ABSTRACT

The purpose of the study is to verify the presence of congestion in the operations ofpublic hospitals in South Korea. Moreover, the differences in congestion and efficiencyamong the types(foundation type/treatment function) of public hospitals are analyzed. Todo these, a DEA model is developed and “the 2013 National Public Hospital Guidance”that was provided by the Public Health Support Unit of National Medical Center isutilized. For the DEA model of congestion and efficiency, the following five inputs areselected: number of doctors, number of nurses, number of medical technicians, number ofadministrative staffs and number of sick-beds. As for the outputs for the analyses ofcongestion and efficiency, number of hospitalized patients, number of outpatients andmedical profits are considered. The summary of the major results of the study is asfollows. First, we find that there are congestions in the operations of public hospitals. For eachinput, public hospitals generally show a high rate of congestion occurrence as well as alarge size of congestion in the operations. There are some differences in the congestionamong the foundation types of public hospitals. The national hospitals are found to havea larger occurrence rate and the size of congestion than the special corporate hospitalsand geriatric hospitals with respect to every input except for the number of medicaltechnicians. As for the types of treatment function, the special medical treatment-centric (diseases) hospitals are found to have a larger size of congestion than the general medicaltreatment-centric hospitals and elderly-specialized hospitals in all the inputs. Second, in the case of the differences in the efficiency among the foundation types ofpublic hospitals, the special corporate hospitals show the highest efficiency, followed bythe geriatric hospitals and the national hospitals. As for the types of treatment function,the general medical treatment-centric hospitals are found to have a higher degree ofefficiency than the elderly-specialized hospitals. The followings state the contributions of the study. First, in this research, thecongestion of public hospitals of South Korea is measured and the existence of thecongestion is verified for the first time by leveraging the congestion DEA model whichwould measure the special case of an inefficient situation. These results provide thepractical implication that could help determine the priority of management by comparingthe congestion for each input. Second, the differences in the efficiency among the types of foundation and treatmentfunction are also analyzed. This achievement helps to establish a foundation which couldenhance the understanding of the public hospitals by the environmental factors.

KEYWORD

Congestion analysis, DEA, efficiency, Public hospital, foundation type, treatment function

REFERENCES(36)open

  1. [jounal] 고경완 / 2014 / DEA 모형을 활용한 소매점의 효율성 및 결정요인 분석 / 경영과학 31 (4) : 135 ~ 150

  2. [other] 공공보건의료지원센터 / 2013 / 2013년 공공보건의료 통계집 / 국립중앙의료원

  3. [other] 공공보건의료지원센터 / 2013 / 2013년 전국공공병원 안내 / 국립중앙의료원

  4. [confproc] 김용태 / 2009 / Malmquist 분석을 이용한 공공병원의 효율성 변화 탐색 / 한국품질경영학회 학술대회 23 (3) : 1159 ~ 1184

  5. [jounal] 김종기 / 2010 / 지방의료원의 효율성에 대한 정태적 및 동태적 분석 / 병원경영학회지 15 (1) : 27 ~ 48

  6. [jounal] 남상요 / 2007 / DEA를 이용한 한국과 일본 공공병원의인적자원 효율성 평가A / 병원경영학회지 12 (1) : 51 ~ 74

  7. [other] 데일리팜 / 2013 / 진주의료원 ‘2라운드’…경남도 방만경영 ‘도마 위’

  8. [jounal] 박노경 / 2008 / 국내항만투자의 유효성 검증을 위한 모형개발 및 실증적 적용에 관한 연구 / 한국항만경제학회지 24 (2) : 209 ~ 240

  9. [jounal] 박정석 / 2013 / 국내 상장제약기업의 경영효율성 영향요인에 관한 연구 / 생산성논집 27 (3) : 137 ~ 165

  10. [jounal] 박창제 / 1997 / 공공병원의 효율성 평가 : 최적운영에 대한 다변량 분석 / 보건경제와 정책연구 3 (3) : 1 ~ 36

  11. [jounal] 백철우 / 2013 / 기업의 개방형 혁신전략의 R&D 효율성 제고 효과 / 생산성논집 27 (4) : 302 ~ 319

  12. [jounal] 서수덕 / 2008 / 재무적척도에 의한 우리나라 상장기업의 효율성 분석 / 국제회계연구 (21) : 87 ~ 107

  13. [jounal] 신종각 / 2006 / 국립대학교병원의 효율성 및 생산성변화 분석 / 사회보장연구 22 (4) : 49 ~ 78

  14. [jounal] 안인환 / 2005 / DEA모형을 이용한 종합병원의 효율성 측정과 영향요인 / 병원경영학회지 10 (1) : 71 ~ 92

