Configuration Analysis of Influencing Factors of Technical Efficiency Based on DEA and fsQCA: Evidence from China’s Medical and Health Institutions

Li, Zhiguang; Zhang, Wanying; Kong, Aijie; Ding, Zhiyuan; Wei, Hua; Guo, Yige

doi:10.2147/rmhp.s282178

Cited by 15 publications

(11 citation statements)

References 34 publications

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“…The content of primary healthcare services mainly includes various institutions and facilities of disease treatment, convalescence and recuperation, treatment and examination, and the corresponding consumption of medicines. Thus, we measure the conditions for the development of basic medical services in terms of institutions, facilities, and personnel, which mainly include the number of health care facilities ( 24 ), the number of beds in health care facilities ( 14 ), and the number of health technicians ( 59 , 60 ). The second subsystem is Chinese medicine services.…”

Section: Materials and Methodologymentioning

confidence: 99%

“…The third subsystem is health care funding, which mainly reflects the government's financial investment in health care services and the extent to which the government and society as a whole attach importance to the health of the population. Therefore, the evaluation indicators of health care funding include total health expenditure as a proportion of GDP ( 20 , 60 ) and the total health expenditure per capita ( 64 ).…”

Section: Materials and Methodologymentioning

confidence: 99%

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Coupling Coordination and Spatiotemporal Dynamic Evolution Between Medical Services and Tourism Development in China

Zuo

Law³

et al. 2022

Front. Public Health

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This work constructs an evaluation index system and quantitatively explores the coupling coordination relationship between the tourism development system and the medical services system in China. Results show that the degree of coupling coordination between the tourism development system and the medical services system showed a good upward trend in China during the period 2012–2019. However, the relationship was barely balanced, with tourism development lagging. The overall layout shows a spatial pattern of “high in the north and low in the south, high in the east and low in the west.” The degree of coupling coordination tends to be randomly distributed from clustered distribution, and the cold–hot spots show a spatial development pattern of “cold in the northwest and hot in the southeast” as time passes. The power of government to regulate has always been an important mechanism affecting the degree of coupling coordination. The study aims to provide reference for the rationalization of medical tourism layout and sustainable development.

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Section: Materials and Methodologymentioning

confidence: 99%

Section: Materials and Methodologymentioning

confidence: 99%

Coupling Coordination and Spatiotemporal Dynamic Evolution Between Medical Services and Tourism Development in China

Zuo

Law³

et al. 2022

Front. Public Health

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“…In the analysis of the operating efficiency of China’s basic pension insurance fund, the selection of input and output indicators is the key to evaluation, and different combinations of factors often produce certain differences in the output of the results. 15 It will cause duplication of information and interference with each other if we select many indicators. Instead, it is a lack of sufficient representativeness that the selected indicators are not comprehensive enough.…”

Section: Methodsmentioning

confidence: 99%

Measurement and Evaluation of the Operating Efficiency of China’s Basic Pension Insurance: Based on Three-Stage DEA Model

Li¹,

Si²,

Ding³

et al. 2021

RMHP

Self Cite

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Purpose This paper aims to measure the operating efficiency of China’s basic pension insurance from 2014 to 2019 in 31 provinces. Methods The three-stage DEA model was used to evaluate the operating efficiency of basic pension insurance in 31 provinces. Results On the whole, the operating efficiency of China’s basic pension insurance was at a high level, but there was still room for improvement. GDP, urbanization level and scale of government public expenditure had a positive impact on the operating efficiency of regional basic pension insurance. In contrast, the old-age dependency ratio had a significant negative effect. There were noticeable regional differences in the operating efficiency of China’s basic pension insurance, which showed a pattern of Central (0.742) >Eastern (0.689) >Western (0.505) after removing the influence of environmental variables. Conclusion This study systematically analyzes the impact of external environmental regulations on China’s basic pension insurance’s operating efficiency and provides decision-making references for further improving the operating efficiency of China’s basic pension insurance. In order to further optimize the allocation of basic endowment insurance, this paper proposes the following countermeasures and suggestions: (1) broaden investment channels and improve the investment efficiency; (2) increase supervision of social security departments and strengthen information disclosure; (3) unify the management of social basic pension insurance.

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“…Various studies have attempted to explore how to strengthen health systems in terms of equity and efficiency, mainly using the Gini coefficient, Lorentz curve, concentration index, and Theil index to study the fairness of health system distribution [ 27 , 28 , 29 ]. Others use Data Envelopment Analysis (DEA) or DEA optimization methods to study the efficiency of the health-care system [ 30 , 31 , 32 ]. Most studies show the existence of significant barriers to patient access and utilization of health services and large interprovincial differences in health-care delivery [ 33 , 34 ].…”

Section: Introductionmentioning

confidence: 99%

The Impact of Multidimensional Health Levels on Rural Poverty: Evidence from Rural China

Chen

Zhou

Wang

2022

IJERPH

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Poor health and poverty interact and restrict each other. While this relationship is acknowledged, little is known about the extent of its impact. By integrating multisource data, this study used spatial econometric models to quantitatively reveal the relationship between health and rural poverty and explore its intrinsic mechanisms. The results indicated that health-care system input, individual health status, and individual health-seeking behavior have a significantly positive effect on the eradication of rural poverty. The health-care system input is characterized by spatial spillover, significantly contributing to rural poverty alleviation in the region and neighboring regions, as well. However, the effect of health-care system services’ capability was negative. Thus, it is necessary to increase investment in the health-care system and pay attention to both the health status and healthy behaviors of rural residents. Moreover, further effort should be given to the supply-side reform of health services as a breakthrough point.

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Configuration Analysis of Influencing Factors of Technical Efficiency Based on DEA and fsQCA: Evidence from China’s Medical and Health Institutions

Cited by 15 publications

References 34 publications

Coupling Coordination and Spatiotemporal Dynamic Evolution Between Medical Services and Tourism Development in China

Coupling Coordination and Spatiotemporal Dynamic Evolution Between Medical Services and Tourism Development in China

Measurement and Evaluation of the Operating Efficiency of China’s Basic Pension Insurance: Based on Three-Stage DEA Model

The Impact of Multidimensional Health Levels on Rural Poverty: Evidence from Rural China

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