Analysis of health resource allocation efficiency of township hospitals in China

Abstract

This paper aims to analyze the distribution of health resources in township hospitals in China from 2015 to 2018, and to provide Suggestions for improving the utilization efficiency of health resources in township hospitals by selecting 29 provinces/autonomous regions/municipalities directly under the Central Government (except Beijing and Shanghai) as the research objects. DEA-BCC model and DEA-Malmquist index model were used to analyze the utilization efficiency of health resources allocation in China’s township health centers. Results are In 2018 in the country, 29 provinces, cities and towns and townships, the comprehensive technical efficiency, pure technical efficiency and scale efficiency of mean value of the allocation of health resources is respectively 0.585, 0.751, 0.802, including Tianjin, Jiangsu, Zhejiang, Qinghai, Ningxia and other regions with theirs comprehensive efficiency be 1, DEA, being relatively effective, the comprehensive efficiency of other 24 regions are less than 1, being weak DEA efficient or relatively invalid; From 2015 to 2018, the average total factor productivity index of township health centers in nationwide was 0.979, with an average decrease of 2.1%, the change index of technical efficiency decreased by 1.3%, and the technological progress index decreased by 0.9%. It comes to a conclusion the level of overall resource allocation efficiency of township health centers in China is low with an unbalanced overall resource allocation, and the total factor productivity as a whole shows a downward trend. It is necessary to rationally plan the distribution of health resources in township hospitals, to increase technical input, improve the overall level of medical services, and balance the differences among regions, update the management concept of township health center managers, promote smart medical treatment and fine management, strengthen financial support and policy preference, promote the technological progress of township hospitals, and improve the efficiency of health resources use.

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