ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2021
Efficiency and productivity of health systems in prevention and control of non-communicable diseases in China, 2008-2015.
Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 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
- Technical and scale efficiency in health service production in Kenya: subnational analysis of 47 county governments.Archives of public health = Archives belges de sante publique · 2026Article
- Inequality and heterogeneity in medical resources for children with autism spectrum disorders: a study in the ethnic minority region of southern China.BMC public health · 2025Article
- Impact of pilot public hospital reform on efficiencies: a DEA analysis of county hospitals in East China, 2009-2015.Health economics review · 2025Article
- 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
- Equity and efficiency of public health resource allocation in China.BMC public health · 2025Article
- Equity and Efficiency of Medical Resource Allocation in National Central Cities, China.Risk management and healthcare policy · 2025Article
- Efficiency evaluation, regional technological heterogeneity and determinant of total factor productivity change in China's healthcare system.Scientific reports · 2024Article
- Regional differences in health resource allocation: a longitudinal study in the Chengdu-Chongqing economic circle, China.BMJ open · 2024Article
- The trade-off between health system resiliency and efficiency: evidence from COVID-19 in European regions.The European journal of health economics : HEPAC : health economics in prevention and care · 2024Article
- Trends and disparities in non-communicable diseases in the Western Pacific region.The Lancet regional health. Western Pacific · 2024Review
- The spatio-temporal pattern and its influencing factors of production efficiency of health resources in China.Frontiers in public health · 2024Article
- Equity and efficiency of health resource allocation in township health centers in Sichuan Province, China.PloS one · 2024Article
- Article
- Efficiency trends of essential public health services and possible influencing factors since the new round health reform in China: a case study from Hainan Province.Frontiers in public health · 2023Article
- Article
- 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
- An Empirical Analysis of Income Elasticity of Out-of-Pocket Healthcare Expenditure in Mauritius.Healthcare (Basel, Switzerland) · 2022Article
- An External Patient Healthcare Index (EPHI) for Simulating Spatial Tendencies in Healthcare Seeking Behavior.Frontiers in public health · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This article examines the health system performance impact of China's new round of healthcare reform adopted in 2009. Specifically, we evaluated productivity and efficiency of health production pre- and post-reform period, compared the effects across all the 31 provinces of mainland China and identified potential determinants. As a major source of disability and premature mortality in China, non-communicable diseases (NCDs) had been the focus of our analysis, and the period during 2008-2015 was considered to allow enough time for the policy to have meaningful impact on the country's health system. Productivity and efficiency performance were analyzed using a bootstrapping data envelopment analysis (DEA) and the Malmquist productivity index (MPI) techniques, while a Tobit regression technique was used to identify determinants of inefficiency. We find that after the reform efficiency and productivity had declined across large number of provinces. Mean overall technical efficiency (OTE) post 2009 was about 30% lower than the potential maximum capacity, while productivity also fell at a rate of 7.57% per annum. Trends in productivity and efficiency performance were largely linked to patterns of scale of technological change observed during the study period. The findings suggest that efficiency and productivity can be improved through enhancing financial security, optimizing health resource allocation, particularly between human resources for health and hospital beds, and expanding cost-effective technology within the health sector. Better urban planning practices and investment in education were also found to contribute to improved efficiency of NCDs services.
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