ArticleBMC health services research2023
Healthcare services efficiency and its intrinsic drivers in China: based on the three-stage super-efficiency SBM model.
Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- The impact of digital economy on primary healthcare institution efficiency: evidence from China based on spatial effect analysis.BMC primary care · 2026Article
- Carbon emission governance and public health efficiency in transitional China: Regional differences and spatial aggregation.PloS one · 2026Article
- Trend analysis and prediction of disease burden of occupational carbon monoxide poisoning in China based on the past two decades.Scientific reports · 2025Article
- Efficiency analysis of oral health resource allocation in public medical institutions in Yunnan Province at the end of the 13th five-year plan in China.BMC oral health · 2025Article
- The coupling coordination between digital village construction and rural healthcare service efficiency in China: dynamic evolution, spatial difference and driving factors.Frontiers in public health · 2025Article
- Structural changes and influencing factors of human resource allocation for oral health in China.PloS one · 2025Article
- Evaluating technical efficiency and influencing factors in traditional Chinese medicine hospitals: evidence from Hebei Province, China.Frontiers in public health · 2025Article
- The impact of the digital divide on residents' healthcare consumption inequality: evidence from CFPS in China.Frontiers in public health · 2025Article
- Article
- 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
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5 authors.
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Abstract
backgroundThe purpose of this study is to examine the development of healthcare services efficiency in China since the reform of the healthcare system. By examining the development environment of healthcare services in China and examining the driving factors affecting the efficiency of healthcare services, we provide a reference for the future high-quality development of healthcare services in China.
methodsA three-stage super-efficient slack-based measure (SBM) model with undesirable outputs was used to measure the efficiency of healthcae services in 31 Chinese provinces from 2009 to 2021, and a global Malmquist-Luenberger (GML) index was used to assess their spatiotemporal evolution characteristics and internal influencing mechanisms of healthcare services efficiency.
resultsThe empirical results showed that the efficiency of China's healthcare services changed significantly from 2009-2014 and then remained stable. During the study period, the efficiency of healthcare services in the eastern region was higher than the national level, while it was lower in the western region. The results of the analysis of environmental factors indicated that an increase in population density reduced the redundancy of healthcare input resources and that economic development as well as an increase in government subsidies, contributed to an increase in the redundancy of healthcare input resources. The main contribution to the growth of healthcare sercices efficiency in China came from the technological innovation effect, and the growth was most significant in the western region.
conclusionFrom 2009 to 2021, the efficiency of national healthcare services generally showed a slow upward trend, and the efficiency of healthcare services varied widely among regions. Under the existing environmental constraints, relevant departments in each region should strengthen technological innovation in healthcare services, completely focus on the regional catch-up effect, and promote the balanced development of regional health.
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