| Summary: | 碩士 === 國立臺灣大學 === 財務金融學研究所 === 91 === After implementation of National Health Insurance program since March 1st, 1985 in Taiwan, all the different levels of medical care units faced a fierce competition due to the reallocation of medical resource in such a limited base. So the dental care market cannot be excluded, either. However, the government hopes to conquer the rapid growing path of medical expenditure, so they adopted a new payment system called “global budget program” for dental insurance system in July 1st, 1998. The payment system is designed by diagnosis base for case payment within the same disease category and the same and fixed payment amount. So it could fail to run a dental clinic if the dental clinic is inefficiency.
In this study, we survey a total 25 dental clinics in Taipei area, in 2002, which were separated into three categories; one is so called “solo practice”, the other “group practice”, and the third “chain store dental clinic”. The other grouping method is by scale of clinic, which sorted the clinics into small clinic, medium clinic and large clinic. We try to find out the key input and output index for all dental clinics by Delphi method. And then assess the 25 dental clinic’s efficiency by the DEA (Data Envelopment Analysis) method. The outcome shows that the group practice class has the highest efficiency score, solo practice second and the last chain store dental clinic but no obvious difference were found in statistics both the CCR and BCC model. If based on the scale categories, the small clinic is the most efficient, large clinic second and medium clinic last.
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