ArticleInternational health2024
The heterogeneous impacts of government on health system efficiency in China's new health reform, 2010-2019.
Article in International health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 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
- Policy stringency during the COVID-19 pandemic and healthcare services utilization in China: An interrupted time-series analysis.PLoS medicine · 2026Article
- Does sports industry development improve regional public health? A cross-regional heterogeneous study in China.Frontiers in public health · 2026Article
- Based on regional heterogeneity: measurement of hospital service efficiency and analysis of spatial effects.Frontiers in public health · 2025Article
- Can public hospital reform reduce medical resource mismatches? Evidence from China.Health economics review · 2024Article
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4 authors.
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Abstract
backgroundContextualizing in China's recent health reform, we empirically explore the heterogeneous effects of two distinct government roles, accommodating private hospitals vs investing in public hospitals, on health system efficiency.
methodsWe use panel data covering 31 provinces during 2010-2019 to assess health system efficiency. We incorporate health service volumes and population health outcomes to ascertain health system outputs, employing the non-radial directional distance function to estimate efficiency. We employ Bayesian Tobit quantile regression to explore the heterogeneous effects of the share of private hospitals and government subsidy to public providers on efficiency.
resultsChina's health system inefficiency scores range from 0 to 0.45. The association between the share of private hospitals and inefficiency score are only significant in higher-inefficiency quantiles (coefficients -0.0258, -0.0315 and -0.0327 for quantiles 0.7, 0.8 and 0.9), meaning a heterogeneously positive impact for low-efficiency provinces. The association between government subsidy and inefficiency score are positive for all quantiles (from 0.0339 to 0.0567), meaning persistent negative impacts on efficiency.
conclusionsThe heterogeneous impacts of the share of private hospitals suggest that the government should accommodate more private hospitals in provinces with low efficiency. The persistent negative impacts of government subsidy suggest that the government investment seems not be subjected to economic objectives.
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