Asia-Pacific Journal of Business Venturing and Entrepreneurship (벤처창업연구)

The Korean Society of Business Venturing (한국벤처창업학회)
권호 표지

Analysis of the Efficiency of the Oriental Hospital using the DEA(Based on the Number of Patients)

DEA를 이용한 한방병원의 경영효율성 분석: 환자수를 기준으로

  • 김영식 (한국보건산업진흥원) ;
  • 이우천 (상지대학교 의료경영학과)
  • Received : 2016.01.19
  • Accepted : 2016.02.26
  • Published : 2016.02.29
Download PDF
⟨ Previous Next ⟩

Abstract

This study is to analyze the efficiency of oriental hospitals using DEA. The input variables are the numbers of doctors, nurses, medical technicians, and beds. The output variables are the numbers of annual inpatients and outpatients. The statistical analysis tools used are EnPas and IBM SPSS Statistics 19. The result in efficiency analysis by establishment type showed that the national and public hospitals had the most efficiency. In the case of location, the efficiency of the oriental hospitals in Seoul was the highest but those in the Metropolitan areas had a relatively low efficiency. If the number of the beds was generally less than 50 beds, the hospitals were highly efficient, but the hospitals in the medium category of 51-100 beds were low in efficiency. The Logistic regression analysis conducted to analyze the variables that have affected the efficiency of oriental hospitals resulted that the efficiency increased by 1.045 everytime the number of nurses increased by 1.

본 연구는 DEA를 이용하여 한방병원의 경영효율성을 분석하고, 효율성 점수를 종속변수로 사후분석을 실시하여 한방병원의 경영효율성 향상방안을 제시하고자 한다. 투입변수는 의사수, 간호사수, 의료기사수와 병상수이고, 산출변수는 연외래환자수와 연입원환자수이며 분석도구는 EnPas와 IBM SPSS 19.0을 사용하였다. 연구결과, 설립형태별 효율성 분석에서는 학교법인 소속 병원의 효율성 점수가 가장 높았고 개인병원이 가장 낮았다(p<.05). 그리고 병상규모별 분석에서는 101-150병상 범주의 효율성 점수가 가장 높았고 100병상 이하의 한방병원들이 대체로 낮은 효율성을 보였다(p<.05). 또한 소재지별 분석에서는 서울지역 한방병원의 효율성이 가장 높았으며 광역시 소재병원의 효율성이 가장 낮게 나타났으나 통계적으로 유의한 차는 없었다(p<.05). 그리고 효율성 결정요인 파악을 위한 이항로지스틱 분석결과로 간호사 1명이 증가하면 효율성이 약 1.045배 증가함을 알 수 있었다.

