 2018-06-29T16:55:26Z | - |
dc.date.available | 2006-07-25T07:55:56Z | en |
dc.date.available | 2018-06-29T16:55:26Z | - |
dc.date.issued | 1999-07-31 | - |
dc.identifier | 882416H002044 | en |
dc.identifier.uri | http://ntur.lib.ntu.edu.tw//handle/246246/5006 | - |
dc.description.abstract | 醫師是醫院中施行臨床照護活動的主
要決定者,控制80%以上醫療支出的決
策,故醫師執業型態對醫院成本耗費的影
響至鉅。再則,全民健保醫療費用近25%
支付給醫學中心,因此其醫師的執業型態
亦是制訂抑制醫療費用高漲與維護健保財
務平衡機轉政策的必要資訊。
而在醫學中心,醫師施行醫療照護活
動經常以醫師團隊的方式進行,因此本研
究之主要目的在於評估醫學中心醫師團隊
之技術效率以及效率特質,並探討團隊特
質對其效率之影響。
本研究以某醫學中心外科系6 個科別
之28 個醫師團隊為研究對象,利用DEA
之CCR模式與兩人比率效率競賽分析各醫
師團隊85 年之相對技術效率以及效率特
質,並以Tobit 模式探討醫師團隊特質對其
無效率之影響。
本研究之結果,在效率分析方面,28
個醫師團隊中,共8 個醫師團隊為相對有
效率,佔全部團隊之28.57%。此外,根據
效率特質之分析可知,科別A 屬於住院導
向之科別,C 與D 屬於門診導向之科別,
而科別B、E、F 則屬於門診與住院平衡發
展。而在醫師團隊特質方面,不論是醫師
團隊中之主治醫師平均年齡、主治醫師平
均年資、醫師具教學資格之比例,或醫師
團隊之人數,對醫師團隊之無效率均無顯
著之影響。 | zh_TW |
dc.description.abstract | Physicians are main decision-makers in
clinical care activities. More than 80% of
health expenditures spent in hospitals are
controlled by physicians. Therefore, the
practice patterns of physicians have
tremendous impact on hospital costs.
Moreover, about 25% of NHI’s health care
expenditures are consumed by medical
centers. It is thus important to monitor the
practice patterns of physicians in medical
centers for policy makers.
Physicians in medical centers practice in
teams rather than individually. The purpose
of this study is thus to evaluate the technical
efficiency and efficient characteristics of
physician teams. In addition, the impact of
team characteristics on efficiency is
investigated as well.
310 surgeons practicing in six major
specialties are included in this study, and
they are divided into 28 sub-specialties teams.
Through DEA CCR model and TPREG
model, the efficiency scores and efficient
characteristics of these teams in 1996 are
analyzed. Tobit regression is further
employed to analyze the impact of team
characteristics on efficiency scores.
The results show that among 28 teams eight
2
teams are relatively efficient. Moreover,
while specialty A is inpatient-oriented,
specialty C and D are outpatient-oriented,
specialty B, E, and F are balance-oriented.
However, none of the team characteristics
significantly influences the efficiency scores.
Other latent factors which may have
influence on efficiency scores need to be
further investigated. | en |
dc.format | application/pdf | en |
dc.format.extent | 41158 bytes | en |
dc.format.mimetype | application/pdf | en |
dc.language | zh-TW | - |
dc.language.iso | zh_TW | zh_TW |
dc.publisher | 臺北市:國立臺灣大學公共衛生學院醫療機構管理研究所 | zh_TW |
dc.rights | 國立臺灣大學公共衛生學院醫療機構管理研究所 | zh_TW |
dc.subject | 醫師效率 | zh_TW |
dc.subject | 效率特質 | zh_TW |
dc.subject | 資料包絡法 | zh_TW |
dc.subject | 比率效率競賽 | zh_TW |
dc.subject | physician efficiency | en |
dc.subject | efficient characteristic | en |
dc.subject | data envelopment analysis | en |
dc.subject | ratio efficiency games | en |
dc.title | 醫師團隊效率特質及團隊規模對醫師效率之影響 | zh_TW |
dc.title | Efficient Character istics of Physician Teams and the Impact
of Group size on Physician Efficiency | en |
dc.type | report | en |
dc.identifier.uri.fulltext | http://ntur.lib.ntu.edu.tw/bitstream/246246/5006/1/882416H002044.pdf | - |
dc.coverage | 計畫年度:88;起迄日期:1998-08-01/1999-07-31 | zh_TW |
item.openairecristype | http://purl.org/coar/resource_type/c_93fc | - |
item.openairetype | report | - |
item.languageiso639-1 | zh_TW | - |
item.grantfulltext | open | - |
item.cerifentitytype | Publications | - |
item.fulltext | with fulltext | - |
crisitem.author.dept | Health Policy and Management | - |
crisitem.author.dept | Public Health | - |
crisitem.author.orcid | 0000-0003-3891-5313 | - |
crisitem.author.parentorg | College of Public Health | - |
crisitem.author.parentorg | College of Public Health | - |
顯示於: | 健康政策與管理研究所
|