ArticleBMC health services research2017
The impact of healthcare reform on the efficiency of public county hospitals in China.
Article in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 2 of them syntheses that pooled it.
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Who cites it
43 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Approach in inputs & outputs selection of Data Envelopment Analysis (DEA) efficiency measurement in hospitals: A systematic review.PloS one · 2024Pooled it
- Factors Associated With Failure of Health System Reform: A Systematic Review and Meta-synthesis.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2023Pooled it
- Association Between External Training and Self-Reported Competence Improvement Among County Hospital Healthcare Providers: A Cross-Sectional Study from China.Healthcare (Basel, Switzerland) · 2026Article
- Impact of pilot public hospital reform on efficiencies: a DEA analysis of county hospitals in East China, 2009-2015.Health economics review · 2025Article
- Spatiotemporal disparities in maternal mortality and the role of multiscale administrative levels: a 20-year study across Chinese counties.Frontiers in public health · 2025Article
- Based on regional heterogeneity: measurement of hospital service efficiency and analysis of spatial effects.Frontiers in public health · 2025Article
- Article
- Evaluation of pharmacist-led medication reconciliation at county hospitals in China: A multicentre, open-label, assessor-blinded, nonrandomised controlled study.Journal of global health · 2024Article
- Exploring the motivation of self-directed learning of hospital pharmacists: a multicentre qualitative study.BMJ open · 2024Article
- Effective analysis of job satisfaction among medical staff in Chinese public hospitals: a random forest model.Frontiers in public health · 2024Article
- Determination of Ideal Factors for Early Adoption and Standardization of Metagenomic Next-generation Sequencing for Respiratory System Infections.Current pharmaceutical biotechnology · 2024Article
- Healthcare services efficiency and its intrinsic drivers in China: based on the three-stage super-efficiency SBM model.BMC health services research · 2023Article
- Healthcare reform and productivity of Hospital: a DEA-based analysis from South West of Iran.Cost effectiveness and resource allocation : C/E · 2023Article
- Article
- Effects of and Prospects for the Hierarchical Medical Policy in Beijing, China.Healthcare (Basel, Switzerland) · 2023Article
- Article
- Measuring the efficiency of public hospitals: A multistage data envelopment analysis in Fujian Province, China.Frontiers in public health · 2023Article
- The Impact of County Medical Community Reform on the Medical Service Efficiency of County-Level Public General Hospitals in China: A Case Study of Shanxi Province.International journal of environmental research and public health · 2022Article
- A Cohort Study of the Relationship between Active Collaboration and Operational Efficiency in Japanese Public Health Institutions.JMA journal · 2022Article
- Estimating the spatial correlation and convergence of China's healthcare resources allocation: evidence from the Yangtze River Delta Region.Archives of public health = Archives belges de sante publique · 2022Article
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3 authors.
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Abstract
backgroundThe new round of Healthcare Reform in China has implemented over 3 years since 2009, and promoted greatly the development of public county hospitals. The purpose of this study is to evaluate county hospitals efficiency before and after the healthcare reform, and further assess the reform effectiveness through the comparative analysis of the efficiency.
methodsData envelopment analysis (DEA) was employed to calculate the efficiency of 1105 sample hospitals which were selected from 31 provinces of China, also, Tobit regression was used to regress against those main external environmental factors.
resultsOur results show that the scales and amounts of service of hospitals had increased sharply, however, the efficiency was relatively low and decreased slightly from 2008 to 2012. Thirteen (1.18%) in 2008 and six (0.54%) hospitals in 2012 were defined as technically efficient, and the average scores were 0.2916 and 0.2503. The technical efficiency average score of the post-reform was significantly less than that of the pre-reform (p < 0.001), and the score of eastern region was highest and the western was lowest among three regions of China.
conclusionsIt suggests the reform had not well improved county hospital efficiency although hospitals have reached a fair developing scale, and the corresponding policies and measures should be put into effect for improving efficiency, especially in the level and structure of health investment, operation and supervision mechanism of county hospitals.
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