ArticleBMC primary care2024
Can the allocation of primary health care system resources affect efficiency? A spatial Dubin model study in China.
Article in BMC primary care, 2024. 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.
- The effect of maternal and child health resource allocation on efficiency in China.Scientific reports · 2026Article
- The impact of digital economy on primary healthcare institution efficiency: evidence from China based on spatial effect analysis.BMC primary care · 2026Article
- From growth to well-being: pathways and social security effects of coordinating medical resources and population in the Yangtze River Delta region.Frontiers in public health · 2026Article
- Assessment of emergency management capabilities for public health emergencies in China.Frontiers in public health · 2026Article
- [Regional distribution differences and influencing factors of primary healthcare institutions in China].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025Article
- The spatial effects and influencing factors of inter-provincial health resource allocation efficiency in China.BMC health services research · 2025Article
- Assessing the spatiotemporal heterogeneity of resource allocation effects on patient flow in shanxi's County hospitals, China.Scientific reports · 2025Article
- Spatial accessibility evaluation and clustering analysis of primary healthcare within 15 min circles in a northern Chinese megacity.Scientific reports · 2025Article
- Enhancing emergency department triage for older patients: a prospective study on the integration of the identification of seniors at risk.BMC emergency medicine · 2025Observational
- Spatial differences, dynamic evolution and influencing factors of the coupling and coordination relationship between health resources allocation and health service utilization in China.BMC public health · 2025Article
- Assessing healthcare efficiency and determinants in China: the perspective of provincial-level social health expenditure.BMC health services research · 2025Article
- Automated process assessment of primary healthcare for hyperlipidemia: preliminary findings and implications form Anhui, China.Lipids in health and disease · 2025Article
- Joint spatiotemporal evaluation of multiple healthcare resources: hospitals, hospital beds and physicians across 365 Chinese cities over 22 years.Frontiers in public health · 2025Article
- Equity and Efficiency of Medical Resource Allocation in National Central Cities, China.Risk management and healthcare policy · 2025Article
- Equity and efficiency of health resource allocation in Sichuan Province, China.BMC health services research · 2024Article
- Proactive Health Profiling and Classification of Older Adults with Multimorbidity in Rural China: A Qualitative Study.Global qualitative nursing researchArticle
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4 authors.
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Abstract
backgroundThe primary health care (PHC) system plays an important role in China's health care system, but there are challenges such as irrational allocation of health resources and inefficient operation, which need to be improved. The purpose of this study was to explore the impact of resource allocation on the efficiency of the PHC system in China.
methodsThe data in 31 provinces were collected from the China Statistical Yearbook 2017-2021 and the China Health Statistical Yearbook 2017-2021. The comprehensive health resource density index (CHRDI) was constructed based on the entropy method and the health resource density index (HRDI), which was used to analyze the allocation of primary health resources in each province. The adjusted efficiency of the PHC system in each province was calculated by the bootstrap data envelopment analysis (DEA). Finally, the spatial Dubin model was used to explore the effect of the CHRDI on efficiency.
resultsFrom 2016 to 2020, the allocation of primary health resources in 31 provinces showed an increasing trend, and the average efficiency after correction showed a decreasing state year by year. The spatial direct effect and spatial spillover effect coefficients of CHRDI were 0.820 and 1.471, which positively affect the efficiency. Per capita Gross Domestic Product (GDP), urbanization rate, and the proportion of the elderly were the factors affecting the efficiency of the PHC system.
conclusionsThe allocation of primary health resources in all provinces in China has improved each year, but there are still great differences, and efficiency must be further improved. Pay attention to the spatial spillover effect of the level of resource allocation and formulate differentiated measures for different regions. Attention should also be paid to the impact of population aging and economic development on the utilization of primary health resources by increasing health needs and choices.
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