  15. [jounal] 양동현 / 2012 / 확률변경모형(Stochastic Frontier Model)을 이용한 공공병원의 기술적 비효율성(Technical Inefficiency) 분석 / 보건경제와 정책연구 18 (4) : 41 ~ 64

  16. [jounal] 양종현 / 2009 / 국립대병원과 사립대병원의 효율성 비교 분석 / 보건경제와 정책연구 15 (2) : 94 ~ 122

  17. [confproc] 오재록 / 2007 / 관료적 자율성과 조직성과: 한국40개 중앙행정기관 실증분석 / 한국행정학회 하계학술대회 : 1 ~ 17

  18. [jounal] 유태우 / 2004 / 공공병원의 효율성 및 생산성 분석 / 한국경영과학회지 29 (3) : 79 ~ 98

  19. [book] 이정동 / 2012 / 효율성분석이론 / 지필미디어

  20. [jounal] 장철영 / 2007 / Post-DEA를 활용한 지방의료원의 조직운영형태별 효율성 평가 / 한국행정논집 19 (4) : 1119 ~ 1146

  21. [jounal] 조현민 / 2013 / 지방의료원 운영 효율성 평가 및 환경요인 분석 / 보건경제와 정책연구 19 (4) : 53 ~ 77

  22. [jounal] 주형준 / 2014 / DEA를 이용한 지역SW성장지원사업 수행기관의 효율성 분석 및 개선 방안 / 한국생산관리학회지 25 (4) : 443 ~ 463

  23. [jounal] 한동여 / 2008 / DEA에 의한 소프트웨어 기업의 효율성 분석 / 생산성논집 22 (4) : 1 ~ 19

  24. [jounal] Banker, R. D. / 1984 / Some Models for Estimation Technical and Scale Inefficiencies in Data Envelopment Analysis / Management Science 30 (9) : 1078 ~ 1092

  25. [jounal] Banker, R. D. / 1986 / Efficiency Analysis for Exogenously Fixed Inputs and Outputs / Operations Research 34 (4) : 513 ~ 521

  26. [jounal] Brockett, P. L. / 1998 / Inefficiency and Congestion in Chinese Production Before and After the 1978 Economic Reforms / Socio-Economic Planning Sciences 32 (1) : 1 ~ 20

  27. [jounal] Charnes, A. / 1978 / Measuring the Efficiency of Decision Making Units / European Journal of Operational Research 2 (6) : 429 ~ 444

  28. [jounal] Cooper, W. W. / 2001 / Using DEA to Improve the Management of Congestion in Chinese Industries(1981-1997) / Socio-Economic Planning Sciences 35 (4) : 227 ~ 242

  29. [jounal] Farrell, M. J. / 1957 / The Measurement of Productive Efficiency / Journal of the Royal Statistical Society, Series A(General) : 253 ~ 290

  30. [jounal] Grosskopf, S. / 1987 / Measuring Hospital Performance / Journal of Health Economics 6 (2) : 89 ~ 107

  31. [jounal] Hofmarcher, M. M. / 2002 / Measuring Hospital Efficiency in Austria-a DEA pproach / Health Management Science 5 (1) : 7 ~ 14

  32. [jounal] Rivers, P. A. / 2004 / Do HMO Penetration and Hospital Competition Impact Quality of Hospital Care? / Health Services Management Research 17 (4) : 237 ~ 248

  33. [jounal] Simões, P. / 2009 / Performance and Congestion Analysis of the Portuguese Hospital Services / Central European Journal of Operations Research 19 (1) : 39 ~ 63

  34. [confproc] Susan, C. S. / 2006 / Game Theory / 20 SPG Antitrust 98

  35. [jounal] Flegg, A. T. / 2007 / Does Expansion Cause Congestion? The Case of the Older British Universities, 1994 to 2004 / Education Economics 15 (1) : 75 ~ 102

  36. [jounal] Valdmanis, V. / 1992 / Sensitivity Analysis for DEA Models : An Empirical Example Using Public vs. N. F. P Hospitals / Journal of Public Economics 48 (2) : 185 ~ 205