ArticleCost effectiveness and resource allocation : C/E2026
Assessing the relationship between the hospital grading system and medical resource utilization: evidence from China.
Article in Cost effectiveness and resource allocation : C/E, 2026. 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.
- Digital Twins for Hospital and Healthcare Operations: A Systematic Review of Resource Allocation, Infection Control, and Workflow Optimization.Bioengineering (Basel, Switzerland) · 2026Review
- Urban residents' choice preferences for hospitals at different tiers and influencing factors: a study based on latent class analysis and Andersen's model of health service utilization.BMC primary care · 2026Article
- Quantitative evaluation of the medical resource allocation policy in China: a PMC-index model approach.Cost effectiveness and resource allocation : C/E · 2026Article
- Barriers and facilitators to implementing antimicrobial stewardship (AMS) in a Chinese tertiary hospital: a qualitative study based on the Consolidated Framework for Implementation Research (CFIR).BMC infectious diseases · 2026Article
- Development and Validation of a Nomogram-Based Risk Stratification Model for Moderate-to-High Frequency Workplace Violence Among Chinese Pediatric Nurses: A Cross-Sectional Study.Journal of nursing management · 2026Article
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Abstract
backgroundImproving medical resource utilization is a significant global challenge. In China, the hospital grading system serves as a key policy to promote collaboration and division of labor among institutions of different grades, with the goal of enhancing the overall performance. However, the medical resource utilization in China remains suboptimal. This study examines the relationship between the hospital grading system and medical resource utilization, offering insights for advancing the healthcare system.
methodsUsing data from 31 provinces in China spanning 2010 to 2019, this study applies a dynamic panel data model to analyze the relationship between the hospital grading system and medical resource utilization. In addition, a mechanism analysis explores how the hospital grading system may influence utilization through the structure of resource allocation.
resultsThe hospital grading system demonstrates a significant negative association with the utilization of both outpatient and inpatient medical resources, with the impact varying across regions and levels of resource endowment. Furthermore, disparities in the allocation of resources between hospitals and primary healthcare institutions constitute a key mechanism through which the hospital grading system undermines overall utilization.
conclusionsThis study finds that the hospital grading system is associated with a reduction in medical resource utilization in China. The results provide evidence to inform reforms aimed at revising hospital grading system standards, optimizing medical resource allocation and improving overall system performance in China, while also offering potential lessons for other countries facing similar healthcare challenges.
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