多變量倖存者分析(multivariate survivor analysis)方法估計醫療市場內醫院最適效率規模，並找出影響醫院市場佔有率變化的主因，同時將驗證醫院最適效率規模的改變是否與健保後醫院大型化的趨勢一致。實證結果發現在觀察時點間：(1)台灣地區醫院規模分配逐年不同。(2)醫院的產出與醫院規模組別的市場佔有率變動之間有正向的關係。(3)台灣地區醫院的最適規模由82－84年的270床上升至84－88年的344床，應證了全民健保的實
施造成醫院大型化的趨勢。

一、中文部分
1.王信仁 (1992)：醫學中心與區域醫院之效率評估-資料包絡法之應用。高雄醫學院公共衛生研究所碩士論文。
2.石淦生、羅紀瓊、陳國樑 (1996)：公私立綜合醫院服務層面效率差異之探討。中華公共衛生雜誌 15(5)，p.469-482。
3.江東亮 (1999)：醫療保健政策-台灣經驗。台北：巨流圖書公司。
4.行政院衛生署 (1986)：醫療保健計劃網-籌建醫療網計劃(核訂本)。台北：行政院衛生署。
5.林秀碧 (1997)：醫院服務區域的定義與市場競爭程度之分析：以台中市某區域醫院為例。國立台灣大學醫療機構管理研究所碩士論文。
6.林瓊香 (1993)：醫院生產效率之探討-資料包絡法(DEA)之應用。大同商專學報 7，p.165-192。
7.張苙雲 (1999)：產業競爭本質的剖析：台灣醫療照顧產業生態結構的百年變遷。蔡敦浩 (主編)：管理資本在台灣，p.189-226。台北：遠流出版公司。
8.陳仁惠 (2000)：影響醫院服務產出與效率因素之探討-DEA與SFA法之應用。長庚大學管理學研究所醫務管理組碩士論文。
9.醫療法。總統華總(一)義字第五九一三號令公布，中華民國七十五年十一月二十四日。
二、英文部分
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10.Grosskopf, S. and Valdmanis V. (1987), ”Measuring Hospital Performance：A Nonparametric Approach,” Journal of Health Economics, 6, 89-107
11.Keeler, T. E. (1989), ”Deregulation and Scale Economies in the U.S. Trucking Industry : An Econometric Extension of the Survivor Principle,” Journal of Law and Economics, 32(2), 229-253.
12.Lave, J. R. Lave, L. B. and Silverman, L. P. (1972), ”Hospital Cost Estimation Controlling for Case-mix,” Applied Economics, 4, 165-180.
13.Norton, S. W. and Norton, W. J. (1986), ”Economies of Scale and the New Technology of Daily Newspaper : A Survivor Analysis,” Quarterly Review of Economics and Business, 26, 66-83.
14.Perez, E.D. (1992), ”Regional Variation in VAMC’s Operative Efficiency” Journal of Medical Care, 30(9), 781-794.
15.Roger, D. B. and Ronald, V. J. (1978), ”A Survivor Analysis of Commercial Health Insurers,” Journal of Business, 51, 521-529.
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18.Stigler, G. (1958), “The Economies of Scale?” Journal of Law and Economics, 1, 54-71.
19.Wagstaff, A. and Guillem, L. (1996), ”Hospital Costs in Catalan：A Stochastic Frontier Analysis,” Applied Economics Letters, 3, 471-474.
20.Williams, S. W. and Gruebele, J. W. (1976), ”Estimating Optimal Size of Food Processing Plants Using Survivor Analysis,” American Journal of Agriculture Economics, 740-744.