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林榮禾952221E027003

林榮禾952221E027003

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1 影響醫院經營績效因素之研究 - 以資訊科技基礎建設彈性觀點探討 The Study of Hospital's Efficiency Evaluation Model Based on IT Infrastructure Flexibility 計劃編號: NSC-95-2221-E-027-003 一、 中文摘要 我國政府開辦全民健康保險,象徵著有限的醫療資源將重新分配並依據支付標準來申報 醫療收入,造成台灣整體醫療環境面臨前所未有的競爭。因此,醫院必須降低醫療成本與 提升醫療品質來提高競爭力,方能達永續經營之目的。近年來,資訊科技的進步,包括軟 體應用、硬體功能提升及網際網路的應用發展,支援醫護人員的作業效率,並提高醫療行 政效率,以提昇整體醫療照護與服務品質。醫院為提升經營績效必須就現有的營運狀況進 行效率衡量與評估,本研究將以資料包絡法(Data Envelopment Analysis, DEA)來評估 醫院的經營效率,再以Tobit迴歸法探討資訊科技基礎建設彈性對醫院營運效率之影響,瞭 解何種因素對醫院經營效率的影響最為顯著,預期能做為政府機關在推動國內各級醫院經 營效率與資訊化的參考依據。結果顯示國內醫學中心的技術效率較區域級、地區教學醫院 為高,且醫院規模及整體資源的運用與配置,皆較為良好。資訊科技之間的相容程度、資 料的透通程度、管理相關的知識和專業技術的知識與醫院技術效率呈現顯著正向影響。 關鍵字: 資料包絡法、醫院績效評估、資訊科技彈性 Abstract Taiwan initiated its National Health Insurance Program NHIP on March 1, 1995. It means limited medical resources have been redistributed and the medical income depended on patients’ payment. It caused the bitter competition in the whole medical environment in Taiwan. Therefore, hospitals must lower medical cost and raise medical quality to improve competitiveness and achieve the purpose of sustainable business. In recent years, the advancement of information technology including applying software, raising computer hardware function and developing internet application greatly supported the operational efficiency for doctors and nurses in the hospital and increase the administrative efficiency to improve the whole medical care and service. This research proposes a model to evaluate a hospital’s efficiency, discuss the effects of Information Technology (IT) infrastructure flexibility on hospital’s efficiency, and know what factors affect hospital’s efficiency most significantly. The research methods include the Data Envelopment Analysis (DEA) and Tobit Regression (TR) to evaluate hospitals’ efficiencies and find out the effects of IT infrastructure flexibility on hospital’s operational efficiency. This research could be a valuable reference for government to enhance domestic hospital’s operational efficiency and IT upgrade. Results indicate that medical centers significantly operate more efficiently than local and district teaching hospitals. IT compatibility, data transparency,
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