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KMID : 0613620140340040385
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Health Social Welfare Review
2014 Volume.34 No. 4 p.385 ~ p.417
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A Stepwise Performance Analysis in Healthcare Institution as the Social Mission Organization
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Kim So-Hui
Lee Kyun-Jick
Chung Yoon
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Abstract
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In this study, analyzed the each medical center’s performance by stepwise the acute myocardial infarction, which was contained in the Health Insurance Review & Assessment Service’s 2013 medical centers’ evaluation information. Hence this study classified the 1st stage of operation efficiency perspective considering the medical organization’s performances as the outcomes of economic value and the 2nd stage of treatment effect perspective considering the performance as the outcomes of essential value in order to reflect the outcomes after the outputs. And then this study tried to analyze how the medical center’s performances could be changed according to the both different perspectives targeting domestic 98 upper-class general, general hospitals. After comparing the treatment amount and hospitalization days as the second input variables and the survival index as the final result variable, it was found that 5 hospitals showed the efficient results in the both stages and in the whole. And 14 hospitals showed 1st stage is effective, but the 2nd stage is inefficiency of the results. In contrast, only one hospital inefficiency is the result of 1st stage showed and the 14 hospitals showed inefficient results in the both stages and in the whole, and the rest 64 hospitals showed the efficient results in the first stage but showed the inefficient results in the second stage and in the whole. At considering the fact that most performance analyses were conducted around the first stage of operation efficiency, these results indicate that if the analysis scope on medical organization’s performance would not be expanded into the 2nd stage. Most organizations might get the false results that their operation was efficient, so they might be fallen into the fallacy. In this study, performance evaluation of the hospital as the social mission-driven organization can not be determined only by the operational efficiency. And social value creation inherent existence associated with improving the quality of health care proposals should be accompanied by study.
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KEYWORD
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Social Misson Organization, Performance, 2-stage DEA, Efficiency, Hospitals
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