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International Journal for Equity in Health
Published in: International Journal for Equity in Health 1/2019

Open Access 01-12-2019 | Care | Research

The impact of policy on the intangible service efficiency of the primary health care institution- based on China’s health care reform policy in 2009

Authors: Yao Leng, Weiwei Liu, Nanzi Xiao, Yannan Li, Jing Deng

Published in: International Journal for Equity in Health | Issue 1/2019

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Abstract

Objectives

Analyzing the impact of the China’s health care reform policy in 2009 on the intangible service efficiency of PHCI and exploring the way to improve the service efficiency of PHCI.

Methods

The Malmquist productivity index based on the Data Envelopment Analysis (DEA) was used to measure the variation of TFP and its decomposition of PHCI before and after the implementation of the health care reform policy in 2009. Then, the Tobit model was applied to estimate the key factors affecting the improvement of the intangible service efficiency of PHCI.

Results

The number of health resources and the intangible service efficiency of PHCI have increased obviously since the implementation of the China’s health care reform. The growth of intangible service efficiency of PHCI was mainly affected by the technical progress, but the management level and scale efficiency change have not yet played an important role.

Conclusions

The growth of intangible service efficiency in China’s PHCI still belongs to input growth rather than efficiency growth. In the future, the technical progress and improvement in the management level are the key measures to promote the intangible service efficiency of PHCI.
Literature
1.
Yuan-feng L, Ye D. Efficiency analysis of community health Service in Pudong Based on DEA-Malmquist index. Chin Health Resour. 2013;6:421–3 (in Chinese).
2.
Yu Z. Evaluation of the relative efficiency of China provincial medical and health institutions of medical service based on empirical analysis of DEA-BCC model and Malmquist index. Rev Econ Manage. 2013;6:421–3 (in Chinese).
3.
Qian L. Analysis of efficiency of China community health service. Chin Health Serv Manage. 2013;30(7):497–9 (in Chinese).
4.
Jiang-mei Q, Yan-fei M. Analysis on the efficiency changing of Chinese basic medical institutions since new medical reform. Chin Health Econ. 2015;34(8):21–3 (in Chinese).
5.
Yan-fei M, Rong H. Operation efficiency of rural health centers in HaMi prefecture after health care reform at basic level. Chin Gen Pract. 2015;7:759–63 (in Chinese).
6.
Chun-xiao W, Jing-lun Y. Comparative study on service efficiency of Guangzhou's urban and rural health Care Systems in Health Care Reform. Med Soc. 2014;27(9):1–3.
7.
Sherman HD. Hospital efficiency measurement and evaluation: empirical test of a new technique. Med Care. 1984;22(10):922–38.PubMedCrossRef
8.
Rosko MD. Impact of internal and external environmental pressures on hospital inefficiency. Health Care Manage Sci. 1999;2(2):63–74.CrossRef
9.
Hollingsworth B. Non-parametric and parametric applications measuring efficiency in health care. Health Care Manage Sci. 2003;6(4):203–18.CrossRef
10.
Färe R, Grosskopf S. Measuring productivity: a comment. Int J Oper Prod Manag. 1994;14(9):83–8.CrossRef
11.
Lu-lu Z, Shan-lian H, Ying W, Zheng F, Luo-man Z. Hospital medical service supply summary of empirical research in economics. Chin J Hosp Adm. 2000;16(5):274–7 (in Chinese).
12.
Zhi-ming P, Zhen-quan Z, Xi-ying W. DEA method is applied to evaluate of community health service center of relative efficiency. Chin J Health Stat. 2007;24(4):383–5 (in Chinese).
13.
Hai-ying L, Chun-hong Z. China's rural medical institutions service efficiency is lower than city really - based on the three stage DEA output measure the radial expansion after adjusting the efficiency of the new evidence. China Rural Surv. 2011;10:86–95 (in Chinese).
14.
Hai-ying L, Chun-hong Z. Research on input-output technical efficiency evaluation of China's regional health economy system. China Health Econ. 2009;28(7):11–3 (in Chinese).
15.
Tobin J. Estimation of relationships for limited dependent variables. Econometrica. 1958;26(1):24–36.CrossRef
16.
Xingbai X, Lung-fei L. Sieve maximum likelihood estimation of the spatial autoregressive Tobit model. J Econ. 2018;203(1):96–112.CrossRef
17.
