Evidence map›Paper›PMID 40247876›Full record

ArticleFrontiers in public health2025

Based on regional heterogeneity: measurement of hospital service efficiency and analysis of spatial effects.

Qianwen Song, Anyu Ye, Mengting Zhou, Ting Chen, Wenlian Jiang

Abstract read
In one paragraph

Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Qianwen SongChengdu Shuangliu District Maternal and Child Health Hospital, Chengdu, China.
Anyu YeSchool of Pharmaceutical Economics and Management, Anhui University of Chinese Medicine, Hefei, China.
Mengting ZhouSchool of Nursing, Anhui University of Chinese Medicine, Hefei, China.
Ting ChenSchool of Pharmacy, Anhui University of Chinese Medicine, Hefei, China.
Wenlian JiangSchool of Pharmaceutical Economics and Management, Anhui University of Chinese Medicine, Hefei, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Hospital service efficiency is a vital indicator of the effectiveness of a country's healthcare system. If regional heterogeneity is ignored in measuring the efficiency of health services, erroneous judgments may result. Methods: This study utilized the Meta-Frontier Slack-Based Measure (SBM) model to evaluate the efficiency of hospital services across various Chinese provinces from 2009 to 2022. Efficiency comparisons were made using regional and common frontiers, while the technical gap and its decomposition index were applied to identify the sources of efficiency disparities among regions. The Spatial Durbin Model was then employed to analyze the spatial spillover effects of hospital service efficiency. Results: The findings reveal that under the common frontier, the Central South regions demonstrate the highest efficiency, averaging 0.7549, followed by East China at 0.7184, the Southwest at 0.6245, the Northwest at 0.5497, North China at 0.4884, and the Northeast at 0.3571. Technical disparities among China's regional hospital services form three distinct tiers: the first tier includes Central South China, the second tier comprises the Southwest, Northwest, and North China, and the third tier is the Northeast. Management inefficiency predominantly affects the first tier, whereas both management and technical inefficiencies impact the second and third tiers. Furthermore, hospital service efficiency has significant spatial spillover effects, notably enhancing the efficiency of neighboring provinces. Conclusion: To enhance healthcare service efficiency, it is imperative to implement precise identification of technological and managerial deficiencies, coupled with the formulation of long-term strategic plans adaptive to demographic shifts and evolving healthcare demands, while simultaneously strengthening crisis management capabilities to ensure the stability and sustainability of service efficacy.

Indexed as

Efficiency, OrganizationalHospitalsChinaHumansSpatial Analysishospital service efficiencymeta-frontier SBMregional differencesspatial Durbin modeltechnological heterogeneity

Identifiers

PMID40247876
PMCPMC12005172

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.