An Expert System Approach to Medical Region Selection for a New Hospital Using Data Envelopment Analysis
Chin-Tsai Lin, Chuan Lee, Zhi-Jun Chen
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DOI: 10.4236/ib.2010.22016   PDF    HTML     5,169 Downloads   8,914 Views   Citations

Abstract

An appropriate medical region must be selected before establishing a new hospital. Once established, a hospital may bring many medical doctors and facilities to the area. Not only can the distribution of medical resources in that area be influenced, but also competition among different hospitals can be enhanced. The government needs to consider the issue of medical resource distribution; therefore, medical region selection has important policy implications. This study uses data envelopment analysis (DEA) to establish the effective indicators, and also uses an expert system on the equality of medical resource distribution to identify medical areas lacking medical resources and where there is relatively less competition. As a result, this study can provide the necessary information to facilitate the choice of region for a new hospital. This method not only avoids assigning a hospital to a medical region where there are surplus resources, but it can also reduce the risk of excessive competition.

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C. Lin, C. Lee and Z. Chen, "An Expert System Approach to Medical Region Selection for a New Hospital Using Data Envelopment Analysis," iBusiness, Vol. 2 No. 2, 2010, pp. 128-138. doi: 10.4236/ib.2010.22016.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Department of Health, “Health and Vital Statistics,” Department of Health, Taiwan, 2006.
[2] T. C. Liu and P. C. Wu, “The Choice of Medical Institutions under NHI-An Example of Pediatric Patients in Taipei,” Journal of Healthcare Management, Vol. 2, No. 2, 2002, pp. 87-108.
[3] D. L. Jiang, “Health Policy: Taiwan Experience,” ChuLiu, Taipei, 1999.
[4] W. C. Hsiao, C. L. Yang and J. R. Lu, “Health Care Financing and Delivery in the ROC: Current Conditions and Future Challenges,” Industry of Free China, 1990, pp. 1-19.
[5] Y. C. Lee, M. S. Lai and P. C. Sheng, “The Development and the Implication of Annual Health Care Expenditure Target for Global Budget Payment System of National Health Insurance in Taiwan,” Journal of Healthcare Management, Vol. 2, No. 2, 2001, pp. 72-86.
[6] C. E. Phelps, “Health Economics,” Addison Wesley Educational Publishers Inc, New York, 1997.
[7] J. P. Newhouse, A. P. Williams, B. W. Bennett and W. B. Schwartz, “Does the Geographical Distribution of Physicians Reflect Market Failure,” Bell Journal of Economics, Vol. 13, No. 2, 1982, pp. 493-505.
[8] T. L. Chiang, “Deviation from the Carrying Capacity for Physicians and Growth Rate of Physician Supply: The Taiwan Case,” Social Science and Medicine, Vol. 40, No. 3, 1995, pp. 371-377.
[9] Department of Health, “Health and Vital Statistics,” Department of Health, Taiwan, 2001.
[10] F. X. Xiao, “Industrial Economics,” Root International Infor- mation Co., Ltd., 2002.
[11] R. E. Santerre and S. P. Neun, “Health Economics: Theories, Insights, and Industry Studies,” Harcourt Brace and Company, Fort Worth, 2002.
[12] R. F. Lu and Q. R. Xie, “Health Economics,” Taipei, 2000.
[13] L. M. Seiford, “Data Envelopment Analysis: The Evolution of the State of the Art (1978-1996),” Journal of Productivity Analysis, Vol. 7, No. 2-3, 1996, pp. 99-137.
[14] L. G. Xue, “Expert System in Library,” Index of NCL Taiwan Branch Bulletin, Vol. 5, No. 1, 1991, p. a10.
[15] B. K. Duval and L. Main, “Expert Systems: What is an Expert System?” Library Software Review, Vol. 13, No. 1, 1994, pp. 44-46.
[16] J. Le Grand, “Equity and Choice,” Harper Collins, London, 1991.
[17] J. Le Grand, “Health and Health Care,” Social Justice Research, Vol. 1, 1987, pp. 257-274.
[18] G. Mooney, “Equity in Health Care: Confronting the Confusion,” Effective Health Care, Vol. 1, No.4, 1983, pp. 179 -185.
[19] [19] G. Mooney, J. Hall, C. Donaldson and K. Gerard, “Utilization as a Measure of Equity: Weighing Heat?” Journal of Health Economics, Vol. 10, No.4, 1991, pp. 475-480.
