An Expert System Approach to Medical Region Selection for a New Hospital Using Data Envelopment Analysis

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.

[1]  Pierella Paci,et al.  Equity in the finance and delivery of health care: some tentative cross-country comparisons , 1989 .

[2]  Julian Le Grand,et al.  Equity and choice , 1992 .

[3]  Mooney Gh,et al.  Equity in health care: confronting the confusion. , 1983, Effective health care.

[4]  L. Main,et al.  Expert Systems: What Is an Expert System?. , 1994 .

[5]  R. Penchansky,et al.  The Concept of Access: Definition and Relationship to Consumer Satisfaction , 1981, Medical care.

[6]  Bruce W. Bennett,et al.  Does the Geographical Distribution of Physicians Reflect Market Failure , 1982 .

[7]  A. Culyer,et al.  Equity and equality in health and health care. , 1993, Journal of health economics.

[8]  V Navarro,et al.  The Widening Gap in Death Rates among Income Groups in the United States from 1967 to 1986 , 2000, International journal of health services : planning, administration, evaluation.

[9]  T. Getzen,et al.  Health Care is an Individual Necessity and a National Luxury: Applying Multilevel Decision Models to the Analysis of Health Care Expenditures , 2000, Journal of health economics.

[10]  Jody Heymann The Widening Gap , 2000 .

[11]  Abraham Charnes,et al.  Measuring the efficiency of decision making units , 1978 .

[12]  Stephen Day Cauley,et al.  The Time Price of Medical Care , 1987 .

[13]  S. Cavanagh,et al.  Economics of Health Care Financing: The Visible Hand , 1993 .

[14]  Jacques-François Thisse,et al.  On hotelling's "Stability in competition" , 1979 .

[15]  Pao-Long Chang,et al.  USING DATA ENVELOPMENT ANALYSIS TO MEASURE THE ACHIEVEMENT AND CHANGE OF REGIONAL-DEVELOPMENT IN TAIWAN , 1995 .

[16]  C. Donaldson,et al.  Reweighing heat: response to Culyer, van Doorslaer and Wagstaff. , 1992, Journal of Health Economics.

[17]  R. Coffey,et al.  The Effect of Time Price on the Demand for Medical-Care Services , 1983 .

[18]  Burton A. Weisbrod,et al.  Toward a Theory of the Voluntary Nonprofit Sector in a Three-Sector Economy , 1986 .

[19]  Gail R. Wilensky,et al.  IDENTIFICATION OF PHYSICIAN-INDUCED DEMAND* , 1984 .

[20]  Jan Paul Acton,et al.  Nonmonetary Factors in the Demand for Medical Services: Some Empirical Evidence , 1975, Journal of Political Economy.

[21]  Virginia La Rosa-Salas,et al.  Equity in health care. , 2008, Cuadernos de bioetica : revista oficial de la Asociacion Espanola de Bioetica y Etica Medica.

[22]  R. Andersen,et al.  Societal and individual determinants of medical care utilization in the United States. , 1973, The Milbank Memorial Fund quarterly. Health and society.

[23]  Julian Le Grand,et al.  Equity, health, and health care , 1987 .

[24]  G H Mooney,et al.  Equity in health care: confronting the confusion. , 1983, Effective health care.

[25]  H. Aaron,et al.  Equity in the finance and delivery of health care. , 1992, Journal of health economics.

[26]  L Gross,et al.  Equity in the delivery of health care in Europe and the US. , 2000, Journal of health economics.

[27]  Bernard Benjamin Health and vital statistics , 1968 .

[28]  C. Cox,et al.  Physician Utilization by Three Groups of Ethnic Elderly , 1986, Medical care.

[29]  T. Chiang,et al.  Deviation from the carrying capacity for physicians and growth rate of physician supply: the Taiwan case. , 1995, Social science & medicine.

[30]  E. A.,et al.  Industrial Economics , 1934, Nature.

[31]  C. Donaldson,et al.  Utilisation as a measure of equity: weighing heat? , 1991, Journal of health economics.

[32]  F Pedraja-Chaparro,et al.  On the quality of the data envelopment analysis model , 1999, J. Oper. Res. Soc..

[33]  R. Santerre,et al.  Health Economics : Theories, Insights, and Industry Studies , 2000 .

[34]  Lawrence M. Seiford,et al.  Data envelopment analysis: The evolution of the state of the art (1978–1995) , 1996 .