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http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/63977
標題: | 醫療機構資源分配之機制設計 Mechanism Design for Resource Allocation in Healthcare Organizations |
作者: | Kun-Liang Lien 連堃良 |
指導教授: | 洪一薰 |
關鍵字: | 資源分配,機制設計,Vickrey-Clarke-Groves, resources allocation,mechanism design,Vickrey-Clarke-Groves, |
出版年 : | 2012 |
學位: | 碩士 |
摘要: | 醫療產業為新興產業之一,然而卻因資源有限,在資源的分配和使用上顯得十分重要,其中檢查儀器資源扮演重要的角色,儀器資源的使用是在醫療機構所訂定的操作規範或政策下使用,醫院內部為了檢查資源之統整,常成立一專責單位,負責各科部常見的檢查項目。本研究針對檢查儀器資源之配置問題,以醫療機構管理階層之觀點,設計最適之配置計畫及實行方法。本研究目的為探討醫療機構內部所擁有的資源配置之機制設計問題,範疇為考慮醫療機構系統中的科部個體之自利角度會影響科部個體行為表現情況下,以誘因機制的觀點設計機制使得科部個體之行為能更符合醫療機構整體目標。
Vickrey-Clarke-Groves(VCG)機制常被應用到拍賣中,目的是為使競標者(bidders)能真實表達心中的願付價格,本研究依VCG為基礎,探討在醫療機構效用極大的目標及檢查儀器資源有限的情況下,如何使各科部在使用檢查儀器資源能夠依真實所需使用,而不致過度浪費。最後針對建立的機制做分析,了解各科部檢查儀器資源之類型(type)對移轉(transfer)及總溢付(payoff)的影響。並由個案教學醫院數據分析,討論實務上如何應用本研究模型。 Recently the healthcare industry draws much attention, and the examination resources are limited. Hence, resource allocation and use in healthcare organizations are interesting and important issues. Typically one dedicated unit is established for examination among different departments to integrate examination resources. The purpose of our study is to design the optimal resource allocation mechanism in the perspective of a healthcare organization. This paper investigates the incentive mechanism design problem for resource allocation in a healthcare organization so that the individual behavior of departments can coincide with the goal of the healthcare organization. The Vickrey-Clarke-Groves (VCG) mechanism is widely applied to auction practices and the true willingness to pay of the bidders can be revealed under the VCG mechanism. We apply the VCG mechanism on the resource allocation problem in a healthcare organization so that departments are willing to report the true need of the examination resources. Then, we conduct a sensitivity analysis to examine how each type of the examination resources influences the transfer and the total payoff of a healthcare organization. |
URI: | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/63977 |
全文授權: | 有償授權 |
顯示於系所單位: | 工業工程學研究所 |
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