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    政大機構典藏 > 商學院 > 金融學系 > 學位論文 >  Item 140.119/119204
    Please use this identifier to cite or link to this item: https://nccur.lib.nccu.edu.tw/handle/140.119/119204


    Title: 台灣綜合型財團法人醫院技術與配置效率及影響因素之探討—隨機前緣分析法之應用
    An Exploration of Economic Efficiency and Its Determinants on Taiwan’s Comprehensive Consortium Hospitals—An Application of the Stochastic Frontier Approach
    Authors: 陳一凡
    Chen, Yi-Fan
    Contributors: 黃台心
    陳冠臻

    Huang, Tai-Hsin
    Chen, Kuan-Chen

    陳一凡
    Chen, Yi-Fan
    Keywords: 財團法人醫院
    技術效率
    配置效率
    隨機前緣分析法
    Consortium hospital
    Technical efficiency
    Allocative efficiency
    Stochastic frontier approach
    Date: 2018
    Issue Date: 2018-08-06 18:10:04 (UTC+8)
    Abstract: 本文首先建立一個同時包含技術與配置效率的成本函數模型,接著針對行政院衛生署網站公佈之37家財團法人醫院財務報表,收集民國95~104年間之縱橫資料,選取相關醫務投入與產出變數,採用隨機前緣分析法估計樣本醫院之技術與配置效率以及影響技術效率之因素。發現技術效率值排序,若按權屬別依序為一般型、宗教型和企業型;若按規模別排序則為小型、中型與大型;市場競爭度對醫院技術效率沒有顯著影響。最後,樣本醫院皆有規模與範疇經濟,應持續擴大營運規模與產出多樣化,可降低平均成本。
    This thesis first establishes a cost function model that includes both technology and configuration efficiency. Then, it collates the financial statements of 37 consortium hospitals published on the website of the Health Department of the Executive Court, collecting data from 95 to 104 years of the Republic of China, and selecting relevant medical input and output variables, using stochastic frontier approach to estimate the technical and allocative efficiency of the sample hospital and the factors which affect the technical efficiency. It finds that if by ownership, the sorting of technical efficiency value is is general, religious and corporate. If sorting by size, it is small, medium, and large; Market competition has no significant impact on hospital technical efficiency Finally, sample hospitals all have scale economy effect and scope economy effect and they should continue to expand their operational scale and diverse output to reduce average costs.
    Reference: 王媛慧、徐偉初、周麗芳(2005)「我國財團法人醫院經營績效之研究」,龍華學報,第19期,民國94年,133-153。
    李文福、王媛慧 (1998),「台灣地區公私立醫學中心與區域醫院生產力變動之研究--無母數 Malmquist 指數之應用」。經濟論文,26(3),243-269。
    李文福、王媛慧(2006)「台灣醫療產業生產力與效率實證研究之回顧與展望」,輔仁醫學期刊 4卷4期 ( 2006/12) , 215-230
    李佳容、林進財、譚醒朝、張曉芬(2010)「台灣地區財團法人醫院財務績效之評估」,健康管理學刊,第八卷,第二期,民國就是九年十二月,199-208頁。
    李湘君,王中華(2014)「基於SFA的江蘇省中醫醫院效率及其影響因素分析」中國衛生統計2014年2月第31卷第1期,118-120。
    林小嫻、林瓊香、楊志良 (1995),「省市立及教會醫院的生產效率」。台灣經濟學會年會論文集,441-467。
    林江亮、 楊志春、 郭弘卿(2007)「台灣公立醫院經營效率之實證研究」
    Journal of Modern Accounting and Auditing 3卷5期 ( 2007/05) , 45-52
    洪維河、江東亮、張睿詒(2005).「市場結構與組織特性對醫院營運效率之影響」。營理學報,22(2),191-203。
    陳仁惠、黃月桂(2005).「不同權屬與評鑒等級醫院之效率評估-DEA法之應用」。醫護科技學刊,7卷4期,346-362。
    陳仁惠、黃月桂、張睿詒(2000)「影響醫院服務產出與效率因素之探討---DEA與SFA法之應用」長庚大學,醫務管理學系,333桃園市龜山區文化一路259號。
    趙明、馬進(2010) 隨機前沿模型在浙江省公立醫院技術效率分析中的運用, 中國衛生統計2010年12月第27卷第6期,585-588。
    黃台心(1998),「以隨機邊界函數分析本國銀行的規模與多元經濟」,經濟論文叢刊,第二十六輯第二期,頁 209-41。
    蒲永孝(2007),「台灣地區醫學中心多角化經營之策略」,國立台灣大學高階公共管理EMBA碩士論文,國立台灣大學,高階公共管理EMBA,羅斯福路四段1號。
    歐進士、趙令海、 洪嘉聲、 林惠美、「實施全民健康保險對醫院經營效率影響之研究」臺大管理論叢 22卷2期 ( 2012/06) , 253-275
    唐嫻、廖菁、潘曉平、鐘若冰、張靖、全婷、張菊英、韓亮、曹勤 (2011)四川省公立醫院成本效率及其影響因素實證研究,中國衛生統計2011年12月第28卷第6期,654-657。
    徐偉初、周麗芳 (2000),「財團法人醫院財務監督管理機制之研究」,國科會專題研究計畫成果報告 (計畫編號:DOH89-MA-HA07)。
    張睿詒、侯穎蕙 (2001),「省立醫院最佳經營典範探討--技術效率、分配效率與整體效率之評估」,管理評論,20(4),1-27。
