ArticleInternational journal of environmental research and public health2020
The Efficiency of Primary Health Care Institutions in the Counties of Hunan Province, China: Data from 2009 to 2017.
Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
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32 citing papers in PubMed.
- The effect of maternal and child health resource allocation on efficiency in China.Scientific reports · 2026Article
- Impact of the Tiered-Network Healthcare Policy (TNHP) on the health resource allocation, patients flow and service efficiencies of Primary Healthcare Institutions (PHCIs) in China: an interrupted time series study.BMC health services research · 2026Article
- Pathways for enhancing service capability of primary healthcare institutions: a dynamic qualitative comparative analysis.Frontiers in public health · 2026Article
- Efficiency assessment and demand forecasting in China's primary healthcare system: a comprehensive SBM-DDF-GML analysis.Frontiers in public health · 2026Article
- The spatial effects and influencing factors of inter-provincial health resource allocation efficiency in China.BMC health services research · 2025Article
- Article
- The efficiency and productivity-changing trend of PHCIs since the 2009 health reform in China based on a three-stage DEA and Malmquist Productivity Index.Journal of global health · 2025Article
- Evaluation of Health Resource Efficiency and Its Influencing Factors in Ethnic Minority Areas of Guangxi: Data from 2010 to 2022.Risk management and healthcare policy · 2025Article
- Efficiency evaluation and promoter identification of primary health care system in China: an enhanced DEA-Tobit approach.BMC health services research · 2024Article
- Can the allocation of primary health care system resources affect efficiency? A spatial Dubin model study in China.BMC primary care · 2024Article
- Evaluating China's primary healthcare services' efficiency and spatial correlation: a three-stage DEA-Malmquist model.Frontiers in public health · 2024Article
- Technical efficiency and its convergence among village clinics in rural China: evidence from Shanxi Province.Frontiers in public health · 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
- Measurement and characteristics of the temporal-spatial evolution of China's healthcare services efficiency.Archives of public health = Archives belges de sante publique · 2023Article
- Evaluating the efficiency of primary health care institutions in China: an improved three-stage data envelopment analysis approach.BMC health services research · 2023Article
- Behavioral deviations: healthcare-seeking behavior of chronic disease patients with intention to visit primary health care institutions.BMC health services research · 2023Article
- The efficiency of health resource allocation and its influencing factors: evidence from the super efficiency slack based model-Tobit model.International health · 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
- Temporal-Spatial Evolution and Trend Prediction of the Supply Efficiency of Primary Medical Health Service-An Empirical Study Based on Central and Western Regions of China.International journal of environmental research and public health · 2023Article
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5 authors.
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Abstract
This study aimed to estimate the efficiency and its influencing factors of Primary Health Care Institutions (PHCIs) in counties in Hunan Province, China, and put forward feasible suggestions for improving the efficiency of PHCIs in Hunan Province. We applied the Input-Oriented Data Envelopment Analysis (DEA) method and the Malmquist Index Model to estimate the efficiency of PHCIs in 86 counties in Hunan Province from 2009 to 2017. Then, the Tobit model was used to estimate the factors that influence the efficiency of PHCIs. Since the implementation of the new health-care reform in 2009, the number of health resources in PHCIs in Hunan Province has increased significantly, but most counties' PHCIs remain inefficient. The efficiency of PHCIs is mainly affected by the total population, city level, the proportion of health technicians and the proportion of beds, but the changes in per capita GDP have not yet played a significant role in influencing efficiency. In the future, the efficiency of PHCIs should be improved by increasing medical technology skills and enthusiasm of health technicians and by improving the payment policies of medical insurance funds.
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