ArticleInternational journal of environmental research and public health2019
Has the Efficiency of China's Healthcare System Improved after Healthcare Reform? A Network Data Envelopment Analysis and Tobit Regression Approach.
Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Analysing the Efficiency of Health Systems: A Systematic Review of the Literature.Applied health economics and health policy · 2023Pooled it
- Pathways to promote the performance of healthcare financial expenditure from an audit perspective: Evidence from Hunan Province.PloS one · 2026Article
- Quantitative evaluation of China's new health insurance payment policy based on the policy modeling consistency (PMC) index model.BMC health services research · 2025Article
- Impact of pilot public hospital reform on efficiencies: a DEA analysis of county hospitals in East China, 2009-2015.Health economics review · 2025Article
- Evaluating the operational efficiency of the compact urban medical group in Qiqihar based on the three-stage DEA and Malmquist index model.Frontiers in public health · 2025Article
- Efficiency evaluation, regional technological heterogeneity and determinant of total factor productivity change in China's healthcare system.Scientific reports · 2024Article
- Analysis of health expenditures in China from 2000 to 2019 compared with the world and upper-middle-income countries.Frontiers in public health · 2024Article
- Measurement and characteristics of the temporal-spatial evolution of China's healthcare services efficiency.Archives of public health = Archives belges de sante publique · 2023Article
- Healthcare services efficiency and its intrinsic drivers in China: based on the three-stage super-efficiency SBM model.BMC health services research · 2023Article
- Assessing resource allocation based on workload: a data envelopment analysis study on clinical departments in a class a tertiary public hospital 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
- Associations between Primary Healthcare Experiences and Glycemic Control Status in Patients with Diabetes: Results from the Greater Bay Area Study, China.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
- A network Data Envelopment Analysis to estimate nations' efficiency in the fight against SARS-CoV-2.Expert systems with applications · 2022Article
- The impact of human resources for health on the health outcomes of Chinese people.BMC health services research · 2022Article
- The Core of Healthcare Efficiency: A Comprehensive Bibliometric Review on Frontier Analysis of Hospitals.Healthcare (Basel, Switzerland) · 2022Review
- Evaluation of Unified Healthcare Efficiency in China: A Meta-Frontier Non-radial Directional Distance Function Analysis During 2009-2019.Frontiers in public health · 2022Article
- From conventional healthcare to e-health: Social and spatial transformation. Using a comparison between Hong Kong and Mainland China.Journal of clinical and translational research · 2021Review
- The efficiency of provincial government health care expenditure after China's new health care reform.PloS one · 2021Article
- Regional Differences and Influencing Factors of Allocation Efficiency of Rural Public Health Resources in China.Healthcare (Basel, Switzerland) · 2020Article
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5 authors.
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Abstract
backgroundA healthcare system refers to a typical network production system. Network data envelopment analysis (DEA) show an advantage than traditional DEA in measure the efficiency of healthcare systems. This paper utilized network data envelopment analysis to evaluate the overall and two substage efficiencies of China's healthcare system in each of its province after the implementation of the healthcare reform. Tobit regression was performed to analyze the factors that affect the overall efficiency of healthcare systems in the provinces of China.
methodsNetwork DEA were obtained on MaxDEA 7.0 software, and the results of Tobit regression analysis were obtained on StataSE 15 software. The data for this study were acquired from the China health statistics yearbook (2009-2018) and official websites of databases of Chinese national bureau.
resultsTobit regression reveals that regions and government health expenditure effect the efficiency of the healthcare system in a positive way: the number of high education enrollment per 100,000 inhabitants, the number of public hospital, and social health expenditure effect the efficiency of healthcare system were negative.
conclusionSome provincial overall efficiency has fluctuating increased, while other provincial has fluctuating decreased, and the average overall efficiency scores were fluctuations increase.
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