Evaluation of China's regional hospital efficiency: DEA approach with undesirable output

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題名:	Evaluation of China's regional hospital efficiency: DEA approach with undesirable output
作者:	楊志海;Hu, H-H;Qi, Q;Yang, C-H
貢獻者:	管理學院經濟學系
關鍵詞:	Applied sciences;Business and Management;Cost efficiency;Data envelopment analysis;DEA;Decision theory. Utility theory;Efficiency;Efficiency metrics;Exact sciences and technology;General Paper;General Papers;Geographic regions;Health care policy;Health insurance;hospital;Hospitals;Inequality;Linear programming;Management;Mathematics;Mortality;Nonparametric inference;Nonprofit hospitals;Operational research and scientific management;Operational research. Management science;Operations research;Operations Research/Decision Theory;Patients;Probability and statistics;Production efficiency;Profit maximization;Provinces;Provincial government;Reforms;Regions;Sciences and techniques of general use;Statistics;Studies;undesirable output
日期:	2012-01-01
上傳時間:	2026-04-23 13:02:39 (UTC+8)
出版者:	Taylor and Francis Ltd.;London: Taylor & Francis
摘要:	摘要： This paper investigates regional hospital efficiency in China. As hospital operations naturally increase along with an undesirable output of patient mortality, which may induce medical disputes and ligations, this study adopts data envelopment analysis to evaluate and compare the efficiency scores obtained with and without considering the undesirable output. On the basis of province-level panel data over 2002-2008 and considering the risk-adjusted undesirable output, empirical estimates indicate that hospital efficiency is moderate, but increases gradually from 0.6881 to 0.8159. Importantly, without considering the undesirable output, the average efficiency score is overestimated and the efficiency ranking across provinces changes considerably. An efficiency gap is found between coastal and non-coastal regions, but this gap's drop is mainly contributed by the fast efficiency improvement of the western regions. However, the central regions continue to achieve a significantly lower efficiency score than the eastern and western regions. Moreover, the initiation of the New Rural Cooperative Medical System has overall enhanced hospital efficiency in China, especially for the non-coastal regions. 其他題名： J Oper Res Soc 出版者： London: Taylor & Francis 出版日期： 2012-06-01 出處： Operational research quarterly (1970), 2012-06, Vol.63 (6), p.715-725 資源來源： ABI/INFORM Collection 版權： Copyright © 2011, Operational Research Society 2011 版權： 2012 Operational Research Society Ltd 版權： Operational Research Society 2011 版權： 2015 INIST-CNRS 版權： Operational Research Society 2012 識別號： ISSN: 0160-5682 識別號： ISSN: 0030-3623 識別號： EISSN: 1476-9360 識別號： DOI: 10.1057/jors.2011.77 識別號： CODEN: JORSDZ
顯示於類別:	[經濟學系] 期刊論文

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