DC 欄位 | 值 | 語言 |
dc.contributor.author | 張睿詒 | zh_TW |
dc.creator | 張睿詒 | zh_TW |
dc.date | 2001-07-31 | zh_TW |
dc.date.accessioned | 2006-07-25T07:56:03Z | en |
dc.date.accessioned | 2018-06-29T16:55:49Z | - |
dc.date.available | 2006-07-25T07:56:03Z | en |
dc.date.available | 2018-06-29T16:55:49Z | - |
dc.date.issued | 2001-07-31 | - |
dc.identifier | 892416H002097 | en |
dc.identifier.uri | http://ntur.lib.ntu.edu.tw//handle/246246/5019 | - |
dc.description.abstract | 過去有關醫院服務效率實證研究認為
資料包絡法(DEA)與機率性前緣法(SFA)
為相互替代分析方法,本研究採取結合
DEA與SFA成為兩段式分析模式來探討醫
療機構特質、環境制度因素以及醫院服務
效率之關係。本研究以地區教學以上綜合
醫院為樣本,選取醫療服務之投入與產出
項目,並且調整各醫院病床資本投入與住
院服務產出差異性後,採用改良DEA 區辨
能力問題之比例效率競賽模式來衡量各年
度相對於基期效率值,再透過SFA 來探討
各項影響因素與我國綜合醫院服務效率之
間關聯性。本研究結果發現:私立醫院服
務效率較公立醫院高;醫學中心效率表現
較其他等級醫院來得佳;專科服務類別愈
廣之醫院服務效率也愈佳;所在市場競爭
預激烈則服務效率也愈差;最後,實施全
民健保對於醫院服務效率短期會產生負面
影響。 | zh_TW |
dc.description.abstract | Previous studies of hospital efficiency
apply either DEA or SFA in a relative
efficiency measurement. The theme of this
study focuses on combining deterministic
DEA with SFA to open additional avenues
for evaluating hospital efficiency, and
consider the effects of institutional and
environmental characteristics on it.
This study employs panel data with 104
teaching hospitals in Taiwan for six years.
Moreover, after selecting input and output
items about medical services and adjusting
the severity of inpatient illness, the hospital
efficiency scores are measured through
two-person ratio efficiency games in stage
one. In stage two, the results of stage one are
incorporated in the model of SFA to be
estimated, and exploring the relationship
between hospital efficiency and its
determinants.
The major findings of this study are as follow:
(1) Because of financial or operational
burdens, private hospitals were much more
efficient than government-owned hospitals,
and medical centers were more efficient than
others. (2) The scope of services were
positively and significantly associated with
efficiency, which means that economy of
scope may exist in hospital services market.
(3) The more competitive the environment
hospitals face, the more inefficient these
hospitals behaved. (4) Hospital efficiencies
decreased after the implementation of the
National Healthcare Insurance, but
apparently it probably was a transient effect
only. | en |
dc.format | application/pdf | en |
dc.format.extent | 56780 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 | 醫院效率 | zh_TW |
dc.subject | 資料包絡法 | zh_TW |
dc.subject | 機率性前緣法 | zh_TW |
dc.subject | Hospital efficiency | en |
dc.subject | Data envelopment analysis | en |
dc.subject | Stochastic frontier analysis | en |
dc.title | 探討機率性環境下國內教學醫院技術無效率之誤差 | zh_TW |
dc.type | report | en |
dc.identifier.uri.fulltext | http://ntur.lib.ntu.edu.tw/bitstream/246246/5019/1/892416H002097.pdf | - |
dc.coverage | 計畫年度:89
第二期;起迄日期:2000-08-01/2001-07-31 | 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
|