ArticleFrontiers in public health2024
Spatial effects of township health centers' health resource allocation efficiency in China.
Article in Frontiers in public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed.
- The Impact of the "Healthy China 2030" planning outline strategy on the development of China's medical and health resources-based on interrupted time series analysis from 1990 to 2023.Scientific reports · 2026Article
- A study on the efficiency and spatial correlation of health resource allocation in Chinese hospitals.PloS one · 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
- The spatial effects and influencing factors of inter-provincial health resource allocation efficiency in China.BMC health services research · 2025Article
- Regional disparities, dynamic evolution, and spatial spillover effects of medical resource allocation efficiency in TCM hospitals.Cost effectiveness and resource allocation : C/E · 2025Article
- Measles Population Immunity in Hunan, China: A Serological Assessment.Open forum infectious diseases · 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
- Efficiency analysis of primary health care resources: DEA and Tobit regression evidence from village clinics in Jiangsu Province.Frontiers in public health · 2025Article
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8 authors.
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Abstract
Introduction: China is a large agricultural nation with the majority of the population residing in rural areas. The allocation of health resources in rural areas significantly affects the basic rights to life and health for rural residents. Despite the progress made by the Chinese government in improving rural healthcare, there is still room for improvement. This study aims to assess the spatial spillover effects of rural health resource allocation efficiency in China, particularly focusing on township health centers (THCs), and examine the factors influencing this efficiency to provide recommendations to optimize the allocation of health resources in rural China. Methods: This study analyzed health resource allocation efficiency in Chinese rural areas from 2012 to 2021 by using the super-efficiency SBM model and the global Malmquist model. Additionally, the spatial auto-correlation of THC health resource allocation efficiency was verified through Moran test, and three spatial econometric models were constructed to further analyze the factors influencing efficiency. Results: The key findings are: firstly, the average efficiency of health resource allocation in THCs was 0.676, suggesting a generally inefficient allocation of health resources over the decade. Secondly, the average Malmquist productivity index of THCs was 0.968, indicating a downward trend in efficiency with both non-scale and non-technical efficient features. Thirdly, Moran's Index analysis revealed that efficiency has a significant spatial auto-correlation and most provinces' values are located in the spatial agglomeration quadrant. Fourthly, the SDM model identified several factors that impact THC health resource allocation efficiency to varying degrees, including the efficiency of total health resource allocation, population density, PGDP, urban unemployment rate, Discussion: To enhance the efficiency of THC healthcare resource allocation in China, the government should not only manage the investment of health resources to align with the actual demand for health services but also make use of the spatial spillover effect of efficiency. This involves focusing on factors such as total healthcare resource allocation efficiency, population density, etc. to effectively enhance the efficiency of health resource allocation and ensure the health of rural residents.
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