    張錫惠、王巧雲、蕭家旗 (1998),「我國地區醫院經營效率影響因素之探討」,管理評論,17︰1,21-38。
    羅紀瓊、石淦生、陳國樑 (1996),「醫院效率之衡量 – DEA 方法之運用」。經濟論文,24(3):375-395。
    譚偉華,鄭萬會,張雲,顏維華,朱小玲,劉憲,張培林(2016)「重慶市縣級公立醫院成本效率及其影響因素分析」上海交通大學學報,2016年5月第36卷第5期,730-736。
    Aoki K, Urushi H. Data envelopment analysis and technical efficiency: an application to public and private hospitals in Japan. Sophia Economic Review,1994.
    Becker ER, Sloan FA. Hospital ownership and performance. Economic Inquiry 1985; 23:21-36.
    Clark R. Does the non-profit form fit the hospital industry? Harvard Law Review 1980;93: 1416-1489.
    Cowing T,Holtman A.Multiproduct shortrun hospital cost functions:empirical evidence and policy implications from crosssection data.Southern Economic Journal 1983;49:637-653.
    Chirikos, T. N. (1998). Identifying Efficiently and Economically Operated Hospitals: The Prospects and Pitfalls of Applying Frontier Regression Techniques. Journal of Health Politics, Policy and Law, 23(6), 879-904.
    Emre Atılgan. The Technical Efficiency of Hospital Inpatient Care Services: An Application for Turkish Public Hospitals.Business and Economics Research Journal Volume 7 Number 2 2016 pp. 203-214
    Farrell,M.J.(1957),“The Measurement of Productivity Efficiency,”Journal of the Royal Statistical Society, Series A,Genaral, 120, 253-281.
    Harris, J., Ozgen, H. and Ozcan, Y. (2000) ,“Do mergers enhance
    the performance of hospital efficiency? ,”Journal of the Operational Research Society, 51(7), 801-811.
    Land KC, CAK Lovell and S Thore (1993). “Chance-Constrained Data Envelopment Analysis.” Managerial and Decision Economics 14(6): 541-554. by admin.
    Leibenstein, H. (1966) Allocative Efficiency vs. X-Efficiency. American Economic Review, 56, 392-415.
    Mester, L. J. (1987), “A Multiproduct Cost Study of Savings and Loans.” The Journal of Finance, 42,No.2, pp.423-445.
    Mester, L. J. (1993), “Efficiency in the Savings and Loan Industry.” Journal of Banking and Finance,17,No.2-3, pp.267-286.
    Mester, L. J. (1996), “A Study of Bank Efficiency Taking Into Account Risk-Preferences.” Journalof Banking and Finance, 20, No.6,1025-1045.
    Rosko, M. D., & Chilingerian, J. A. (1999). Estimating Hospital Inefficiency: Does Case Mix Matter? Journal of Medical Systems, 23(1),57-71.
    Shortell, Stephen M. (1985) The Medical Staff of the Future: Replanting the Garden, Frontiers of Health Services Management 1(February):3-48
    Sherman T. Folland Richard A. Hofler, How reliable are hospital efficiency estimates? Exploiting the dual to homothetic production. Health Economics 10 (2001): 683–698.
    Wagstaff, (1989). Estimating Efficiency in the Hospital Sector: A Comparison of Three Statistical Cost Frontier Models. Applied Economics, 21(5), 659-672.
    Wagstaff, Lopez (1989) Hospital costs in Catalonia: a stochastic frontier analysis. Appl Econ 1996; 3: 471–474.
    Zuckerman, Hadley, Iezzoni, (1994). Measuring Hospital efficiency with Frontier Cost Functions. Journal of Health Economics,13(3), 255-280.
    Description: 碩士
    國立政治大學
    金融學系
    105352037
    Source URI: http://thesis.lib.nccu.edu.tw/record/#G1053520371
    Data Type: thesis
    DOI: 10.6814/THE.NCCU.MB.026.2018.F06
    Appears in Collections:[金融學系] 學位論文

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