IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i9p2998-d350555.html
   My bibliography  Save this article

Projecting the Target Quantity of Medical Staff in Taiwan’s Administrative Regions by the Theory of Carrying Capacity

Author

Listed:
  • Jin-Li Hu

    (Institute of Business and Management, National Chiao Tung University, Taipei City 10044, Taiwan)

  • Ming-Chung Chang

    (Department of Finance, Chihlee University of Technology, New Taipei City 22050, Taiwan)

  • Hsin-Jung Chung

    (Institute of Business and Management, National Chiao Tung University, Taipei City 10044, Taiwan)

Abstract

As physicians and nurses are the main medical staff in any healthcare system, an appropriate medical workforce distribution is crucial for an aging society. This study thus applies the theory of carrying capacity and the given demand side to explore the carrying capacity, carrying efficiency, and potential adjustment ratio of medical staff in Taiwan’s administrative regions by using the data envelopment analysis (DEA) approach in which a lower carrying efficiency implies a higher shortage ratio. The main findings are as follows. (i) The carrying efficiency of Taiwan’s medical staff is weakening year by year, while the carrying efficiency of the country’s nurses is lower than that of physicians. (ii) The outlying islands of Taiwan have a more serious shortage of physicians and nurses than the main island. (iii) The central government should encourage more physicians and nurses to work in regions with a low carrying efficiency.

