일 종합병원 병동 간호단위의 간호효율성 평가-자료포락분석의 적용
Evaluation of the Efficiency of General Nursing Units using Data Envelopment Analysis (DEA)
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Purpose: The aim of this study was to evaluate the efficiency of nursing units in a hospital using DEA. Methods: Data were collected using the medical information system of a general hospital in a city. Input variables were number of nurses, number of nurse-aides, number of beds, and overhead costs. Output variables included number of admitted patients, rate of bed utilization, satisfaction of discharged patients, and prevention rate of safety accidents and sores. EMS Window version 3.1 was used to measure the efficiency score and descriptive statistics were applied to analyze the general characteristics of variables. Results: The average efficiency score of 18 general nursing units was approximately .99. Nine nursing units had a 1.00 efficiency score. Conclusion: Our findings reveal that nursing units operated very efficiently. To increase efficiency of inefficient nursing units, we recommend results of the DEA slack analysis as a benchmark of the most efficient nursing unit.
Abstract
Purpose: The aim of this study was to evaluate the efficiency of nursing units in a hospital using DEA. Methods: Data were collected using the medical information system of a general hospital in a city. Input variables were number of nurses, number of nurse-aides, number of beds, and overhead costs. Output variables included number of admitted patients, rate of bed utilization, satisfaction of discharged patients, and prevention rate of safety accidents and sores. EMS Window version 3.1 was used to measure the efficiency score and descriptive statistics were applied to analyze the general characteristics of variables. Results: The average efficiency score of 18 general nursing units was approximately .99. Nine nursing units had a 1.00 efficiency score. Conclusion: Our findings reveal that nursing units operated very efficiently. To increase efficiency of inefficient nursing units, we recommend results of the DEA slack analysis as a benchmark of the most efficient nursing unit.
참고문헌 (21)
- Aiken, L. H, "Nurses' reports on hospital care in five countries", Health Affairs, 20(3), pp.43~53 (2001)
- 안인환, "DEA모형을 이용한 종합병원의 효율성 측정과 영향요인", 병원경영학회지, 10(1), pp.71~92 (2005), 한국병원경영학회
- Charnes, A, "Measuring the efficiency of decision making units", European Journal of Operational Research, 2(6), pp.429~444 (1978)
- 조성현, "입원환자 간호관리료 차등제 도입이후 간호사 확보수준의 변화", 간호행정학회지, 14(2), pp.167~175 (2008), 간호행정학회
- Curtright, J. W., "Strategic performance management: Development of a performance measurement system at the Mayo clinic", Journal of Healthcare Management, 45(1), pp.58~68 (2000)
- Jung, Y. M, "Technical efficiency measurement of nursing organizations using data envelopment analysis", 박사, pp.2011
- Kang, K. H, "Development of the balanced scorecard (BSC) for the hospital nursing unit", 박사, pp.2003
- Kim, E. J, "Development of the business performance measurement indicators based on non-profit organization balanced scorecard (BSC) for self-operated school food service operations", 석사, pp.2005
- Kim, K. O, "The effects of nurse organizational culture on job performance efficiency at general hospitals in urban area", 석사, pp.2001
- Kim, S. N, "Efficiency evaluation of teaching hospital with DEA", 석사, pp.2004
- Kwak,H.J, "A study on a performance evaluation of hospitals : A data envelopment analysis (DEA) approach", 박사, pp.1992
- 이은화, "목표관리를 적용한 간호사 성과평가 핵심 지표개발과 가중치 산정", Journal of Korean Academy of Nursing, 40(1), pp.69~77 (2010), 한국간호과학회
- 임지영, "방문건강관리사업 효율성 평가를 위한 방법론적 접근 - 자료포락분석법(Data Envelopment Analysis)의 적용", 간호행정학회지, 17(1), pp.54~65 (2011), 간호행정학회
- 박경삼, "DEA 및 DEA윈도우분석을 이용한 대규모 종합병원의시대별 경영효율성 변화분석", 경영학연구, 34(1), pp.267~287 (2005), 한국경영학회
- 박병상, "DEA를 이용한 종합병원의 효율성 평가", 한국콘텐츠학회 논문지, 9(4), pp.299~312 (2009), 한국콘텐츠학회
- 박성희, "입원환자 간호관리료 차등제에 따른 직접간호활동 및 환자결과 비교", Journal of Korean Academy of Nursing, 33(1), pp.122~129 (2003), 한국간호과학회
- Seo, S, "Efficiency benchmarking of hospitals using DEA", Korean Journal of the Hospital Management, 5(1), pp.84~104 (2000)
- Tzeng, H. M, "Nurses' self-assessment of their nursing competencies, job demands and job performance in the Taiwan hospital system", International Journal of Nursing Study, 41(5), pp.487~496 (2004)
- Wan, T. T, "Technical efficiency of nursing units in a tertiary care hospital in Taiwan", Journal of Medical systems, 26(1), pp.21~27 (2002)
- Yoo, K, "Data envelopment analysis for assessing the relative efficiency of public sector", Journal of Jeonbuk Administration, 14(2), pp.1~20 (2000)
- 윤금상, "DEA를 이용한 국내 주요 사립대학 병원의 경영 효율성 분석", 경영교육연구, 55(55), pp.143~167 (2009), 한국경영교육학회