ArticleInternational journal for equity in health2020
Is the allocation of medical and health resources effective? Characteristic facts from regional heterogeneity in China.
Article in International journal for equity in health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.
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Who cites it
48 citing papers in PubMed, 84 citations in OpenAlex.
- New Internet-Based Warfarin Anticoagulation Management Approach After Mechanical Heart Valve Replacement: Prospective, Multicenter, Randomized Controlled Trial.Journal of medical Internet research · 2021Trial
- Operational efficiency in public infectious disease hospitals across 31 provinces in China: a three-phase data envelopment analysis.BMJ open · 2026Article
- Regional disparities, dynamic evolution, and convergence of China's resident health service development levels.BMC health services research · 2026Article
- From growth to well-being: pathways and social security effects of coordinating medical resources and population in the Yangtze River Delta region.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
- Spatiotemporal evolution and determinants analysis of health resource supply-demand coupling coordination in China.International journal for equity in health · 2025Article
- Associations of light at night exposure and environmental pollutants with risk for thyroid cancer in Fujian, China: a spatio-temporal analysis.BMC public health · 2025Article
- How to improve the construction efficiency of key medical disciplines: a three-stage DEA.Cost effectiveness and resource allocation : C/E · 2025Article
- Assessing healthcare efficiency and determinants in China: the perspective of provincial-level social health expenditure.BMC health services research · 2025Article
- The analysis of factors influencing patient choice of healthcare providers between tertiary hospitals and community clinics.Frontiers in public health · 2025Article
- Plant-derived extracellular vesicles: an alternative and complementary therapeutic approach for genitourinary tumors.Frontiers in cell and developmental biology · 2025Review
- 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
- How efficient are specialized public health services in China? A data envelopment analysis and geographically weighted regression approach.Frontiers in public health · 2025Article
- An analysis of factors influencing technical efficiency of health expenditures in China.Health economics review · 2024Article
- Article
- Equity and efficiency of health resource allocation in Sichuan Province, China.BMC health services research · 2024Article
- Medical Resource Management in Emergency Hierarchical Diagnosis and Treatment Systems: A Research Framework.Healthcare (Basel, Switzerland) · 2024Article
- Spatiotemporal dynamics and determinants of medical service efficiency in China.BMC health services research · 2024Article
- The individuals' awareness and adoption of electronic health records in China: a questionnaire survey of 1,337 individuals.BMC public health · 2024Article
- Measurement of China's public health level: compilation and research of an index.BMC public health · 2024Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOver the last decade, the expenditure on public medical and health has increased greatly in China, however, problems as low efficiency and unfairness still exist. How to accurately describe the effectiveness of existing medical and health resources in combination with regional heterogeneity is of great significance to China's medical and health reform.
methodsBased on provincial panel data for the period of 2005 to 2017, combining expected output and unexpected output, this paper constructs a super-efficiency three-stage SBM-DEA model, to measure and analyze the spatial-temporal heterogeneity characteristics and influencing factors of public medical and health efficiency (PMHE).
results(1) After the impacts of random error and external environmental factors are removed, the mean value of overall PMHE is 0.9274, failing to reach DEA efficiency, and PMHE shows a fluctuated downward trend. (2) The adjusted PMHE level shows a prominent spatial imbalance at the stage 3. The average efficiency level is ranked by the East > the West > the Central > the Northeast. (3) The increases of GDP per capita and population density are beneficial to the improvement of PMHE, while income level and education level are disadvantageous to PMHE, and last, the urbanization level, an uncertain effect. (4) There is no σ convergence of the PMHE in the East, the Central and the West, that is, the internal differences may gradually expand in the future, while the Northeast shows a significant σ convergence trending of PMHE. (5) The state's allocation of medical and health resources has undergone major changes during "The Twelfth Five-Year Plan".
conclusionThis study innovatively incorporates undesired outputs of health care into the efficiency evaluation framework by constructing the main efficiency evaluation indicators. The results of the robust evaluation conclude that China's existing investment in medical and health resources is generally not effective. Therefore, although China's health care reform has made certain achievement, it is still necessary to expand the investment in health care resources.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.