頁籤選單縮合
題名 | 醫院最適規模之探討=Most Productive Scale of Hospital |
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作者 | 蕭幸金; 張石柱; Shiau, Shing-gin; Chang, Shyr-juh; |
期刊 | 管理學報 |
出版日期 | 19971200 |
卷期 | 14:4 1997.12[民86.12] |
頁次 | 頁611-634 |
分類號 | 419.2 |
語文 | chi |
關鍵詞 | 最具生產力規模大小; 資料包絡分析; 技術效率; 規模效率; 差額變數; Most productive scale size; MPSS; Data envelopment analysis; DEA; Technical efficiency; Scale efficiency; Slack variable; |
中文摘要 | 醫院最適經濟規模的決定,為醫院經營策略中最重要關鍵,規模過大或過小,均 會導致醫院經營效率偏低。 本研究首先以 DEA 模式探討我國區域醫院及地區醫院的規模報 酬,結果發現大部份地區域醫均處於報酬遞增的型態,說明我國目前許多地區醫院,確實存 在規模不足的情況。本研究再以 DEA 模型求得各級醫院最具生產力的規模大小 (MPSS),並 分析各級醫院為達到最適規模大小,其各項投入項目應調整的數量。本研究最後以差額變數 分析,探討各級醫院實際各項投入與目前產出量下最小投入間的差異,發現區域醫院的平均 生產力較高,而地區醫院則普遍處於低效率的狀態。 |
英文摘要 | The optimal scale size of hospitals plays an important role in hospital operations. Improper size in hospital operations will result in inefficiency. This paper is addressed to show the patterns of returns to scale for local hospitals and regional hospitals by the DEA model. Our evidence shows that most of the local hospitals have increasing returns to scale, and suffer from scale problem. This paper obtains the most productivity scale size from DEA model for various hospitals. In ofder to obtain MPSS, proper adjustments in quantity are proposed. Slack variable analysis is also used to find the difference among inputs. We find that regional hospitals have higher average productivity and local hospitals generally suffer from inefficiency. |
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