台灣衛生福利部於1986年開始推動醫療網計劃，自2011年為合理分配醫療資源，將醫院區分為醫學中心、區域醫院、地區醫院三種層級，提供在地醫療與分級轉診之架構。本研究評估台灣16家醫學中心、31家區域醫院、36家地區醫院，共計83家醫院於2016年至2019年的醫療服務與財務績效，觀察各層級醫院之部門效率與整體效率之趨勢。並使用多目標規劃實現動態網路資料包絡分析以進行效率計算，分析各層級台灣醫院之各部門效率與整體效率並且驗證各類模型，希望提供醫療院所與衛生主管機關作為未來規劃與決策之參考。

Since 1986 the Medical Care Network Plan has been executed by the Ministry of Health and Welfare, R.O.C. In 2011, in order to allocate the medical resources properly, hospitals have been divided into three levels: medical centers, regional hospitals, and district hospitals that proposes a structure of local medical treatment and hierarchical referral. In this study, we evaluated the medical services and financial performance of 83 hospitals at all levels in Taiwan from 2016 to 2019. This study uses multi-objective programming to implement Dynamic Network Data Envelopment Analysis for calculating efficiency of the medical institutions, including medical institutions and health authorities , as a reference for making decisions.

第一章 緒論 1
第一節 研究動機 1
第二節 研究目的 2
第三節 研究內容 3
第二章 文獻探討 5
第一節 資料包絡分析 5
第二節 網路資料包絡分析 10
第三節 動態網路資料包絡分析 14
第四節 多目標規劃 16
第五節 醫療網計劃與評估醫院效率 18
第三章 研究方法 23
第一節 模型參數定義 23
第二節 多目標動態資料包絡分析模型 25
第三節 求解Compromise Solution之MOP 32
第四節 鑑別度分析 34
第五節 資料蒐集 35
第四章 案例研究 37
第一節 各部門投入/產出/中間財因子 37
第二節 資料來源與決策單位資料說明 39
第三節 建立多目標資料包絡分析模型 47
第四節 研究結果 67
第五章 結論與未來研究方向 86
第一節 結論 86
第二節 未來研究 88
參考文獻 89

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