The Relationships among JCIA, Domestic Hospital Accreditation and Operating Performance: Application of the Bounded-Metafrontier DEA Model

• Main Authors: YEH, YI-SIN, 葉懿昕
• Other Authors: LIN, JWU-RONG
• Format: Others
• Language: zh-TW
• Published: 2013
• Online Access: http://ndltd.ncl.edu.tw/handle/50846698142412393168

碩士 === 東海大學 === 高階經營管理碩士在職專班 === 101 === The World Health Organization (WHO) estimates that, by 2020, the medical care and tourism industries will dominate as the first and second sectors worldwide and account for 22% of global GDP. Development of an international medical system becomes an inevitable issue for each country. In Taiwan, many hospitals have hence sought for accreditation by both local and global institutions. This study analyzes 12 JCIA and 36 non-JCIA hospitals and compares the relevance of two accreditation systems (domestic accreditation and JCIA) with operating performance through bounded-variable and meta-frontier data envelopment analysis (DEA). Major findings are as follows. 1. Technical efficiency (TE) appears significantly higher for JCIA hospitals, with a room for improvement by 9.9% to 25.4%. 2. The technical gap ratio (TGR) adjusted with the heterogeneity inherent in the JCIA subsample is smaller for JCIA hospitals, implying that hospitals seeking for accreditation should raise their TE. 3. There is no significant difference in meta-frontier TE whose sample average suggests a room for organization transformation by 26.6% to 30.2%. 4. TE at hospitals that obtain higher scores by the domestic accreditation system is controversially lower. This system may require further correction to better reflect the quality offered by the hospitals. 5. The scores obtained from the domestic accreditation system exert a negative influence on TE, while the scores by JCIA show a positive impact. Hospital managers are hence encouraged to refer to the standards set by the JCIA to design strategies that both increase TE and enhance international competitiveness.