ArticleFrontiers in public health2023
Estimating the efficiency of primary health care services and its determinants: evidence from provincial panel data in China.
Article in Frontiers in public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 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
- The impact of digital economy on primary healthcare institution efficiency: evidence from China based on spatial effect analysis.BMC primary care · 2026Article
- Can public data openness enhance public health resource allocation efficiency? Evidence from the launch of Chinese government data platforms.Frontiers in public health · 2026Article
- Spatial-temporal characteristics and driving factors of the coupling coordination between primary health care and socioeconomic development: a case study of Beijing, China.BMC public health · 2025Article
- Factors Influencing Primary Healthcare System in the Achievement of Universal Health Coverage in the WHO-AFRO Region: An Integrative Review.Public health challenges · 2025Review
- Medical insurance-related professionals' identification of the benefits of the medical insurance system in Northeast China: a cross-sectional study.BMC health services research · 2025Article
- Efficiency analysis of primary health care resources: DEA and Tobit regression evidence from village clinics in Jiangsu Province.Frontiers in public health · 2025Article
- Efficiency and equity of resource allocation in healthcare services using DEA and concentration indices: evidence from the traditional medicine hospital in Gansu Province, China.Frontiers in public health · 2025Article
- Efficiency evaluation and promoter identification of primary health care system in China: an enhanced DEA-Tobit approach.BMC health services research · 2024Article
- Evaluating China's primary healthcare services' efficiency and spatial correlation: a three-stage DEA-Malmquist model.Frontiers in public health · 2024Article
- Strengthening primary health care in low- and middle-income countries: furthering structural changes in the post-pandemic era.Frontiers in public health · 2023Article
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Authors and funding
4 authors.
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Abstract
Background: The efficiency of primary health care services is drawing increased attention worldwide, especially in developing countries. Health care reform in China has moved into the 'deep water zone' phase and is facing the dilemma of inefficiency in primary health care services, which is a critical challenge for universal health coverage. Methods: In this study, we estimate the efficiency of primary health care services in China and its determinants. A combination of a super-SBM (Slack-Based Measure) model, a Malmquist productivity index model and a Tobit model is used to study provincial panel data, and the results demonstrate the inefficiency of primary health care services in China and the variations in efficiency values between regions. Results: Over time, the productivity of primary health care services shows a decreasing trend, mainly due to slowing technology change. Financial support is needed to improve the efficiency of primary health care services, but it is worth noting that existing social health insurance coverage decreases efficiency, while economic development, urbanization and education also have a significant impact. Conclusion: The findings suggest that increasing financial support should remain a priority in developing countries but that reasonable reimbursement design, appropriate payment methods and comprehensive supporting social health insurance policies are key to the next step of reform.
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