ArticleBMJ open2023
Health systems efficiency in China and ASEAN, 2015-2020: a DEA-Tobit and SFA analysis application.
Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed.
- A study on the efficiency and spatial correlation of health resource allocation in Chinese hospitals.PloS one · 2026Article
- "They tossed me up like a ball": informal settlement residents' experiences in accessing healthcare in Kampala, Uganda.BMC public health · 2025Article
- Health system efficiency and equity in ASEAN: an empirical investigation.Cost effectiveness and resource allocation : C/E · 2024Article
- Measurement and characteristics of the temporal-spatial evolution of China's healthcare services efficiency.Archives of public health = Archives belges de sante publique · 2023Article
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11 authors.
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Abstract
objectiveTo evaluate the health systems efficiency in China and Association of Southeast Asian Nations (ASEAN) countries from 2015 to 2020.
designHealth efficiency analysis using data envelopment analysis (DEA) and stochastic frontier approach analysis.
settingHealth systems in China and ASEAN countries.
methodsDEA-Malmquist model and SFA model were used to analyse the health system efficiency among China and ASEAN countries, and the Tobit regression model was employed to analyse the factors affecting the efficiency of health system among these countries.
resultsIn 2020, the average technical efficiency, pure technical efficiency and scale efficiency of China and 10 ASEAN countries' health systems were 0.700, 1 and 0.701, respectively. The average total factor productivity (TFP) index of the health systems in 11 countries from 2015 to 2020 was 0.962, with a decrease of 1.4%, among which the average technical efficiency index was 1.016, and the average technical progress efficiency index was 0.947. In the past 6 years, the TFP index of the health system in Malaysia was higher than 1, while the TFP index of other countries was lower than 1. The cost efficiency among China and ASEAN countries was relatively high and stable. The per capita gross domestic product (current US$) and the urban population have significant effects on the efficiency of health systems.
conclusionsHealth systems inefficiency is existing in China and the majority ASEAN countries. However, the lower/middle-income countries outperformed high-income countries. Technical efficiency is the key to improve the TFP of health systems. It is suggested that China and ASEAN countries should enhance scale efficiency, accelerate technological progress and strengthen regional health cooperation according to their respective situations.
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