The Operating Performance Model for Non-Profit Long-Term Care Institution

• Main Authors: HSU HSIEN LUNG, 徐賢龍
• Other Authors: 吳牧臻
• Format: Others
• Language: zh-TW
• Published: 2017
• Online Access: http://ndltd.ncl.edu.tw/handle/pdywzv

碩士 === 弘光科技大學 === 健康事業管理研究所 === 105 === The change of social structure, improvement in quality of life and the progress of medical treatment, coupled with the trend of late marriage, non-marriage, late education, educational time and minority have led to the rapid increase in the proportion of the elderly opulation. Over the past decades, due to the rapidly population structure in Taiwan, the number of the elderly with chronic diseases and dysfunctions has increased rapidly, resulting in a large demand for medical services and long-term care services. The growth of the elderly and the disabled population has increased the demand for long-term care. In Taiwan, the number of physical and mentally handicapped reached 155,650 in 2015. This study builds a model of cost efficiency, service effectiveness and cost effectiveness for Non - profit long - term care institution. In hope as the cost cannot infinitely grow under the premise of limited investment resources,institutions can still expand the number of hospital admission,followed by increased government funds social resources. At the same time, recommended adjustments on service performance,cost efficiency and cost effectiveness as a reference for future operations to improve the non-profit long-term care institutions. Questionnaires was issued for status of Taiwan's non-profit long-term care institutions and collected data was used in variable returns to scale changes in the output-oriented model data envelopment analysis of the empirical analysis. Explore the agencies in terms of cost efficiency service performance and cost effectiveness relative efficiency mode, the proposed adjustments to the benchmark reference collection. This study found out that in the cost-effective model of performance of Non-profit long-term care institutions, only 9 have relative efficiency. The back of relative efficiency of the organizations mainly caused by miscellaneous expenditures,high transaction costs and personnelcosts. Regarding the performance of the service effectiveness model,only 6 of the institutions have relatively efficiency.The low number of caregiver and resident are the main reason for the lack of relative efficiency. And in terms of cost effectiveness model,7 institutions have relative efficiency, based on the cost of inputs for high degree of external resources.Considered both cost efficient, performance and cost effective are the service organization of DMU3, DMU7, DMU14 and DMU15.Showing extremely excellent performance in their operating status,they are the benchmaek learning object for the relatively non-efficient institutions. Competition within the Long-term care market industry is extremely fierce, managers hoping to create good performance must appropriately the input resources and create the best service performance. Can be in the long according to the market is competitive, long according to the organization can also be sustainable. The results of this study are expected to provide a reference for non-profit long-term care institutions business performance improvement and future development. Keywords：non-profit organization, long-term care institution, cost efficiency, service effectiveness, cost effectiveness, data envelopment analysis