研討日期

2003年6月14日上午10:00 ~ 下午1:00

研討地點

交通大學台北校區第四教室

討論文獻

題目

作者

文獻出處

Technical Efficiency of Large Hospitals in Taiwan

Jin-Li Hu

Yuan-Fu Huang

Working Paper

報告人

胡均立

參加人員

林燕淑、邱俊榮、楊雅博、吳芝文、吳世傑、胡均立、陳宏易、王光正、施冠宇、朱維愷、張筑雅、蔡明芳、柯美如

討論提要

Taiwan started its National Health Insurance Program (NHIP) on March 1, 1995.  NHIP subsidizes each hospital visit, reducing the transaction cost for a patient to go to a large hospital.  Because many people directly go to a large hospital for their first visit, resulting in a rapid growth of medical expenses, it has thus become an important issue to improve the efficiency of large hospitals in Taiwan.  We use the latest 2001 official cross-section data set (kindly provided by the Department of Health) and select 80 hospitals with more than 250 beds for analysis.  This research applies the data envelopment approach (DEA) to compute hospital efficiencies, and then uses both the Mann-Whitney test and Tobit (censored) regression to find the effects of environmental variables on these efficiency scores.

結論

It is found that public ownership significantly worsens a hospital’s efficiency, while higher ward capacity utilization helps improve a hospital’s efficiency.  Increasing the number of expensive equipment and beds also significantly improves a hospital’s efficiency.

延伸研究

1.          就現有可用資料，應該加入其它有趣的影響無效率的環境變數。

2.          未來本研究小組可以嚐試結合理論與實證研究。

3.          可以嚐試將生產力與效率及國貿理論或國際企業研究結合。

4.          可以嚐試健康經濟學或醫療管理上的其他相關議題。

備註