Evidence map›Paper›PMID 33447109›Full record

ArticleRisk management and healthcare policy2021

Configuration Analysis of Influencing Factors of Technical Efficiency Based on DEA and fsQCA: Evidence from China's Medical and Health Institutions.

Zhiguang Li, Wanying Zhang, Aijie Kong, Zhiyuan Ding, Hua Wei, Yige Guo

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Article in Risk management and healthcare policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

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14citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

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  9. Efficiency and Productivity Differences in Healthcare Systems: The Case of the European Union.International journal of environmental research and public health · 2022
    Article
  10. The Impact of Multidimensional Health Levels on Rural Poverty: Evidence from Rural China.International journal of environmental research and public health · 2022
    Article
  11. Article
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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Zhiguang LiSchool of Economics and Management, Anhui University of Chinese Medicine, Hefei, Anhui, People's Republic of China.ORCID 0000-0001-7616-0711
Wanying ZhangSchool of Economics and Management, Anhui University of Chinese Medicine, Hefei, Anhui, People's Republic of China.
Aijie KongSchool of Economics and Management, Anhui University of Chinese Medicine, Hefei, Anhui, People's Republic of China.
Zhiyuan DingSchool of Economics and Management, Anhui University of Chinese Medicine, Hefei, Anhui, People's Republic of China.
Hua WeiSchool of Economics and Management, Anhui University of Chinese Medicine, Hefei, Anhui, People's Republic of China.ORCID 0000-0002-4128-3903
Yige GuoKing's Business School, King's College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis paper aims to measure the technical efficiency of China's medical and health institutions from 2012 to 2017 and outline the path to achieve high-quality development.

methodsThe DEA-Malmquist was used to evaluate the total factor productivity of medical and health institutions in 31 provinces. A fuzzy set Qualitative Comparative Analysis (fsQCA) was used for configuration analysis of determinants affecting technical efficiency.

resultsThe average total factor productivity (TFP) of those institutions was 0.965, namely TFP declined averagely by 3.5% annually. The efficiency change and the technical change were 0.998 and 0.967, respectively. The realization paths of high technical efficiency are composed of high fatality rate and high financial allocation-led, high population density and high GDP-led. Low dependency ratio and low financial allocation-led, low fatality rate and low financial allocation-led are the main reasons for low technical efficiency.

conclusionDue to advanced medical technology and economic development, major cities like Beijing, Shanghai, and Guangdong have attracted a large number of high-level health personnel, achieving long-term and stable health business growth. Hubei, Anhui, and Sichuan also have made rapid development of health care through appropriate financial subsidies and policy supports. The technical changes in Qinghai, Yunnan, and Inner Mongolia are higher than the national average, but the operation and management level of the medical and health institutions is relatively weak. Henan, Jiangxi, and Heilongjiang have a prominent performance in the efficiency change, but the technical change is weaker than the national average.

Indexed as

China’s medical and health institutionsconfigurationDEA-malmquistefficiencyfsQCA

Identifiers

PMID33447109
PMCPMC7802899

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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.