A Study on th Efficiency Evalustion of Elderly Welfare Institution in Taiwan

• Main Authors: Hui Ju Yang, 楊惠如
• Other Authors: 黃炳文
• Format: Others
• Language: zh-TW
• Published: 2006
• Online Access: http://ndltd.ncl.edu.tw/handle/68879779673619621022

碩士 === 國立中興大學 === 應用經濟學系所 === 94 === As the aging of population increases in pace our country is striding towards becoming a highly aged society with the support of the aged evolving new social needs. In the different approaches of care for the aged, besides traditional informal care, organizational care is another important option, albeit the adequacy of facilities and services provided by the organizations in relation to the rights and welfare of the aged upon residency, are all critical concerns of the aged welfare policy that the government is pushing forward. Therefore, how to provide supervision and guidance to the operation and management of these organizations, assistance with the improvement of operational efficiency and to raise the service quality, in order to provide a conducive living quarters for the aged, as well as realizing the aged welfare policy, and letting the government disburse and apply to the most efficient areas, are indeed vital topics of discussion. The present study hopes to carry out analysis of the achievements of aged welfare organizations through Data Envelopment Analysis, to find out the factors influencing the efficiency of operations as well as the directions and depth of improvement needed to be adopted by inefficient organizations, to be provided as references for the operational improvement of organizations and supervisory guidance of governing organizations. The input variables adopted by the study includes number of beds, human resource expenses, alimony fees, total expenses, medical care personnel, care personnel and other personnel; output variables includes number of accepted person, service income, caring service, environmental facilities and total income. In Analysis of Factors Affecting, we adopted Tobit Censored Regression method, dependent variable being the efficiency value of the organizational operation, and the selected explanatory variable includes the five variables of number of beds, admittance ratio, comparison ratio of working personnel, fictitious subsidy variable and operational period. Study Conclusion and Suggestion Summary as follows: 1. The divergence in size of aged welfare organization is great, human resource expenses and alimony payouts are the main costs, while the main source of income besides services income, also include government subsidies and commission income. Therefore, in order to have uniform standards, government subsidies and commission income shall be excluded when assessing the operational efficiency of the organizations. 2. The care quality of organizations has influence on the operational efficiency, the divergence of corresponding efficiency value of respective units after incorporating quality variable shall narrow. Thus, the care quality of organizations shall be considered when assessing the operational efficiency of organizations. 3. Income from government subsidies and commission income of central governing organizations is relatively more than other organizations, however performances on efficiency value, quality of care services, application of invested resources, as well as achievement of output objectives is relatively poorer. 4. Performances of institutional organizations on the quality of care services, application of bed resources and achievement of various output objectives is relatively poorer; while the performances of publicly established organizations on the application of budgetary expenses is relatively poorer. 5. Admittance of government subsidies and authorized organizations perform relatively poorer on operational efficiency, worthy of governing organizations to enhance supervisory guidance and review the recipients of subsidies and authorized establishments, to avoid causing resources to be wrongly allocated and wasted. 6. The variables of number of beds, admittance ratio, personnel ratio and if subsidies is accepted, of organizations have significant influence on operational efficiency. Therefore, operators of organizations may lift operational efficiency through adjusting the scale of number of beds, raising the admittance ratio and reshuffling the deployment ratio of suitable personnel. Keywords: Operational efficiency of elderly welfare institution, data envelopment analysis, Tobit regression analysis