한국산학기술학회논문지 (Journal of the Korea Academia-Industrial cooperation Society)

  • 제15권2호
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  • Pages.767-776
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  • 2014
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  • 1975-4701(pISSN)
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  • 2288-4688(eISSN)
한국산학기술학회 (The Korea Academia-Industrial cooperation Society)
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모수적․비모수적 기법을 활용한 베트남 공공종합병원의 규모수익과 생산효율성 변화 분석

Analysis on RTS and the Change of Productivity Efficiency of Public General Hospitals in Vietnam using Parametric and Non-Parametric Approach

  • 투고 : 2013.08.27
  • 심사 : 2014.02.05
  • 발행 : 2014.02.28
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초록

본 연구는 베트남 호치민시 보건부 데이터베이스에서 추출한 20개 공공종합병원의 2006년부터 2010년까지 5년간 패널자료를 이용하여 비모수적 기법과 모수적 기법을 활용하여 규모수익과 생산성 변화를 측정하였다. 그 결과를 요약하면 다음과 같다. 첫째, 비모수 기법으로 측정된 생산성 증가율은 5년간 누적 증가율이 2.8%이며 이는 5.8%의 기술효율성 증가와 기술효율성 개선에 기인하고 있다. 반면 규모효율성은 5.2% 감소하고 있다. 둘째, 모수적 기법으로 측정한 생산성은 17.1% 감소를 보였으며 이는 17.1%의 기술 퇴보와 9.1%의 규모효율성 감소에 기인하고 있다. 두 기법에서의 공통적인 점은 베트남 공공종합병원에서 규모의 비효율성이 발생하고 있으며 규모의 비효율성 변화가 생산성 변화에 중요한 영향을 미치고 있었다. 즉 베트남 공공종합병원은 분석표본의 70%~80%가 규모의 체증상태에 있으며 이는 환자 수에 비해 공공병원의 규모가 과잉공급 상태에 있음을 시사하고 있다. 이 연구는 베트남 공공병원의 효율성과 생산성 변화를 측정한 국내 첫 연구이며 향후 베트남 병원산업 진출을 위한 기초 정보로 활용될 수 있다는 점에서 의미가 있다.

This study estimated productivity change and RTS using Parametric and Non-Parametric approach with 5 year annual data from 2006 to 2010 of 20 public general hospitals in Vietnam collected from Ho Chi Min City Health Department of Health Database. The results could be summarized as follows; First, by the Non-Parametric approach. cumulated productivity growth of 5 years was increased by 2.8% due to regress 5.2% of technical efficiency, 0.3% of pure technical efficiency, but scale efficiency was decreased 5.1% Second, by the Non-Parametric approach, cumulated productivity growth was decreased by 12.8% to due to drop of 17.1% of technical change, 9.1% of scale efficiency. In conclusion, the common result of both approaches was that scale inefficiencies occurs in public hospitals in Vietnam, and they affected productivity change of public hospitals in Vietnam. Namely, 70% to 80% of the analyzed Vietnam public hospitals were at the status of DRS(decreased returns to scale), which suggested that they had oversupply beds relative to the number of occupied patients, it was meaningful that this study was the first study in Korea to measure efficiency and productivity change of Vietnamese public general hospitals and so it could be utilized as the basic information needed to enter hospital industry of Vietnam in the future.

키워드

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