The Korean Journal of Health Service Management (보건의료산업학회지)

Korea Society of Health Service Management (보건의료산업학회)
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Managerial Efficiency & Productivity Growth Analysis of Tertiary and General Hospitals in Korea: DEA & Malmquist Productivity Index Model Approach

상급종합병원과 종합병원의 경영 효율성과 생산성 변화 분석 - DEA와 Malmquist 생산성지수 기법을 활용하여 -

  • Shim, Gil-Ho (Department of Medicine, Chungbuk National University Graduate School) ;
  • Moon, Kyeong-Jun (Department of Health Administration, Yonsei University Graduate School) ;
  • Lee, Kwang-Soo (Department of Health Administration, Yonsei University College of Health Sciences)
  • 심길호 (충북대학교 대학원 의학과) ;
  • 문경준 (연세대학교 대학원 보건행정학과) ;
  • 이광수 (연세대학교 보건과학대학 보건행정학과)
  • Received : 2015.07.27
  • Accepted : 2015.08.24
  • Published : 2015.09.30
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Abstract

Objectives : This study analyzed the managerial efficiency of hospitals and identified the productivity trends for three years. Methods : Data were collected from 44 tertiary hospitals and 32 university hospitals from 2009 to 2011. Efficiency scores and productivity trends were evaluated with the DEA (Data Envelopment Analysis) method. The input variables were the numbers of beds, doctors, nurses, and health personnel, and the medical costs. The output variables were the numbers of outpatients, and inpatients, and the medical revenues. Along with the traditional input-oriented DEA analysis, the Malmquist Productivity Index(MPI) was calculated. Results : First, the mean values of the study variables showed gradual increases in all the variables for all the study years. Second, technical efficiency scores varied depending on the study year. Third, MPI decreased from 2009 to 2010 (MPI=0.986), and then increased from 2010 to 2011(MPI=1.011). The contributions of the Efficiency Change Index and Technical Change Index on the MPI varied depending on the study year. Conclusions : This study provides information to hospital managers about changes in hospital performances. External environments had more influence on hospital performances, and hospital managers will need to manage these influences from factors surrounding the hospitals.

Keywords

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