The Relationship between Performance and Quality of Hospital

• Main Authors: Wei-Pang Hsu, 許緯邦
• Other Authors: 韓幸紋
• Format: Others
• Language: zh-TW
• Published: 2015
• Online Access: http://ndltd.ncl.edu.tw/handle/97367566504848779174

碩士 === 淡江大學 === 會計學系碩士班 === 103 === 　　Recently, the premium of national health insurance continuously raise, so government of Taiwan try to solve this problem by conducting global budget system and diagnosis related groups (DRGs) to control premium. According to Huang et al.(2012), however, the way controlling premium may make doctors raise medical service volume or lower quality of hospital.. The purpose of this study is to understand the effect of performance on quality of hospital. The object of this study is 329 hospitals in Taiwan in 2007. The measurements of quality of hospital of this study are over 30 days admission rate, the average length of stay, 7 days readmission rates, 14 days readmission rates, 30 days readmission rates. We use technical efficiency and pure technical efficiency of data envelopment analysis to measure the performance and choose indicator of performance in 2006 for avoiding endogeneity problem. Owing to the truncated data in parts of measurement of quality of hospital, we use tobit regression to analyze the data. 　　The result indicates that performance last year has positive correlation with quality of hospital of this year. In addition, the result of own of hospital shows that performance of all kind of own of hospital last year has positive correlation with part of quality of hospital. Especilly, private hospitals have more positive and significant results.And the result of level of hospital illustrate that only regional hospitals have positive correlation with quality of hospital. Finally, the consequence of size of hospital express that medium hospitals have positive correlation with quality of hospital.