Journal of Korean Academy of Nursing Administration (간호행정학회지)

Korean Academy of Nursing Administration (한국간호행정학회)
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Evaluation of Efficiency of Community Visiting Health Service Units - A Demonstration of Using Data Envelopment Analysis (DEA) -

방문건강관리사업 효율성 평가를 위한 방법론적 접근 - 자료포락분석법(Data Envelopment Analysis)의 적용 -

  • Lim, Ji-Young (Department of Nursing, Inha University) ;
  • Kim, Mi-Ja (College of Nursing, University of Illinois at Chicago) ;
  • Park, Chang-Gi (College of Nursing, University of Illinois at Chicago) ;
  • Kim, Jung-Yun (Women's Policy Division, Incheon Metropolitan City Hall)
  • 임지영 (인하대학교 간호학과) ;
  • 김미자 (시카고 일리노이대학교 간호대학) ;
  • 박창기 (시카고 일리노이대학교 간호대학) ;
  • 김정윤 (인천광역시청 여성정책과)
  • Received : 2010.11.02
  • Accepted : 2010.12.06
  • Published : 2011.03.31
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Abstract

Purpose: The aim of this study was to evaluate the efficiency of community visiting health service units using DEA and to compare the results with those of traditional evaluation methods. Methods: Data were collected using 2008 annual reports of 10 districts in one city. Input variables were number of staff and operational budget per year and output variables were number of managed household per nurse, rate of controlled hypertension, and diabetes mellitus. EMS Window version 3.1 was used to measure efficiency score and bootstrapping Chi-square test was applied to identify differences between efficient and non-efficient unit by organizational factors. Results: The average efficiency score of 10 community visiting health services was about 66%. Only two of the units operated program efficiently. The career of the staff was one among other factors associated with efficiency. The evaluation results from the traditional method and DEA were totally different. Conclusion: These results indicate that, evaluation methods have very important and significant effects on the evaluation results of community visiting health service units. The DEA method is recommend as an alterative method for evaluating community visiting health service.

Keywords

References

  1. Azizi, K. H., Lotfi, F. H., Saati, S., & Vahidi, A. R. (2007). Ranking the electricity producer companies in view of manpower efficiency by DEA. Applied Mathematical Sciences, 1(16), 761-768.
  2. Birgun, S., & Akten, N. (2005). Relative efficiencies of seaport container terminals: A DEA perspective. International Journal of Integrated Supply Management, 1(4), 442-456. https://doi.org/10.1504/IJISM.2005.006305
  3. Charnes, A., Cooper, W., & Rhodes, E. (1978). Measuring the efficiency of decision making units. European Journal of Operational Research, 2(6), 429-444. https://doi.org/10.1016/0377-2217(78)90138-8
  4. Golany, B., Roll, Y., & Ryback, D. (1994). Measuring efficiency of power plants in Isrel by data envelopment analysis. IEEE Transactions on Engineering Management, 41(3), 291-301.
  5. Jeong, H., & Lee, K. (1996). Efficiency of public hospitals and their social role. Korean Journal of Health Policy and Administration, 6(2), 1-13.
  6. Kim, H., & Lee, H. (2005). Analysis of the efficiency of the urban development corporations in regional government using data envelopment analysis. The Korean Spatial Planning Review, 47, 77-88.
  7. Kim, J. H. (2005). The study on the measurement of the community center' efficiency by DEA; The case of Seoul in Korea. Unpublished master's thesis, Dongguk University, Seoul.
  8. Kim, S. N. (2004). Efficiency evaluation of teaching hospital with DEA. Unpublished master's thesis, Inha University, Incheon.
  9. Lee, T. (2004). Economic evaluation of visiting nurse services for the low-income elderly with long-term care needs. Journal of Korean Academy of Nursing, 34(1), 191-201. https://doi.org/10.4040/jkan.2004.34.1.191
  10. Lien, D., & Peng, Y. (1999). Measuring the efficiency of search engines: An application of data envelopment analysis. Applied Economics, 31(12), 1581-1587. https://doi.org/10.1080/000368499323102
  11. Ministry of Health, Welfare and Family Affairs. (2008, October). Guideline of evaluation of customized visiting health care, 2008. Seoul: Author.
  12. Park, C. (1996). Measuring production efficiency using data envelopment analysis. Korean Journal of Health Policy and Administration, 6(2), 91-114.
  13. Ryu, H. (2001). The effects on home visiting nursing service for community based disabled persons. Journal of Korean Academy of Nursing, 31(6), 1098-1180. https://doi.org/10.4040/jkan.2001.31.6.1098
  14. Song, T. M. (2006). Analysis of relative efficiency of smoking cessation clinics at health center. Health Welfare Policy Forum, 117, 41-50.
  15. Suck, Y. K. (2000). A study of evaluation of non-profit organization using DEA. Sun Moon Journal of Social Sciences, 3, 263-278.
  16. Won, J., & Kim, K. (2008). Evaluation of cognitive functions, depression, life satisfaction among the elderly receiving visiting nursing services. Journal of Korean Academy of Nursing, 38(1), 1-10. https://doi.org/10.4040/jkan.2008.38.1.1
  17. Yoo, K. (2000). Data envelopment analysis for assessing the relative efficiency of public sector. Journal of Jeonbuk Administration, 14(2), 1-20.
  18. Yoon, K. J. (1996). Using DEA to measure the efficiency of local health centers. Korean Policy Studies Review, 5(1), 80-109.