ArticleJournal of Huazhong University of Science and Technology. Medical sciences = Hua zhong ke ji da xue xue bao. Yi xue Ying De wen ban = Huazhong keji daxue xuebao. Yixue Yingdewen ban2017
Bootstrapping data envelopment analysis of efficiency and productivity of county public hospitals in Eastern, Central, and Western China after the public hospital reform.
Article in Journal of Huazhong University of Science and Technology. Medical sciences = Hua zhong ke ji da xue xue bao. Yi xue Ying De wen ban = Huazhong keji daxue xuebao. Yixue Yingdewen ban, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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16 citing papers in PubMed.
- Impact of provincial economic development levels on public-private hospital co-development in China: an empirical analysis.BMJ open · 2024Article
- The efficiency evaluation of traditional Chinese medicine hospitals by data envelopment analysis in Zhengzhou, China.Frontiers in public health · 2024Article
- Evaluation of healthcare efficiency in China: a three-stage data envelopment analysis of directional slacks-based measure.Frontiers in public health · 2024Article
- Effects of medical consortium policy on health services: an interrupted time-series analysis in Sanming, China.Frontiers in public health · 2024Article
- Healthcare reform and productivity of Hospital: a DEA-based analysis from South West of Iran.Cost effectiveness and resource allocation : C/E · 2023Article
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- Evaluation of the Efficiency in Public Health Centers in Greece Regarding the Human Resources Occupied: A Bootstrap Data Envelopment Analysis Application.International journal of environmental research and public health · 2022Article
- Efficiency and Productivity Change of Public Hospitals in Panama: Do Management Schemes Matter?International journal of environmental research and public health · 2021Article
- Efficiency Comparison of Public Hospitals under Different Administrative Affiliations in China: A Pilot City Case.Healthcare (Basel, Switzerland) · 2021Article
- Measuring productivity of healthcare services under environmental constraints: evidence from China.BMC health services research · 2020Article
- Identifying the contribution to hospital performance among Chinese regions by an aggregate directional distance function.Health care management science · 2020Article
- The Effects of County Public Hospital Reform on the Consumption and Costs of Antibiotics: Evidence from a Quasinatural Experiment in Jiangsu, China.BioMed research international · 2020Article
- The Performance Evaluation Mechanism Based on Information Construction for Large Stand-Alone Medical Equipment and Its Support for Decision-Making of Purchasing.Iranian journal of public health · 2020Article
- A hybrid data envelopment analysis and game theory model for performance measurement in healthcare.Health care management science · 2019Article
- Implementation of Knowledge Management in Chinese Hospitals.Current medical science · 2018Article
- The Regional Total Factor Productivity Changes of Healthcare Delivery in China: A Bootstrap Malmquist Data Envelopment Analysis.Inquiry : a journal of medical care organization, provision and financingArticle
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Abstract
China implemented the public hospital reform in 2012. This study utilized bootstrapping data envelopment analysis (DEA) to evaluate the technical efficiency (TE) and productivity of county public hospitals in Eastern, Central, and Western China after the 2012 public hospital reform. Data from 127 county public hospitals (39, 45, and 43 in Eastern, Central, and Western China, respectively) were collected during 2012-2015. Changes of TE and productivity over time were estimated by bootstrapping DEA and bootstrapping Malmquist. The disparities in TE and productivity among public hospitals in the three regions of China were compared by Kruskal-Wallis H test and Mann-Whitney U test. The average bias-corrected TE values for the four-year period were 0.6442, 0.5785, 0.6099, and 0.6094 in Eastern, Central, and Western China, and the entire country respectively, with average non-technical efficiency, low pure technical efficiency (PTE), and high scale efficiency found. Productivity increased by 8.12%, 0.25%, 12.11%, and 11.58% in China and its three regions during 2012-2015, and such increase in productivity resulted from progressive technological changes by 16.42%, 6.32%, 21.08%, and 21.42%, respectively. The TE and PTE of the county hospitals significantly differed among the three regions of China. Eastern and Western China showed significantly higher TE and PTE than Central China. More than 60% of county public hospitals in China and its three areas operated at decreasing return scales. There was a considerable space for TE improvement in county hospitals in China and its three regions. During 2012-2015, the hospitals experienced progressive productivity; however, the PTE changed adversely. Moreover, Central China continuously achieved a significantly lower efficiency score than Eastern and Western China. Decision makers and administrators in China should identify the causes of the observed inefficiencies and take appropriate measures to increase the efficiency of county public hospitals in the three areas of China, especially in Central China.
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