Keywords

References

  1. Ann, I. W.(2004). An Investigation of Factors Affecting Management Efficiency Korean General Hospitals, Doctoral dissertation, Inje University.
  2. Ann, I. W. & Yang, D. H.(2005). An Investigation of Factors Affecting Management Efficiency Korean General Hospitals Using DEA Model, Korean journal of hospital management, 10(1), 71-92.
  3. Bae, S. Y., Lee, Y. H. & Kim, Y. H.(2009). An Analysis on Convergence of the Efficiency and Productivity Change in Korean University Hospitals, Journal of Korea Service Management Society, 10(3), 53-95. https://doi.org/10.15706/jksms.2009.10.3.003
  4. Banker, R. D., Charnes, A. & Cooper, W. W.(1984). Some Models For Estimating Technical and Scale Inefficiencies in Data Envelopment Analysis, Management Science, 30(9), 1078-1092. https://doi.org/10.1287/mnsc.30.9.1078
  5. Banker. R. D., Charnes, A., Cooper, W. W., Swarts, J. & Thomas, D. A.(1989). An Introduction to Data Envelopment Analysis with Some of Its Models and Their Uses, Research in Governmental and Nonprofit Accounting, 5(1), 125-163.
  6. Boussofiane, A., Dyson, R. G. & Thanassoulis, E.(1991). Applied Data Envelopment Analysis, European Journal of Operation Research, 52(1), 1-15. https://doi.org/10.1016/0377-2217(91)90331-O
  7. Byrnes, P., Fare, R. & Grosskopf, S.(1984). Measuring Productive Efficiency: An Application to Illinois Strip Mines, Management Science, 30(6), 671-681. https://doi.org/10.1287/mnsc.30.6.671
  8. Charnes, A., Clark, C. T., Cooper, W. W. & Golany, B.(1985). A Development Study of Data Envelopment Analysis in Measuring the Efficiency of Maintenance Units in the U.S Air forces, Annals of Operation Research, 2(1), 95-112. https://doi.org/10.1007/bf01874734
  9. Charnes, A., Cooper, W. W., Lewin, A. Y. & Seiford, L. M.(1994). Data Envelopment Analysis: Theory, Methodology and Application, Boston: Kluwer Academic Publishers.
  10. Hormarcher, M. M, Peterson, I. & Riedel, M.(2002). Measuring Hopital Efficiency in Austria-DEA Approach. Health Care Management Science, 5, 7-14. https://doi.org/10.1023/A:1013292801100
  11. Jung, K. H. & Cho, G.(2011). A Study on Evaluating the Efficiency of the Photonics Industry in Gwangju Using a DEA Model, Journal of the Korean Society for Quality Management, 39(2), 244-255. https://doi.org/10.7469/JKSQM.2011.39.2.244
  12. KHIDI(2012). Analysis of Inpatient Environment Survey for Medical Institutions, Chungbuk: Korea Health Industry Development Institute.
  13. KHIDI(2013). Statistics for Hospital Management, Chungbuk: Korea Health Industry Development Institute.
  14. KHIDI(2014). Survey for Oriental Medicine Utilization and Medications Consumption, Chungbuk: Korea Health Industry Development Institute.
  15. Kim, J. Y.(2014). Efficiency Analysis of General Hospitals According to Hospital Characteristics, Master's dissertation, Korea University.
  16. Kim, S. H., Choi, T. S. & Lee, D. W.(2007). Efficiency analysis, Seoul: Seoul Economy Business Management.
  17. Lee, J. D. & Oh, D. H.(2012), Theory of efficiency analysis : DEA, Seoul: Jipill Media.
  18. Lee, W. C.(2014). The Factors Affecting the Profitability of Oriental Medicine Hospital of University in Korea, Asia-Pacific Journal of Business Venturing and Entrepreneurship, 9(2), 109-116.
  19. Linna, M., Hakkinen, U. & Magnussen, J.(2006). Comparing Hospital Cost Efficiency Between Norway and Finland, Health Policy, 77(3), 268-278. https://doi.org/10.1016/j.healthpol.2005.07.019
  20. MOHW(2014). OECD Health Data 2014, Seoul: Kyungsung Press, 98-113.
  21. Nam, S. Y.(2007). A Comparative Study on the Human Resource Efficiency Between the Korean and Japanese Municipal Hospitals Using Data Envelopment Analysis, Korean journal of hospital management, 12(1), 69-89.
  22. Nayar, P. & Ozcan, Y. A.(2008). Data Envelopment Analysis Comparison of Hospital Efficiency and Quality, Journal of Medical Systems, 32(3), 193-199. https://doi.org/10.1007/s10916-007-9122-8
  23. Park, B. S., Kim, Y. S. & Lee, Y. K.(2009). Analysis on Hospital Management Performance Using the DEA Efficiency and Profitable Indices, Korean Public Health Research, 35(2), 63-73.
  24. Park, B. T. & Lee, D. H.(2011), An Analytical Study of Relative Efficiency Evaluation in Healthcare Institution with Application of DEA, The Korean Journal of health Economics and Policy, 17(2), 1-33.
  25. Park, C. J. & Choi, D. W.(1997). Efficiency Evaluation of the Public Hospitals-Multivariate Analysis for Optimal Operation, The Korean Health Economics Review, 3, 1-36.
  26. Park, J. O., Choi, B. H. & Lim, B. M(2013). Management Efficiency Evaluation of Korean Medicine Hospitals by Data Envelop Analysis(DEA) Model, Journal of Society of Preventive Korean Medicine, 17(3), 103-114.
  27. Park, K. S., Jung, H. S. & Kim Y. T.(2005). Assessing Hospital Efficiency and Profit Dynamics Using DEA and DEA Window Analysis, Korean Management Review, 34(1), 267-287.
  28. Park, M. H.(2008). Development of DEA Efficiency and Malmquist Productivity Analysis System, Productivity Review, 22(2), 241-265.
  29. Seo, S. K. & Kwon, S. M.(2000). Efficiency Benchmarking of Hospital Using DEA, Korean journal of hospital management, 5(1), 84-104.
  30. Sherman, H.(1984). Hospital Efficient Measurement and Evaluaiton: Emprical test of a New Technique, Medical Care, 22(10), 922-938. https://doi.org/10.1097/00005650-198410000-00005
  31. Shin, C. G.(2006). An Analysis on the Efficiency and Productivity Changes of the National University Hospitals in the Republic of Korea, Social Security Research, 22(4), 49-78.
  32. Shin, D. W., Shin, C. G. & Jung, K. T.(2008). A Study on Quality-Incorporating Models in Evaluation of Hospital Efficiency with Data Envelopment Analysis: An Analysis on National University Hospitals in Korea, Korean journal of hospital management, 13(3), 69-93.
  33. Yang, D. H. & Suh, W. S.(1996). Research on the Management Effectiveness Evaluation and Determinants for Hospital, Seoul: National Evidence-based healthcare Collaborating Agency.
  34. Yoo, K. R.(2004). Efficiency Measurement and Evaluation of Public Sector: Theory and Application of Frontier Analysis, Seoul: Daeyoung Press.
  35. Yoon, K. S., Shin, S. K. & Han, H. N.(2009). Analyzing Private University Hospitals Management Efficiency in Korea: A DEA Approach, Management Education Review, 55, 143-167.