Suggested Citation

  • Jin-Li Hu & Ming-Chung Chang & Hsin-Jung Chung, 2020. "Projecting the Target Quantity of Medical Staff in Taiwan’s Administrative Regions by the Theory of Carrying Capacity," IJERPH, MDPI, vol. 17(9), pages 1-16, April.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:9:p:2998-:d:350555
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/9/2998/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/17/9/2998/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Craig L. Garthwaite, 2012. "The Doctor Might See You Now: The Supply Side Effects of Public Health Insurance Expansions," American Economic Journal: Economic Policy, American Economic Association, vol. 4(3), pages 190-215, August.
    2. Tone, Kaoru & Toloo, Mehdi & Izadikhah, Mohammad, 2020. "A modified slacks-based measure of efficiency in data envelopment analysis," European Journal of Operational Research, Elsevier, vol. 287(2), pages 560-571.
    3. Charnes, A. & Cooper, W. W. & Rhodes, E., 1978. "Measuring the efficiency of decision making units," European Journal of Operational Research, Elsevier, vol. 2(6), pages 429-444, November.
    4. Chang, Hsihui & Chang, Wen-Jing & Das, Somnath & Li, Shu-Hsing, 2004. "Health care regulation and the operating efficiency of hospitals: Evidence from Taiwan," Journal of Accounting and Public Policy, Elsevier, vol. 23(6), pages 483-510.
    5. Kaoru Tone, 2011. "Slacks-Based Measure of Efficiency," International Series in Operations Research & Management Science, in: William W. Cooper & Lawrence M. Seiford & Joe Zhu (ed.), Handbook on Data Envelopment Analysis, chapter 0, pages 195-209, Springer.
    6. Stone, Glenda & Simmons, Walter O., 2002. "Relative Efficiency in the Spatial Distribution of Physicians' Services," The Review of Regional Studies, Southern Regional Science Association, vol. 32(2), pages 325-334, Summer/Fa.
    7. R. D. Banker & A. Charnes & W. W. Cooper, 1984. "Some Models for Estimating Technical and Scale Inefficiencies in Data Envelopment Analysis," Management Science, INFORMS, vol. 30(9), pages 1078-1092, September.
    8. Tone, Kaoru, 2001. "A slacks-based measure of efficiency in data envelopment analysis," European Journal of Operational Research, Elsevier, vol. 130(3), pages 498-509, May.
    9. Limwattananon, Supon & Neelsen, Sven & O'Donnell, Owen & Prakongsai, Phusit & Tangcharoensathien, Viroj & van Doorslaer, Eddy & Vongmongkol, Vuthiphan, 2015. "Universal coverage with supply-side reform: The impact on medical expenditure risk and utilization in Thailand," Journal of Public Economics, Elsevier, vol. 121(C), pages 79-94.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Tzu-Ling Weng & Feng-Yuan Chu & Chiao-Lin Li & Tzeng-Ji Chen, 2022. "Choices of Specialties and Training Sites among Taiwanese Physicians Graduating from Polish Medical Schools," IJERPH, MDPI, vol. 19(6), pages 1-11, March.
    2. Kuo-Feng Wu & Jin-Li Hu & Hawjeng Chiou, 2021. "Degrees of Shortage and Uncovered Ratios for Long-Term Care in Taiwan’s Regions: Evidence from Dynamic DEA," IJERPH, MDPI, vol. 18(2), pages 1-17, January.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Kao, Chiang & Liu, Shiang-Tai, 2022. "Group decision making in data envelopment analysis: A robot selection application," European Journal of Operational Research, Elsevier, vol. 297(2), pages 592-599.
    2. Aparicio, Juan & Monge, Juan F. & Ramón, Nuria, 2021. "A new measure of technical efficiency in data envelopment analysis based on the maximization of hypervolumes: Benchmarking, properties and computational aspects," European Journal of Operational Research, Elsevier, vol. 293(1), pages 263-275.
    3. An, Qingxian & Tao, Xiangyang & Xiong, Beibei & Chen, Xiaohong, 2022. "Frontier-based incentive mechanisms for allocating common revenues or fixed costs," European Journal of Operational Research, Elsevier, vol. 302(1), pages 294-308.
    4. Mostafa Davtalab-Olyaie & Hadis Mahmudi-Baram & Masoud Asgharian, 2023. "Measuring individual efficiency and unit influence in centrally managed systems," Annals of Operations Research, Springer, vol. 321(1), pages 139-164, February.
    5. Franz R. Hahn, 2007. "Determinants of Bank Efficiency in Europe. Assessing Bank Performance Across Markets," WIFO Studies, WIFO, number 31499.
    6. Yongqi Feng & Haolin Zhang & Yung-ho Chiu & Tzu-Han Chang, 2021. "Innovation efficiency and the impact of the institutional quality: a cross-country analysis using the two-stage meta-frontier dynamic network DEA model," Scientometrics, Springer;Akadémiai Kiadó, vol. 126(4), pages 3091-3129, April.
    7. Yu-Chuan Chen & Yung-Ho Chiu & Tzu-Han Chang & Tai-Yu Lin, 2023. "Sustainable Development, Government Efficiency, and People’s Happiness," Journal of Happiness Studies, Springer, vol. 24(4), pages 1549-1578, April.
    8. Junlong Li & Chuangneng Cai & Feng Zhang, 2020. "Assessment of Ecological Efficiency and Environmental Sustainability of the Minjiang-Source in China," Sustainability, MDPI, vol. 12(11), pages 1-15, June.
    9. Ying Li & Yung-Ho Chiu & Tai-Yu Lin & Tzu-Han Chang, 2020. "Pre-Evaluating the Technical Efficiency Gains from Potential Mergers and Acquisitions in the IC Design Industry," International Journal of Information Technology & Decision Making (IJITDM), World Scientific Publishing Co. Pte. Ltd., vol. 19(02), pages 525-559, April.
    10. Yin, Xu & Wang, Jing & Li, Yurui & Feng, Zhiming & Wang, Qianyi, 2021. "Are small towns really inefficient? A data envelopment analysis of sampled towns in Jiangsu province, China," Land Use Policy, Elsevier, vol. 109(C).
    11. Haixiang Xu & Rui Zhang, 2024. "Dynamic Analysis of Urban Land Use Efficiency in the Western Taiwan Strait Economic Zone," Land, MDPI, vol. 13(8), pages 1-26, August.
    12. Pastor, Jesus T. & Lovell, C.A. Knox & Aparicio, Juan, 2020. "Defining a new graph inefficiency measure for the proportional directional distance function and introducing a new Malmquist productivity index," European Journal of Operational Research, Elsevier, vol. 281(1), pages 222-230.
    13. Tone, Kaoru & Tsutsui, Miki, 2009. "Network DEA: A slacks-based measure approach," European Journal of Operational Research, Elsevier, vol. 197(1), pages 243-252, August.
    14. Imanirad, Raha & Cook, Wade D. & Aviles-Sacoto, Sonia Valeria & Zhu, Joe, 2015. "Partial input to output impacts in DEA: The case of DMU-specific impacts," European Journal of Operational Research, Elsevier, vol. 244(3), pages 837-844.
    15. Huayong Niu & Zhishuo Zhang & Yao Xiao & Manting Luo & Yumeng Chen, 2022. "A Study of Carbon Emission Efficiency in Chinese Provinces Based on a Three-Stage SBM-Undesirable Model and an LSTM Model," IJERPH, MDPI, vol. 19(9), pages 1-19, April.
    16. Kao, Chiang & Liu, Shiang-Tai, 2020. "A slacks-based measure model for calculating cross efficiency in data envelopment analysis," Omega, Elsevier, vol. 95(C).
    17. Lynn Mcalevey & Alexander Sibbald & David Tripe, 2010. "New Zealand Credit Union Mergers," Annals of Public and Cooperative Economics, Wiley Blackwell, vol. 81(3), pages 423-444, September.
    18. Amineh Ghazi & Farhad Hosseinzadeh Lotfi & Masoud Sanei, 2020. "Hybrid efficiency measurement and target setting based on identifying defining hyperplanes of the PPS with negative data," Operational Research, Springer, vol. 20(2), pages 1055-1092, June.
    19. César Salazar & Roberto Cárdenas-Retamal & Marcela Jaime, 2023. "Environmental efficiency in the salmon industry—an exploratory analysis around the 2007 ISA virus outbreak and subsequent regulations in Chile," Environment, Development and Sustainability: A Multidisciplinary Approach to the Theory and Practice of Sustainable Development, Springer, vol. 25(8), pages 8107-8135, August.
    20. Cheng, Gang & Qian, Zhenhua, 2011. "Dea数据标准化方法及其在方向距离函数模型中的应用 [Data normalization for data envelopment analysis and its application to directional distance function]," MPRA Paper 31995, University Library of Munich, Germany.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:9:p:2998-:d:350555. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.