ArticleInternational journal for equity in health2019
Health expenditure efficiency in rural China using the super-SBM model and the Malmquist productivity index.
Article in International journal for equity in health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.
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34 citing papers in PubMed.
- Regional Differences and Dynamic Evolution of High-Quality Medical Resources in China's Private Hospitals from 2017 to 2022.Risk management and healthcare policy · 2026Article
- Pathways to promote the performance of healthcare financial expenditure from an audit perspective: Evidence from Hunan Province.PloS one · 2026Article
- Equity of total health expenditure in China, 2015-2021.Scientific reports · 2025Article
- Analysis on the individual and allocation efficiencies of health resources in China: 2008-2021.Cost effectiveness and resource allocation : C/E · 2025Article
- The spatial effects and influencing factors of inter-provincial health resource allocation efficiency in China.BMC health services research · 2025Article
- Assessing healthcare efficiency and determinants in China: the perspective of provincial-level social health expenditure.BMC health services research · 2025Article
- Efficiency analysis of oral health resource allocation in public medical institutions in Yunnan Province at the end of the 13th five-year plan in China.BMC oral health · 2025Article
- How efficient are specialized public health services in China? A data envelopment analysis and geographically weighted regression approach.Frontiers in public health · 2025Article
- Identification and trajectory of multimorbidity patterns among older people in China: a longitudinal study based on the China health and retirement longitudinal study 2011-2020 data.Frontiers in public health · 2025Article
- Forecast of total health expenditure on China's ageing population: a system dynamics model.BMC health services research · 2024Article
- Health resource allocation within the close-knit medical consortium after the Luohu healthcare reform in China: efficiency, productivity, and influencing factors.Frontiers in public health · 2024Article
- Spatial effects of township health centers' health resource allocation efficiency in China.Frontiers in public health · 2024Article
- Equity and efficiency of health resource allocation in the Chengdu-Chongqing Economic Circle of China.Frontiers in public health · 2024Article
- Can China's national comprehensive medical reform increase medical resources and reduce healthcare burden: evidence from Chinese provinces.Frontiers in public health · 2024Article
- Article
- Health systems efficiency in China and ASEAN, 2015-2020: a DEA-Tobit and SFA analysis application.BMJ open · 2023Article
- Healthcare services efficiency and its intrinsic drivers in China: based on the three-stage super-efficiency SBM model.BMC health services research · 2023Article
- Regional differences of individual and allocation efficiencies of health resources in China.Frontiers in public health · 2023Article
- Measuring the efficiency of public hospitals: A multistage data envelopment analysis in Fujian Province, China.Frontiers in public health · 2023Article
- Article
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3 authors.
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Abstract
backgroundHealth expenditure efficiency (HEE) is an important research area in health economics. As a large agricultural country, China is faced with the daunting challenge of maintaining equality and efficiency in health resource allocation and health services utilization in the context of rapid economic growth in rural areas. The reasonable allocation of limited rural health resources may be achieved by scientifically measuring the current rural HEE. This subject may help to formulate effective policy or provide incentives for the health sector.
methodsThe combination of a super-slack-based measure (SBM) model with the Malmquist productivity index (MPI) is proposed to evaluate the static health expenditure efficiency (HEE) and dynamic health expenditure efficiency (DHEE) in rural China from 2007 to 2016.
resultsThe results show that the HEE and DHEE values exhibit unstable trends over time. The HEE does not follow China's economic development and presents an average of 0.598 (< 1); and the DHEE presents an average value of approximately 0.949 (< 1), indicating that the DHEE of most provinces is not moving in a desirable direction. The level of technological progress and scale optimization are the main factors hindering total factor productivity (TFP) growth.
conclusionsThe Chinese government could improve the efficiency of rural health resources allocation by improving the rural health service system, optimizing the allocation of material resources and enhancing the level of health of financial resources allocation. The state should continue to moderate policy for different regions. Moreover, scientific and technological advancements should be introduced to improve the scale optimization levels.
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