Summary: | 碩士 === 亞洲大學 === 經營管理研究所 === 94 === Many long-term care units in national hospitals shifted to BOT or run by private agencies due to financial deficits of Taiwan government in recent years.
This research is to explore and compare the operational efficiency between the nursing homes in national hospitals in Taiwan from the viewpoint of the achievements. We hope that the results could offer nursing home managers an effective operation and management guideline. The purposes of this study are to investigate the development and executive problems, to estimate the operational efficiency and to improve the strategies in running the nursing homes in national hospitals in Taiwan.
Our study is a cross sectional study. We sent the questionnaires by post to the 17 mangers of nursing homes in national hospitals. Then the questionnaires were send back. Data were collected from January to December 3, 2005 input items are evaluated : The total floor surface area, the hospital bed number and the number of staff members. The output was patient number per day. The Data were analyzed IDEA software , to test the coincidence rate between input & output. We adopted the (DEA) CCR model, BCC model, and SE model to Study the efficiency of execution. The result reveals that:
1. Under the CCR model, only 7 DMUs are in integral efficiency. The worst one was the No.9 nursing home to 0.663 the least efficient.
2. Under the BCC model, only 7 DMUs are in technical efficiency. The worst one is the No.9 nursing home to 0.688 the least efficient.
3. Under the SE model, only 7 DMUs are up to scale efficiency. The other 6 DMUs are in insufficient scale. The worst one is the No.4 Nursing home to 0.904 the least efficient.
This study has confirmed the feasibility of applying DEA to assess the efficiency. of the nursing homes. There are only 7 DMUs with the integral efficiency, technical efficiency and scale efficiency. The most efficient one is the No.8 nursing home with 190 beds. This study, therefore, recommends No.8 as a reference unit for the remaining managers to import. The executive efficiency of their nursing homes.
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