[[alternative]]The Efficiency of Hospitals in Taiwan after Global Budget System Actualization: Data Envelopment Analysis

[[abstract]]本文以資料包絡分析法探討台灣省行政院衛生署各權屬別醫療院所在實施總額支付制度前後的營運效率，樣本為台灣省行政院衛生署所提供之民國90年至96年醫療服務量資料。整體而言，台灣省行政院衛生署所屬醫療院所的效率在新制度實施之後確實都有提升，公、私立醫學院附設醫院以及較大型且知名之醫院營運效率最佳，私立醫院的效率仍有待加強。實施總額支付制度之後其他醫事人員數遭大幅度刪減，各類醫療專業人員名額控管為主管機關一個重要課題；私立醫院有助消化大型醫療院所之超額門診、佔床率及手術率，讓醫療更便利，主管機關應該更加強對私立醫院之嚴格品質控管及硬體設備補助；擬定相關之配套措施才能讓醫護人員專心投入在其專業領域，提供更安全及信賴之醫療環境，不致讓各類專科醫師出現斷層。[[abstract]]In this paper, Data Envelopment Analysis to explore the efficiency of Non-profit hospitals in Taiwan after Global Budget System actualization. The year 2001 to 2007 from the Department of Health, Executive Yuan, R.O.C. (Taiwan) provided data of medical services.Overall, the operation efficiency of hospitals in Taiwan after the implementation of the Global Budget System does have improved. Public and private Medical College Hospital and the larger and well-known hospital is the most efficient, but private hospitals efficiency remains to be strengthened.In Taiwan after the implementation of the Global Budget System does have a significant reduction in the employ of other medical personnel, therefore, the competent authority must be strictly controlled for nurturing number for all kinds of medical professionals. Private hospitals will help the digestion of large medical institutions over out-patient, occupancy rates and surgical rates. The competent authority should be strengthened to strict quality control and hardware subsidies of private hospitals that to make health care more convenient. Draw up necessary measures to ensure that the medical staff to stay focused on their areas of expertise, to provide safer and more reliable health care environment, it will not let the various types of specialist fault