ArticleBMC health services research2026
Impact of fiscal subsidies of health insurance system and public health programs on the efficiency of primary healthcare institutions in China.
Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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3 authors.
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Abstract
objectivesChina’s fiscal subsidies structure has gradually evolved since the implementation of the New Healthcare Reform. Fiscal subsidies for the healthcare insurance system and basic public health programs have been steadily increasing. Whether such subsidies have effectively improved the service efficiency of Primary Health Care Institutions (PHCIs) requires further investigation.
methodsThis study employs data from China Health Statistical Yearbook, China Statistical Yearbook, and other relevant websites for the period 2010–2021. The Data Envelopment Analysis (DEA) was used to measure the Technical Efficiency (TE), Pure Technical Efficiency (PTE) and Scale Efficiency (SE) of PHCIs. Further, a panel Tobit model was applied to assess how fiscal subsidies in both the health insurance system and basic public health programs affect the efficiency of PHCIs.
resultsThe efficiency of medical services in PHCIs is on a downward trend, while the efficiency of public health services shows an upward trend with fluctuations. Fiscal subsidies in the healthcare insurance system significantly improved the basic medical services efficiency of PHCIs but adversely affected public health services efficiency. In contrast, subsidies for basic public health programs improved public health services efficiency of PHCIs but adversely affected basic medical services efficiency. The division management mode of fiscal subsidies is not conducive to improving the comprehensive services efficiency of PHCIs.
conclusionsFiscal subsidies in both the healthcare insurance system and public health programs demonstrate suboptimal efficiency, characterized by poor coordination and integration, ultimately failing to significantly enhance the efficiency of PHCIs.
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