지역거점 공공병원 경영효율성과 공공성 분석

Abstract

This study used the DEA model, a nonparametric statistical analysis that overcomes the limitations of the parametric statistical methods, to analyze the management efficiency and publicness of regional bases public hospitals. For analysis, we selected 39 regional bases public hospitals. The results of the analysis on scale propriety for the management efficiency were effective in Icheon, Gangneung, and Geochang Red Cross hospitals, and the most ineffective place was the Hongseong medical center. In the case of scale propriety for publicness, Seoul, Daegu, Gangneung, Youngwol and Cheongju medical centers was the most effective and the Hongseung medical center was the most ineffective. And the correlation between the management efficiency and the scale efficiency index of publicness was 0.159, and the correlation between the two indexes was analyzed to be low. Nonparametric test was used to assess the effects of environmental factors on management efficiency and publicness. The results were as in the following. the proportion of the population aged 65 years, which is a population sociological factor, Efficiency and publicity. The proportion of medical benefit patients in the region has a negative effect on management efficiency and a positive effect on publicity. Among operating factors, emergency facilities operated by hospitals were harmful in terms of management efficiency, but they played a positive role in terms of publicity. On the other hand, the hospitals were analyzed that the effect of justice on management efficiency and the effect of wealth on publicity.