Towards an equitable healthcare in China: evaluating the productive efficiency of community health centers in Jiangsu Province

Zhou, Lülin; Xu, Xinglong; Antwi, Henry Asante; Wang, Linna

doi:10.1186/s12939-017-0586-y

Cited by 30 publications

(28 citation statements)

References 28 publications

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“…Compared to SE, TEvrs was lower, which indicates that while improving the scale of PHCIs, we must pay more attention to improving efficiency by improving the medical technology of PHCIs. Compared with other studies using the same method, the average TE of PHCIs in Hunan Province was higher than that in the Community Health Centers of Jiangsu, which is 0.15-0.40 [40], but lower than China's total medical services efficiency, which is 0.904 [41]. This difference may be due to different regions or research subjects.…”

Section: Discussioncontrasting

confidence: 58%

The Efficiency of Primary Health Care Institutions in the Counties of Hunan Province, China: Data from 2009 to 2017

Zhong

Cheng

et al. 2020

IJERPH

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This study aimed to estimate the efficiency and its influencing factors of Primary Health Care Institutions (PHCIs) in counties in Hunan Province, China, and put forward feasible suggestions for improving the efficiency of PHCIs in Hunan Province. We applied the Input-Oriented Data Envelopment Analysis (DEA) method and the Malmquist Index Model to estimate the efficiency of PHCIs in 86 counties in Hunan Province from 2009 to 2017. Then, the Tobit model was used to estimate the factors that influence the efficiency of PHCIs. Since the implementation of the new health-care reform in 2009, the number of health resources in PHCIs in Hunan Province has increased significantly, but most counties’ PHCIs remain inefficient. The efficiency of PHCIs is mainly affected by the total population, city level, the proportion of health technicians and the proportion of beds, but the changes in per capita GDP have not yet played a significant role in influencing efficiency. In the future, the efficiency of PHCIs should be improved by increasing medical technology skills and enthusiasm of health technicians and by improving the payment policies of medical insurance funds.

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Section: Discussioncontrasting

confidence: 58%

The Efficiency of Primary Health Care Institutions in the Counties of Hunan Province, China: Data from 2009 to 2017

Zhong

Cheng

et al. 2020

IJERPH

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“…The changes caused by the implementation of this national plan showed that the average technical and scale efficiency has been reduced and managerial efficiency has been a slight increase. The results of the study by Zhou et al ( 20 ) and Cheng et al ( 33 ) also showed that the efficacy of the hospitals under study has decreased after reform in the their health system. The results Jia et al ( 19 ), Cheng et al ( 28 ) and Mahfouzpour et al ( 11 ) were not consistent with the results of the present study.…”

Section: Discussionmentioning

confidence: 88%

Hospital Efficiency Measurement Before and After Health Sector Evolution Plan in Southwest of Iran: a DEA-Panel Data Study

et al. 2018

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Introduction:Efficiency is one of the most important indicators of hospital performance evaluation.Aim:The study was conducted to measure the efficiency of public hospitals.Material and methods:This was a cross-sectional and panel data study. Data were retrospectively collected using hospital records and hospital information system. In this study, panel data of 17 public hospitals affiliated with Ahvaz University of Medical Sciences, in southwest of Iran were studied during 2012-2016. The output-based data envelopment analysis technique and variable return to scale assumption (VRS) were used. Regression model was used to assess factors affecting hospital efficiency. Data were analyzed using Deap2.1 and R software.Results:The mean of technical efficiency, managerial efficiency, and scale efficiency of the hospitals during 2012-2016 were 0.230, 0.272 and 0.732, respectively. Assessment of return to scale results over 5 years showed that 65% (11 cases) of hospitals had a decreasing return to scale, 24% (4 cases) had a constant return to scale, and 12% (2 cases) had an increasing return to scale. Also, mean of technical managerial, and scale efficiency in specialized hospitals were higher than other hospitals (0.331, 0.353, and 0.873). Beta regression analysis showed the effect of both variable length of stay and number of beds on hospital efficiency was significant (p-value <0.05)..Conclusions:The results showed that efficiency of selected public hospitals was the poor. Technical efficiency and managerial efficiency were lower than scale efficiency rate. Also, Multi- specialized hospitals were in critical status considering resource management and economies of scale.

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“…At present, studies mainly summarized the history and development of Chinese primary healthcare (2,3,25) , and evaluated the fairness of resource allocation and utilization of primary healthcare service. (26)(27)(28)(29)(30) However, due to the lack of support for the projects from the government, the lack of attention from researchers and other reasons, there have been few studies focusing on whether the role of primary healthcare in the overall health system is strengthened, which is the core goal of this round of health reform in China.…”

Section: Introductionmentioning

confidence: 99%

The Development Trend of Primary Healthcare after Health Reform in China

Feng

Gong

et al. 2020

Preprint

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Background: Re-constructing the primary healthcare system is the focus of the new round of Chinese health reform. Nevertheless, there have been few studies focusing on whether the role of primary healthcare in the health system is strengthened in China.Methods: The data of this study came from the China Health Statistical Yearbook (2009–2018). We evaluated the development of primary healthcare based on the absolute values of health resources allocation and health service provision, and evaluated the status of primary healthcare throughout the health system based on the composition ratios of the indicators across the health system.Results: From 2009 to 2018, the amounts of health resources allocation and health service provision of Chinese primary healthcare institutions showed a significant upward trend (P<0.001). However, compared the indicators in 2009, excepting for the proportion of grants from the government in the whole health system has an upward trend, the proportions of other indicators had an escalating trend in 2018 by 4.04% for practicing (assistant) physicians, by 2.55% for nurses, by 4.06% for total revenues , by 5.54% for beds, by 7.37% for outpatient visits.Conclusion: The primary healthcare system has developed rapidly, but its development speed lagged behind the entire health system, resulting in the weakening of its actual functions, which is not in line with the goal of health reform. The government should improve the awareness of the importance of primary healthcare at all levels of local governments and ensure adequate financial input.

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Towards an equitable healthcare in China: evaluating the productive efficiency of community health centers in Jiangsu Province

Cited by 30 publications

References 28 publications

The Efficiency of Primary Health Care Institutions in the Counties of Hunan Province, China: Data from 2009 to 2017

The Efficiency of Primary Health Care Institutions in the Counties of Hunan Province, China: Data from 2009 to 2017

Hospital Efficiency Measurement Before and After Health Sector Evolution Plan in Southwest of Iran: a DEA-Panel Data Study

The Development Trend of Primary Healthcare after Health Reform in China

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