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研究生:孔秀美
論文名稱:署立精神療養院營運績效評估之研究
論文名稱(外文):A Performance Study of Public Mental Hospitals in Taiwan
指導教授:孫遜孫遜引用關係
學位類別:碩士
校院名稱:佛光大學
系所名稱:管理學系
學門:商業及管理學門
學類:財務金融學類
論文種類:學術論文
論文出版年:2009
畢業學年度:97
語文別:中文
論文頁數:114
中文關鍵詞:資料包絡分析法績效評估精神療養院
外文關鍵詞:Data Envelopment AnalysisPerformance MeasurementProductivity Change
相關次數:
  • 被引用被引用:1
  • 點閱點閱:282
  • 評分評分:
  • 下載下載:32
  • 收藏至我的研究室書目清單書目收藏:1
本研究旨在探討署立5家精神療養院2003-2007年經營績效,生產力變動趨勢及環境變數對績效之影響。本研究先使用產出導向確定區域-窗口分析資料包絡分析法評估精神療養院的整體績效與個別績效(產能績效與醫療績效),再採交叉模式找出最佳績效之院所,並運用麥氏指數來分析跨期生產力變動趨勢、最後以迴歸分析來檢視環境變數對績效之影響。
研究問題包括:(1) 探討療養院營運績效(整體績效與個別績效)為何?; (2)探討療養院規模報酬為何?(3)探討具有最佳效率整體績效、產能績效與醫療績效的療養院為何? (4)探討療養院整體績效、產能績效與醫療績效關係為何?;(5)探討療養院跨期總因數生產力變動趨勢為何?(6)探討環境變數對療養院經營績效影響為何?
本研究發現:(1) 五家療養院之平均整體績效值為0.80、平均產能績效值為0.92、平均醫療績效值為0.81; (2) C精神療養院之五年均處於規模報酬遞增。(3) D院所最具整體績效、E院所最具產能績效、A院所最具醫療績效; (4)高整體績效醫院不見會有高個別績效; (5) C院所平均總因數生產力呈現衰退,其餘四院所均呈現成長趨勢;(6)競爭家數對療養院經營績效有負向影響。
The purpose of this study is to assess operational performance in terms of efficiency, service, and effectiveness, and productivity change of the 5 selected mental hospitals of Department of Health in Taiwan over 2003-2007, and examine the effects of environmental factors on the hospital performance. The study used output-oriented assurance region-window analysis DEA to assess the overall, capacity and clinical performances of these mental hospitals. This study employed cross efficiency measure to identify best practice, used Malmquist index to estimate productivity change over a five-year period, Finally, utilized regression analysis to examine effects of environment variables on hospital performance.
Research questions include: (1) How well do the sampled mental hospitals perform in terms of overall, capacity and clinical performances?; (2) What returns to scale were the sampled public mental hospitals experienced?; (3) Which were the best practice mental hospital in terms of overall, capacity and clinical performances?; (4) What was the relationship among overall, capacity and clinical performances?; (5) What productivity change did the sampled hospital perform?; and (6) What were the effects of environmental variables on the effectiveness performance of the sampled mental hospitals?.
Results of this study show: (1) mean overall performance, capacity performance and clinical performance of the selected hospitals were 0.80, 0.92 and 0.81, respectively; (2) Hospitals C was experienced increasing returns to scale, and need to increasing operating scale of size; (3) Hospital D was the best practice in overall performance, hospital E was the best practice in capacity performance, and hospital A was the best practice in clinical performance; (4) hospitals with high whole efficiency performance might not exactly have high individual effectiveness performance; (5) In average, Hospital C was regress in productivity change and other 4 hospitals had positive productivity growth; and (6) the number of competitors had negative impact on the effectiveness performance of the hospitals.
摘要 i
ABSTRACT ii
第壹章 緒論 1
第一節 研究背景 1
第二節 研究動機與目的 4
第三節 研究問題 6
第四節 研究方法與結構 7
第五節 研究範圍與限制 9
第六節 研究內容 10
第貳章 文獻探討 11
第一節 非DEA應用文獻 11
第二節 DEA應用文獻 20
第三節 DEA理論文獻 39
第四節 文獻小結 56
第参章 研究方法 57
第一節 研究流程 57
第二節 研究設計 59
第肆章 實證分析 73
第一節 績效分析 73
第二節 生產力變動趨勢分析 90
第三節 環境變數分析 92
第四節 管理意涵 93
第伍章 結論與建議 95
第一節 結論 95
第二節 建議 96
參考文獻 97
參考文獻
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1. 王媛慧、徐偉初、周麗芳(民94)。我國財團法人醫院經營績效之研究。龍華科技大學學報,19,133-153。
2. 王媛慧、徐偉初、周麗芳(民94)。我國財團法人醫院經營績效之研究。龍華科技大學學報,19,133-153。
3. 王美慧、陳瑞龍、林憬、江克儉(民94)。醫院績效衡量之研究-以花蓮某區域醫院為例。顧客滿意學刊,1(2),107-130。
4. 王美慧、陳瑞龍、林憬、江克儉(民94)。醫院績效衡量之研究-以花蓮某區域醫院為例。顧客滿意學刊,1(2),107-130。
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