ArticleBMJ open2016
Efficiency and productivity measurement of rural township hospitals in China: a bootstrapping data envelopment analysis.
Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.
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41 citing papers in PubMed.
- Beyond Efficiency Scores: Explaining Health System Performance Using Two-Stage Bootstrap DEA and Machine Learning.Healthcare (Basel, Switzerland) · 2026Article
- Impact of fiscal subsidies of health insurance system and public health programs on the efficiency of primary healthcare institutions in China.BMC health services research · 2026Article
- Assessing the relationship between the hospital grading system and medical resource utilization: evidence from China.Cost effectiveness and resource allocation : C/E · 2026Article
- Measuring productivity in the healthcare sector: a bibliometric and content analysis.Health economics review · 2025Article
- Impact of pilot public hospital reform on efficiencies: a DEA analysis of county hospitals in East China, 2009-2015.Health economics review · 2025Article
- An analysis of operational efficiency and its influencing factors in traditional Chinese medicine hospitals in Shaanxi Province, China.Frontiers in public health · 2025Article
- The 4E theory-based performance benchmarking of aged care service provision in community care facilities: a case study of Nanjing, China.Frontiers in public health · 2025Article
- Understanding Ethical Concerns Involving Vulnerable Human Participant Populations in Medical Research: Mixed-Method Analysis of Liberian Ebola Survivors' Experiences in PREVAIL I-VII.Healthcare (Basel, Switzerland) · 2024Article
- Efficiency evaluation, regional technological heterogeneity and determinant of total factor productivity change in China's healthcare system.Scientific reports · 2024Article
- New evidence on the real role of digital economy in influencing public health efficiency.Scientific reports · 2024Article
- Can the allocation of primary health care system resources affect efficiency? A spatial Dubin model study in China.BMC primary care · 2024Article
- Information-Driven Integrated Healthcare: An Analysis of the Cooperation Strategy of County Medical Community Based on Multi-Subject Simulation.Healthcare (Basel, Switzerland) · 2023Article
- Assessing the efficiency of health systems in achieving the universal health coverage goal: evidence from Sub-Saharan Africa.Health economics review · 2023Article
- A study of primary health care service efficiency and its spatial correlation in China.BMC health services research · 2023Article
- Technical Efficiency Evaluation of Primary Health Care Institutions in Shenzhen, China, and Its Policy Implications under the COVID-19 Pandemic.International journal of environmental research and public health · 2023Article
- Measuring the efficiency of public hospitals: A multistage data envelopment analysis in Fujian Province, China.Frontiers in public health · 2023Article
- The Core of Healthcare Efficiency: A Comprehensive Bibliometric Review on Frontier Analysis of Hospitals.Healthcare (Basel, Switzerland) · 2022Review
- Resource Allocation Equity in the China's Rural Three-Tier Healthcare System.International journal of environmental research and public health · 2022Article
- The technical efficiency of maternal and child health hospitals in China: a case study of Hubei Province.Reproductive health · 2022Article
- Hospital efficiency measurement in the west of Iran: data envelopment analysis and econometric approach.Cost effectiveness and resource allocation : C/E · 2022Article
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7 authors.
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Abstract
objectiveTownship hospitals (THs) are important components of the three-tier rural healthcare system of China. However, the efficiency and productivity of THs have been questioned since the healthcare reform was implemented in 2009. The objective of this study is to analyse the efficiency and productivity changes in THs before and after the reform process. SETTING AND
participantsA total of 48 sample THs were selected from the Xiaogan Prefecture in Hubei Province from 2008 to 2014. OUTCOME MEASURES: First, bootstrapping data envelopment analysis (DEA) was performed to estimate the technical efficiency (TE), pure technical efficiency (PTE) and scale efficiency (SE) of the sample THs during the period. Second, the bootstrapping Malmquist productivity index was used to calculate the productivity changes over time.
resultsThe average TE, PTE and SE of the sample THs over the 7-year period were 0.5147, 0.6373 and 0.7080, respectively. The average TE and PTE increased from 2008 to 2012 but declined considerably after 2012. In general, the sample THs experienced a negative shift in productivity from 2008 to 2014. The negative change was 2.14%, which was attributed to a 23.89% decrease in technological changes (TC). The sample THs experienced a positive productivity shift from 2008 to 2012 but experienced deterioration from 2012 to 2014.
conclusionsThere was considerable space for TE improvement in the sample THs since the average TE was relatively low. From 2008 to 2014, the sample THs experienced a decrease in productivity, and the adverse alteration in TC should be emphasised. In the context of healthcare reform, the factors that influence TE and productivity of THs are complex. Results suggest that numerous quantitative and qualitative studies are necessary to explore the reasons for the changes in TE and productivity.
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