| Summary: | 碩士 === 國立高雄醫學大學 === 公共衛生學研究所碩士在職專班 === 90 === Research aim: The purpose of this study was to understand the operating efficiency of Urology department at the training hospitals in Taiwan and the factors affected the efficiency.
Research materials: One hundred and seventy-five decision making units participated this study. Theses units were from the Urology training hospitals that passed the National Hospital Accreditation in 1996, 1997 and 1998. There were two groups, which were the medical centres and the non-medical centres in this research.
Research method: The data from the investigation of the Urology training hospitals was evaluated the operating efficiency of the Urology department by Data Envelopment Analysis (DEA). A regression was performed to analyse the relative factors affecting the operating efficiency of the Urology department after the DEA.
Research finding: (1) The result of the Data Envelopment Analysis: at both of the medical and non-medical centres, there was inefficiency in the majority of the Urology departments’ operating (79.6%－88.5%). There was no significant difference in the Urology departments’ operating between the different Urology departments at the different hospitals in the different years. The Urology departments that were below 15 beds had more operating efficiencies except the non-medical centres. (2) The result of the regression analysis: the level of market competition and the number of the physician as a teacher affected negatively the operating of the Urology departments at the medical centres. There was a significantly negative relation in the operating performance of the Urology department at the non-medical centres and the scale of the Urology department, the scale of the hospital, the number of the physician as a teacher and the geographic distribution of the hospitals between the location of the hospitals in the northern Taiwan and Taipei.
Conclusions: The result from the Data Envelopment Analysis and the regression analysis could supply the source to improve the operating efficiency of the Urology department for the policy makers. It could also provide the basis to plan the Urology department for the hospital policy makers and the references of the Urology Training Hospital Accreditation for the Urology Society and the government.
|
|---|