[20] G. Mooney, J. Hall, C. Donaldson and K. Gerard, “Reweighing Heat: Response to Culyer, Van Doorslaer and Wagstaff,” Journal of Health Economics, Vol. 11, No.2, 1992, pp. 199-205.
[21] A. J. Culyer and A. Wagstaff, “Equity and Inequity in Health and Health Care,” Journal of Health Economics, Vol. 12, No. 4, 1993, pp. 431-457.
[22] R. Penchansky and J. W. Thomas, “The Concept of Access: Definition and Relationship to Consumer Satisfaction,” Medical Care, Vol. 19, No. 2, 1981, pp. 127-140.
[23] J. P. Action, “Nonmonetary Factors in the Demand for Medical Services: Some Empirical Evidence,” Journal of Political Economy, Vol. 83, No. 3, 1975, pp. 595-614.
[24] R. M. Coffey, “The Effect of Time Price on the Demand for Medical Care Services,” Journal of Human Resources, Vol. 18, No. 3, 1983, pp. 407-424.
[25] S. D. Cauley, “The Time Price of Medical Care,” Review of Economics and Statistics, Vol. 69, No. 1, 1987, pp. 59-66.
[26] C. D’Aspremont, J. J. Gabszewicz and J. F. Thisse, “On Hotelling’s Stability in Competition,” Econometrical, Vol. 47, No. 5, 1979, pp. 1145-1150.
[27] Bureau of National Health Insurance, “The National Health Insurance Statistics,” Taiwan, 2006.
[28] T. E. Getzen, “Health Care is an Individual Necessity and a National Luxury: Applying Multilevel Decision Model to the Analysis of Health Care Expenditures,” Journal of Health Economics, Vol. 19, No. 2, 2000, pp. 259-270.
[29] L. F. Rossiter and G. R. Wilensky, “Identification of Physician-Induced Demand,” Journal of Human Resources, Vol. 19, No. 2, 1984, pp. 231-244.
[30] R. M. Anderson and J. F. Newman, “Societal and Individual Determinates of Medical Care Utilization in the United States,” Milbank Mem Fund Quarterly, Vol. 51, No. 1, 1973, pp. 95-124.
[31] C. Cox, “Physician Utilization by Three Groups of Ethnic Elderly,” Medical Care, Vol. 24, No. 8, 1986, pp. 667-676.
[32] C. Donaldson and K. Gerard, “Economics of Health Care Financing: The Visible Hand,” St. Martin’s Press, New York, 1993.
[33] B. A. Weisbrod, “Toward a Theory of the Voluntary Non- Profit Sector in a Three-Sector Economy”. In E. Phelps, Ed., Altruism, Mortality and Economic Theory, Rusell Sage Foundation, New York, 1975.
[34] S. W. H. Cheng and J. R. Su, “The Incidence of Expenditures and Revenues in Taiwan’s National Health Insurance,” Taipei International Conference on Health Economics, Tai- pei, 1999.
[35] E. Van Doorslaer, A. Wagstaff, H. Van Der Burg, T. Christiansen, D. D. Graeve, I. Duchesne, U. G. Gerdtham, M. Gerfin, J. Geurts, L. Gross, U. Hakinen, J. John, J. Klavus, R. E Leu, B. Nolan, O. O’Donnell, C. Propper, F. Puffer, M. Schellhorn, G. Sundberg and O. Winkelhake, “Equity in the Delivery of Health Care in Europe and the US,” Journal of Health Economics, Vol. 19, No.5, 2000, pp. 553-583.
[36] L. M. Schalick, W. C. Hadden, E. Pamuk, V. Navarro and G. Pappas, “The Widening Gap in Death Rates among Income Groups in the United States From 1967 to 1986,” International Journal of Health Services, Vol. 30, No. 11, 2000, pp. 13-26.
[37] A. Wagstaff, E. Doorslaer and P. P. Van, “Equity in the Finance and Delivery of Health Care: Some Tentative Cross -Country Comparison,” Oxford Review of Economic Policy, Vol. 5, No. 1, 1989, pp. 89-112.
[38] A. Charnes, W. W. Cooper and E. Rhodes, “Measuring the Efficiency of Decision Making Units,” European Journal of Operational Research, Vol. 2, No. 6, 1978, pp. 429-444.
[39] P. L. Chang, S. N. Hwang and W. Y. Cheng, “Using Data Envelopment Analysis to Measure the Achievement and Change of Regional Development in Taiwan,” Journal of Environmental Management, Vol. 43, No.1, 1995, pp. 49-66.
[40] F. Pedraja-Chaparro, J. Salinas-Jimenez and P. Smith, “On the Quality of the Data Envelopment Analysis Model,” Journal of the Operational Research Society, Vol. 50, No. 6, 1999, pp. 636-644.
[41] Highway Bureau, “Statistical Yearbook of Highway Bureau,” M. O. T. C., Ministry of Transportation and Communications, Taiwan, 2006

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