ArticlePloS one2021
The efficiency of provincial government health care expenditure after China's new health care reform.
Article in PloS one, 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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Who cites it
14 citing papers in PubMed.
- 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
- A comparative health economic evaluation of venetoclax in combination with obinutuzumab versus Chlorambucil in combination with obinutuzumab as first-line treatment for chronic lymphocytic leukemia in China: a cost-effectiveness analysis.Cost effectiveness and resource allocation : C/E · 2026Article
- Pathways to promote the performance of healthcare financial expenditure from an audit perspective: Evidence from Hunan Province.PloS one · 2026Article
- A study on the efficiency and spatial correlation of health resource allocation in Chinese hospitals.PloS one · 2026Article
- Assessing healthcare efficiency and determinants in China: the perspective of provincial-level social health expenditure.BMC health services research · 2025Article
- Discrete choice experiment on the preferences for continuing medical education training programs among primary health care physicians in China.BMC medical education · 2025Article
- Equity and efficiency of public health resource allocation in China.BMC public health · 2025Article
- An analysis of factors influencing technical efficiency of health expenditures in China.Health economics review · 2024Article
- Efficiency evaluation and promoter identification of primary health care system in China: an enhanced DEA-Tobit approach.BMC health services research · 2024Article
- A comparative evaluation of child health care in China using multicriteria decision analysis methods.BMC health services research · 2023Article
- Approximating the influence of external factors on the technical efficiency score of hospital care: evidence from the federal states of Germany.Health economics review · 2023Article
- Effects of Healthcare Policies and Reforms at the Primary Level in China: From the Evidence of Shenzhen Primary Care Reforms from 2018 to 2019.International journal of environmental research and public health · 2022Article
- Levels, trends, and determinants of effectiveness on the hierarchical medical system in China: Data envelopment analysis and bootstrapping truncated regression analysis.Frontiers in public health · 2022Article
- Feasibility of Hepatitis C Elimination in China: From Epidemiology, Natural History, and Intervention Perspectives.Frontiers in microbiology · 2022Review
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5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveWe aim to estimate the total factor productivity and analyze factors related to the Chinese government's health care expenditure in each of its provinces after its implementation of new health care reform in the period after 2009. MATERIALS AND
methodsWe use the Malmquist DEA model to measure efficiency and apply the Tobit regression to explore factors that influence the efficiency of government health care expenditure. Data are taken from the China statistics yearbook (2004-2020).
resultsWe find that the average TFP of China's 31 provincial health care expenditure was lower than 1 in the period 2009-2019. We note that the average TFP was much higher after new health care reform was implemented, and note this in the eastern, central and western regions. But per capita GDP, population density and new health care reform implementation are found to have a statistically significant impact on the technical efficiency of the provincial government's health care expenditure (P<0.05); meanwhile, region, education, urbanization and per capita provincial government health care expenditure are not found to have a statistically significant impact.
conclusionAlthough the implementation of the new medical reform has improved the efficiency of the government's health expenditure, it is remains low in 31 provinces in China. In addition, the government should consider per capita GDP, population density and other factors when coordinating the allocation of health care input. SIGNIFICANCE: This study systematically analyzes the efficiency and influencing factors of the Chinese government's health expenditure after it introduced new health care reforms. The results show that China's new medical reform will help to improve the government's health expenditure. The Chinese government can continue to adhere to the new medical reform policy, and should pay attention to demographic and economic factors when implementing the policy.
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