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

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  • 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
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    1. 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.
    2. 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.
    3. 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.
    4. 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.
    5. 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.
    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. 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.
    8. 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.
    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.
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    Cited by:

    1. 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.
    2. 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.

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