Has the Efficiency of China's Healthcare System Improved after Healthcare Reform? A Network Data Envelopment Analysis and Tobit Regression Approach

被引：27

作者：

Gong, Guangwen ^{[1
,2
]}

Chen, Yingchun ^{[1
,2
]}

Gao, Hongxia ^{[1
,2
]}

Su, Dai ^{[1
,2
]}

Chang, Jingjing ^{[1
,2
]}

机构：

[1] Huazhong Univ Sci & Technol, Sch Med & Hlth Management, Tongji Med Coll, Wuhan 430030, Peoples R China

[2] Hubei Prov Key Res Inst Humanities & Social Sci, Res Ctr Rural Hlth Serv, Wuhan 430030, Peoples R China

来源：

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH | 2019年 / 16卷 / 23期

基金：

美国国家科学基金会;

关键词：

healthcare system; efficiency; network data envelopment analysis; Tobit regression; healthcare reform; INAPPROPRIATE ADMISSIONS; DETERMINANTS; DECOMPOSITION; HOSPITALS; LEVEL;

D O I：

10.3390/ijerph16234847

中图分类号：

X [环境科学、安全科学];

学科分类号：

08 ; 0830 ;

摘要：

Background: A healthcare system refers to a typical network production system. Network data envelopment analysis (DEA) show an advantage than traditional DEA in measure the efficiency of healthcare systems. This paper utilized network data envelopment analysis to evaluate the overall and two substage efficiencies of China's healthcare system in each of its province after the implementation of the healthcare reform. Tobit regression was performed to analyze the factors that affect the overall efficiency of healthcare systems in the provinces of China. Methods: Network DEA were obtained on MaxDEA 7.0 software, and the results of Tobit regression analysis were obtained on StataSE 15 software. The data for this study were acquired from the China health statistics yearbook (2009-2018) and official websites of databases of Chinese national bureau. Results: Tobit regression reveals that regions and government health expenditure effect the efficiency of the healthcare system in a positive way: the number of high education enrollment per 100,000 inhabitants, the number of public hospital, and social health expenditure effect the efficiency of healthcare system were negative. Conclusion: Some provincial overall efficiency has fluctuating increased, while other provincial has fluctuating decreased, and the average overall efficiency scores were fluctuations increase.

引用

页数：12