ArticleBMC health services research2019
Determinants of efficiency growth of county-level public hospitals-evidence from Chongqing, China.
Article in BMC health services research, 2019. 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.
- Association Between External Training and Self-Reported Competence Improvement Among County Hospital Healthcare Providers: A Cross-Sectional Study from China.Healthcare (Basel, Switzerland) · 2026Article
- Challenges faced and countermeasures implemented by county-level hospitals in China.Journal of global health · 2026Article
- Impact mechanisms and spatial effects of new quality productive forces on healthcare resource allocation in China.Scientific reports · 2026Article
- Assessing the spatiotemporal heterogeneity of resource allocation effects on patient flow in shanxi's County hospitals, China.Scientific reports · 2025Article
- Efficiency analysis of primary health care resources: DEA and Tobit regression evidence from village clinics in Jiangsu Province.Frontiers in public health · 2025Article
- Effects of medical consortium policy on health services: an interrupted time-series analysis in Sanming, China.Frontiers in public health · 2024Article
- Article
- Analyzing the efficiency of Chinese primary healthcare institutions using the Malmquist-DEA approach: Evidence from urban and rural areas.Frontiers in public health · 2023Article
- Quality of Care in Public County Hospitals: A Cross-Sectional Study for Stroke, Pneumonia, and Heart Failure Care in Eastern China.International journal of environmental research and public health · 2022Article
- The Core of Healthcare Efficiency: A Comprehensive Bibliometric Review on Frontier Analysis of Hospitals.Healthcare (Basel, Switzerland) · 2022Review
- Configurational Paths to Higher Efficiency in County Hospital: Evidence From Qualitative Comparative Analysis.Frontiers in public health · 2022Article
- Analysis of Factors Influencing Public Behavior Decision Making: Under Mass Incidents.Frontiers in psychology · 2022Article
- Article
- The efficiency of provincial government health care expenditure after China's new health care reform.PloS one · 2021Article
- Configuration Analysis of Influencing Factors of Technical Efficiency Based on DEA and fsQCA: Evidence from China's Medical and Health Institutions.Risk management and healthcare policy · 2021Article
- Does Polychronicity Undermine Procrastination Behavior Through ICTs? Insights From Multi-Level Modeling.Frontiers in psychology · 2021Article
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7 authors.
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Abstract
backgroundThe reform of county-level public hospitals is a breakthrough in the new era of healthcare reform in China and has attracted considerable attention since 2012. Continuous and efficient operations of hospital are primary concerns of this reform. To ensure the effectiveness of county-based intervention reform measures in Chongqing, it is significant to understand how hospital and county characteristics are associated with county-level public hospital efficiency due to significant development differences between counties. This study identifies the trajectory of hospital efficiency over time and determinants. It will also provide preliminary references for advancing reform.
methodsThis study employs data from the Chongqing Regional Health Information Platform, Chongqing Health and Family Planning Statistical Yearbook, and Chongqing Statistical Yearbook for 2012-2016. A three-level growth model is used to estimate the efficiency growth trajectories within the contexts of hospitals and counties.
resultsThe intra-hospital level factors that affect the initial efficiency include government financial assistance, daily charge per bed, total assets turnover, number of hospital healthcare technicians, and medical costs per 100-yuan medical income. Inter-hospital variance is explained by hospital type. Inter-county level factors affecting the growth rate include the number of healthcare technicians per 1000 people and population density of the county. The interaction effect of the number of hospital healthcare technicians, hospital type, and number of healthcare technicians per 1000 people on hospital efficiency growth is significant.
conclusionsThis study identifies determinants that contribute to efficiency changes in public county-hospitals over time by using a three-level growth model. The differences in efficiency are associated with intra-hospital, inter-hospital, and inter-county characteristics in Chongqing, which provides useful insight into government decision-making and the progress of reform. The stability and reasonable increase in the number of healthcare technicians in a county are the key factors that improve the efficiency. Further reform should focus on maternal and child healthcare hospitals for increasing investment and implementing government compensation.
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