| Summary: | 碩士 === 國立臺灣海洋大學 === 航運管理學系 === 94 === Abstract
Hospitals are facing strong pressures under the total medical expense control of the Bureau of National Health Insurance and medical environment competitions. In order to guarantee that every medical unit can use resources effectively, and reach hospital operation objectives, we need a reasonable and objective method to measure the hospital operation performance. The purpose of this research is to evaluate the operation performance of medical units inside of a hospital with DEA, and measure the relative efficiency of every medical unit. So, we can bring up the suggestions to improve the relatively inefficient medical units and approach the goal of a hospital.
One regional public teaching hospital is the subject of this research. By collecting operational data of 18 medical units in 2004 and interviewing with directors of the hospital, two inputs and four outputs are identified as variables of this research, and two evaluation models, overall performance model and medical performance model, are proposed to evaluate the relative efficiencies of medical units. Deriving the technical efficiencies and pure technical efficiencies of medical units based on input-oriented CCR model and BCC model respectively, we have calculated the scale efficiency and return to scale of every medical unit, and sorted the medical units for further comparison and analysis. Finally, slacks analysis is provided to reveal the improvement that very medical unit has to make.
The impirical study shows that there four medical units, A, F, P, and Q, identified as technically efficient, and P is the best under both overall performance and medical performance models while A and F come after P. Though Q is relative efficient, it does not appear in the reference sets of other medical units and thus resemble to no units. Finally, this study has provided improvement suggestion regarding the outcome of the evaluation to the directors of medical units for their internal management reference.
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