ประสิทธิภาพเชิงเทคนิคโรงพยาบาลชุมชนในประเทศไทย

Abstract

The technical efficiency of public community hospitals in Thailand was estimated by using the fixed-effect production function model approach with a time series of cross-section data of 662 hospitals for five consecutive years (1996-2000). The principal variables used for the analysis were service output indicators and inputs used for the provision of the services. The results indicate that larger size hospitals tend to be more efficient than the small size hospitals. The distribution of efficiency scores among the sampled hospitals clustered around 0.55-0.63 with a mean value of 0.55. Using the efficiency scores, hospitals were categorized into four groups. Among the sampled community hospitals, 11% were ranked in the most efficient group, 42% in moderate efficiency category, 38% in low efficiency and 9% in the least efficient group. The determinants of efficiency were also investigated by using a multiple regression model. The results indicate that the internal factors, such as, age and size of community hospitals, management aspect related to the management of human resources, were significantly associated with technical efficiency scores.