| Summary: | 碩士 === 國立臺灣科技大學 === 企業管理系 === 106 === This study mainly investigates the determinants of the closure of clinics, including the Western Medicine, the Dentist and the Chinese Medicine, in Taiwan during the period from 1998 to 2012. To this end we utilize the Cox Proportional Hazard model and Kaplan-Meier survival curve. The empirical results reveal the several key findings as follows. In terms of characteristics of clinics, the total applied points variable has a significantly negative impact on the rate at which the clinics are closed. Receiving larger subsidies from the National Health Insurance Administration (NHIA) can enable clinics to survive longer. As for human resources, hiring more physicians will give rise to diseconomies of scale. However, clinics can hire more medical staff to increase their survival rate. As for characteristics of the environment, population density and the unemployment rate are found to have a significant impact on the closure of clinics. This results are against findings from western countries because NHI reduce cost of medical service for the elderly and unemployed population. Furthermore, government expenditure on health care has a significant negative influence on the closure of clinics. Consequently, it damages the survival of clinics. Finally, clinics surrounded by many other clinics enjoy a lower closure rate than clinics located in areas with fewer clinics. Nevertheless, hospitals are still the main rivals of the clinics.
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