ArticleInternational journal of environmental research and public health2022
The Impact of County Medical Community Reform on the Medical Service Efficiency of County-Level Public General Hospitals in China: A Case Study of Shanxi Province.
Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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16 citing papers in PubMed.
- Understanding provider behavioral responses to capitation prepayment systems: an integrated mixed-methods approach.Cost effectiveness and resource allocation : C/E · 2026Article
- Design and operational features of medical alliances in China.npj health systems · 2026Review
- Reducing urban-rural disparities in maternal and child mortality in China: a 33-year analysis and projection to 2030.Journal of global health · 2026Article
- Artificial Intelligence-Empowered "Walking Hospitals": A Narrative Review of Innovative Models and Ecosystem Construction in Rural Healthcare.International journal of general medicine · 2026Review
- Assessing the spatiotemporal heterogeneity of resource allocation effects on patient flow in shanxi's County hospitals, China.Scientific reports · 2025Article
- Can medical consortiums bridge the gap in health inequity in China? A propensity score matching analysis.Health policy and planning · 2025Article
- Analysis of the application of policy instruments for close-knit county medical communities based on Hood's classification.Frontiers in public health · 2025Article
- Evaluation of Health Resource Efficiency and Its Influencing Factors in Ethnic Minority Areas of Guangxi: Data from 2010 to 2022.Risk management and healthcare policy · 2025Article
- Article
- Comparison of the market share of public and private hospitals under different Medical Alliances: an interrupted time-series analysis in rural China.BMC health services research · 2024Article
- New evidence on the real role of digital economy in influencing public health efficiency.Scientific reports · 2024Article
- Health resource allocation within the close-knit medical consortium after the Luohu healthcare reform in China: efficiency, productivity, and influencing factors.Frontiers in public health · 2024Article
- Equity and efficiency of health resource allocation in township health centers in Sichuan Province, China.PloS one · 2024Article
- Effects of medical consortium policy on health services: an interrupted time-series analysis in Sanming, China.Frontiers in public health · 2024Article
- Information-Driven Integrated Healthcare: An Analysis of the Cooperation Strategy of County Medical Community Based on Multi-Subject Simulation.Healthcare (Basel, Switzerland) · 2023Article
- Construction and Practice of the County Integrated Healthcare System in China: A Case Study of Shaxian, Sanming.International journal of integrated careArticle
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6 authors.
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Abstract
China introduced the county medical community (CMC) reform, aimed to provide high-quality medical resources to rural citizens, in 2017. This study examines the impact of the reform on the medical service efficiency of county-level public general hospitals in Shanxi Province, China. In total, 92 county-level public general hospitals from Shanxi Province were taken as the research objective, and the super-efficiency SBM-DEA model was applied to measure medical service efficiency. Further, a two-way fixed-effect model was used to evaluate the impact of CMC reform on the medical service efficiency of county-level public general hospitals by using health statistics data from 2014 to 2018. The study reveals that the CMC reform improved the medical service efficiency of county-level public general hospitals by 15.6%. Moreover, the CMC reform had regional heterogeneity in its impact on the medical service efficiency of county-level public general hospitals. The CMC reform improved the medical service efficiency of hospitals in the southern region more than in the northern region of the province. The medical service efficiency of hospitals in the central region was also improved by CMC reform, but the causal relationship was not found significant. Further, hospital-level factors (e.g., fixed assets, hospital stay, and regional health center) and environmental factors (e.g., GDP, population, urbanization rate, and government subsidies) affected the medical service efficiency of county-level public hospitals during the process of promoting the CMC reform.
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