以資料包絡分析法（DEA）評估國內醫院相關管理研究所之效率

Abstract

Objective: To control health care expenditures, National Health Insurance (NHI) has continually changed the reimbursement system in Taiwan during the past two decades. Those changes result difficulty for operating hospitals through increasing competition among hospitals. Management skills are graduately adopted to increase the efficiency of hospitals’ operation. However, the complex of health care system causes that staff qualified to manage hospital required shining training from schools. In Taiwan, most of hospital administrative professions earned their mater degree from the institutes of health service administration at university. The efficiency of health service administrative program has impact on the capability of future hospital administrative professionals. The more efficiency a institute of health service administration is, the better the hospital administrator’s performance is. High hospital administrator’s performance can not only reduce cost for hospitals but cut total health care expenditures for NHI. Therefore, measuring efficiency currently becomes an important issue in Taiwan. Method: CCR and BCC models in the Data Envelopment Analysis (DEA) were applied in this study to evaluate the relative efficiency for five Institutes of Health Services Administration in Taiwan. We chose 6 variables to as inputs and outputs factors in this study. The input variables include: teachers and students ratio, average expenditure per student, average floorage by per student, and average research projects per teacher; the output variables include: scores of academic publication by full-time teachers and service scores of national apparatus by full-time teachers. Results: Efficiency Analysis: In CCR and BCC models, only one institutes, Department of Health Care Administration in Chang Jung Christian University, is rated as non-efficient, which may be caused by inappropriate resources allocation and inappropriate scaling of the institute. Slack Variable Analysis: Except for “service scores of national apparatus by full-time teachers”, Chang Jung Christian University has to make efforts to reducing inputs burden and increasing outputs performance in CCR model. The primary goals for Chang Jung Christian University are to increase the “teachers and students ratio” and “scores of academic publication by full-time teachers” to achieve efficiency in BCC model. Sensitivity Analysis: The most sensitive of index variable is the “service scores of national apparatus by full-time teachers” in CCR model. In BCC model, “average amount of research projects by each teacher”, is the only variable that has significant correlation with the efficacy of school running for all Institutes in this study.