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Please use this identifier to cite or link to this item: http://ntour.ntou.edu.tw:8080/ir/handle/987654321/46660

Title: Efficiency and Productivity Change in Taiwan's Hospitals: a Non-radial Quality-adjusted Measurement
Authors: Chia-Hsuan Wu
Ching-Cheng Chang
Po-Chi Chen
Ken-Nan Kuo
Contributors: 國立臺灣海洋大學:應用經濟研究所
Keywords: Directional distance function
Data envelopment analysis
Russell measure
Slacks-based measures
Malmquist-Luenberger index
Hospitals
Date: 2013
Issue Date: 2018-05-30T01:35:46Z
Publisher: Central European Journal of Operations Research
Abstract: Abstract: This study measures the quality-adjusted hospital efficiency and productivity index of a production unit. We propose a non-radial output-oriented directional distance function approach to analyze Taiwan’s hospital productivity, which embeds the quality of care and environment variables simultaneously. There are two major advantages of this model. First, it considers all the radial and non-radial slacks that the model can identify, and hence is able to provide a more accurate performance measure and improve the discriminating power of the analysis. Second, it allows us to identify the source of the inefficiency. Our results show that the productivity indices of most of Taiwan’s hospitals got worse during the 2002–2004 period, during which both technology and efficiency performance deteriorated, but divergence appeared among different types of hospitals. We confirmed the need to incorporate quality factors while measuring a hospital’s efficiency and productivity. Nevertheless, there is no evidence to support the idea that healthcare quality is undermined by the cost-saving efforts by the care providers after the implantation of a global budget system.
Relation: 21(2) pp.431–453
URI: http://ntour.ntou.edu.tw:8080/ir/handle/987654321/46660
Appears in Collections:[應用經濟研究所] 期刊論文

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