ArticleFrontiers in public health2022
Efficiency measurement and spatial spillover effect of provincial health systems in China: Based on the two-stage network DEA model.
Article in Frontiers in public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Evaluation of equity and efficiency in health resource allocation in underdeveloped county areas: empirical research from Guangxi, China.BMC health services research · 2026Article
- Regional disparities and influencing factors of health production efficiency: evidence from China.BMC public health · 2025Article
- Study on the spatial and temporal differences and influencing factors of out-of-pocket payments as a share of total health expenditure in China.BMC health services research · 2025Article
- The spillover effects of formal social support on vulnerability to poverty among rural older adult households: a risk 'shock-response' perspective.Frontiers in public health · 2025Article
- Improving healthcare efficiency through long-term care insurance (LTCI): a super-SBM and DID analysis of 291 Chinese cities.Frontiers in public health · 2025Article
- Evaluating technical efficiency and influencing factors in traditional Chinese medicine hospitals: evidence from Hebei Province, China.Frontiers in public health · 2025Article
- Does cultural service provision contribute to improving public health levels? Empirical evidence from 283 Chinese cities.Frontiers in public health · 2025Article
- Health system efficiency and equity in ASEAN: an empirical investigation.Cost effectiveness and resource allocation : C/E · 2024Article
- Regional differences in health resource allocation: a longitudinal study in the Chengdu-Chongqing economic circle, China.BMJ open · 2024Article
- Definition and understanding of "efficiency" in healthcare provision research: a scoping review.Frontiers in public health · 2024Article
- Spatial distribution and influencing factors of CDC health resources in China: a study based on panel data from 2016-2021.Frontiers in public health · 2024Article
- Evaluation of healthcare efficiency in China: a three-stage data envelopment analysis of directional slacks-based measure.Frontiers in public health · 2024Article
- Configurations associated with the efficiency of the ophthalmology departments in public hospitals of Central South China.PloS one · 2024Article
- Evaluating China's primary healthcare services' efficiency and spatial correlation: a three-stage DEA-Malmquist model.Frontiers in public health · 2024Article
- Health systems efficiency in China and ASEAN, 2015-2020: a DEA-Tobit and SFA analysis application.BMJ open · 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
- Analyzing the efficiency of Chinese primary healthcare institutions using the Malmquist-DEA approach: Evidence from urban and rural areas.Frontiers in public health · 2023Article
- Estimating the efficiency of primary health care services and its determinants: evidence from provincial panel data in China.Frontiers in public health · 2023Article
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5 authors.
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Abstract
The effectiveness of a health care system is an important factor for improving people's health and quality of life. The purpose of this research is to analyze the efficiency and spatial spillover effects of provincial health systems in China using panel data from 2009 to 2020. We employ the two-stage network DEA model to evaluate their efficiencies and use a spatial econometric model for empirical estimation. The results suggest that the overall efficiency, resource allocation efficiency, and service operation efficiency of health systems in different regions of China generally have fluctuating upward trends, with large differences in efficiency among the various regions. Further analysis reveals that the efficiency of China's health system has a significant spatial spillover effect. The level of economic development, fiscal decentralization and old-age dependency ratio are important factors affecting the health system efficiency. Our findings help to identify the efficiency and internal operating mechanisms of China's health system at different stages, and are expected to contribute to policymakers' efforts to build a high-quality health service system.
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