Gong Q, Schaubel Douglas E. Tobit regression for modeling mean survival time using data subject to multiple sources of censoring. Pharm Stat. 2018;17(2):117–25.PubMedCrossRef
18.
Sağlam Ü. A two-stage performance assessment of utility-scale wind farms in Texas using data envelopment analysis and Tobit models. J Clean Prod. 2018;201(10):580–98.CrossRef
19.
Abramovitz R. And output trends in the united stated since 1870. Am Econ Assoc. 1957;52(278):5–23.
20.
Solow R. A contribution to the theory of economic growth in 1956. Q J Econ. 1956;1:65–94.CrossRef
21.
Jorgensen D, Griliches Z. The explanation of productivity change. Rev Econ Stud. 1967;34(3):249–83.CrossRef
22.
Aigne DJ, Chu SF. On estimating the industry production function. Am Econ Rev. 1968;58(4):826–39.
23.
Farrell MJ. The measurement of productivity efficiency. J R Stat Soc. 1957;120(3):377–91.
24.
Meeusen W, Broeck JVD. Technical efficiency and dimension of the firm: some results on the use of frontier production functions. Empir Econ. 1977;2(2):109–22.CrossRef
25.
Caves DW, Christensen LR, Diewert WE. The economic theory of index: numbers and the measurement of input, output, and productivity. Econometrica. 1982;50(6):1393–414.
26.
Afonso A, St Aubyn M. Relative Efficiency of Health Provision: A DEA Approach with Non-discretionary Inputs. Working Papers Department of Economics, ISEG - Lisbon School of Economics and Management, Department of Economics, Universidade de Lisboa. 2006. https://​doi.​org/​10.​2139/​ssrn.​952629.
27.
Ying CN. The productive efficiency of Chinese hospital. China Econ Rev. 2011;22(3):428–39 (in Chinese).CrossRef
28.
Ya-fei W. The Study of the Allocation of Urban Community Health Service Resource Based on New Medical Reform in China. Master. Hunan: University of South China; 2017.
29.
Rui Z, ChangShen X. Comparative research on the allocation of health resources in Henan Province before and after new medical reform. Chin Health Econ. 2016;35(07):51–5 (in Chinese).
30.
Da Y. Evaluation on equity and utilization efficiency of health resources allocation in Henan Province since the new health care reform. Master. Henan: Zhengzhou University; 2016.
31.
Ying L. The operational technical efficiency evaluation of Ningxia County and township hospitals before and after the new medical reform. Doctor. Shandong: Shandong University; 2015.
32.
Zhao-rong C. Studying on the changes of efficiency of community health services and differences decomposition under the background of new healthcare reform in China. Chin Health Serv Manage. 2017;34(02):94–8 (in Chinese).
33.
Ben-song X, Gang H. An empirical study on the operational efficiency of medical institutions in Western China under the background of “new medical reform”. Chin J Health Stat. 2017;34(06):912–4 (in Chinese).
34.
Yu-wei S. An empirical study on the allocation efficiency of medical and health resources in China-based on DEA method[D]: Capital University of Economic and Business; 2018. (in Chinese)
35.
Fang W, Xiao-li Z. Analyzing the status of grassroots health human resources allocation in China and its equity. Chin Health Serv Manage. 2012;29(2):108–10 (in Chinese).
36.
Hui W, Li-hui G, et al. Status of health care human resources of basic medical organizations in Henan Province against the background of urban-rural integration. Chin Gen Pract. 2013;16(36):4310–3 (in Chinese).
37.
Ping C, Yong-ren W. Research on current situation and construction path of primary health personnel. Med Philos. 2015;9:73–6 (in Chinese).
38.
Xiu-xia L, Shi-yong H. Present situation of human resources of the basic public health Service in Medical Institutions at grassroots. Mod Hosp Manage. 2013;11(5):32–4 (in Chinese).
39.
Lin-lin H, Ying-nan C. Discussion on reform of health service payment system of primary health care institutions in China. Chin J Hosp Adm. 2015;31(2):87–90 (in Chinese).
40.
Xiang-dong X. Research on the Economic Operation Guarantee Mechanism of Primary Health Care Institutions. Health Econ Res. 2016;2:57–9 (in Chinese).
Metadata
Title
The impact of policy on the intangible service efficiency of the primary health care institution- based on China’s health care reform policy in 2009
Authors
Yao Leng
Weiwei Liu
Nanzi Xiao
Yannan Li
Jing Deng
Publication date
01-12-2019
Publisher
BioMed Central
Keyword
Care
Published in
International Journal for Equity in Health / Issue 1/2019
Electronic ISSN: 1475-9276
DOI
https://doi.org/10.1186/s12939-018-0901-2

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