دورية أكاديمية
Estimating the Distribution and Convergence of County-level Healthcare Resources Allocative Efficiency in China Based on DEA and Spatial Panel Model
| العنوان: | Estimating the Distribution and Convergence of County-level Healthcare Resources Allocative Efficiency in China Based on DEA and Spatial Panel Model |
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| المؤلفون: | Jialiang Sun Master, Zesheng Sun PhD, Chenyi Yang Master, Yuqing Shen Master |
| المصدر: | Inquiry: The Journal of Health Care Organization, Provision, and Financing, Vol 60 (2023) |
| بيانات النشر: | SAGE Publishing, 2023. |
| سنة النشر: | 2023 |
| المجموعة: | LCC:Public aspects of medicine |
| مصطلحات موضوعية: | Public aspects of medicine, RA1-1270 |
| الوصف: | Although China’s 2009 New Healthcare Reform aimed to correct the imbalance in the spatial allocation of healthcare resources with a focus on the county level, its impact on county-level allocative efficiency evolution and convergence remains unclear. This paper for the first time performs a spatial analysis to explore the distribution, evolution, and convergence of the allocative efficiency of healthcare resources with county-level data. This paper uses the sample data of 158 countries in Henan Province, China, to evaluate the evolution and convergence of the allocative efficiency of healthcare resources. Based on the estimated Data Envelopment Analysis (DEA) allocative efficiency, analysis of variance (ANOVA), and spatial descriptive analysis, we explore the county heterogeneity and efficiency evolution; a spatial panel model is then utilized to test the county-level convergence of the allocative efficiency of healthcare resources. Although the number of efficient counties has not increased, the number of inefficient individuals keeps decreasing, and the allocative efficiency of municipal districts is lower than that of nonmunicipal counties. There exists a positive spatial correlation of allocative efficiency in Henan Province, and significant and robust convergence results can be found at the county level after China’s 2009 reform. This study reveals a diversified picture of China’s county-level spatial evolution of allocative efficiency in healthcare resources, showing a more balanced spatial distribution of allocative efficiency since the triggering of China’s 2009 reform. However, long-term investment incentives and a targeted allocation of healthcare resources are still needed to promote further efficiency convergence and increase the number of counties with efficiency. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 0046-9580 1945-7243 00469580 |
| Relation: | https://doaj.org/toc/0046-9580; https://doaj.org/toc/1945-7243 |
| DOI: | 10.1177/00469580231178122 |
| URL الوصول: | https://doaj.org/article/91d9cf792cb04180b8bf25854ccd6ddf |
| رقم الأكسشن: | edsdoj.91d9cf792cb04180b8bf25854ccd6ddf |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 00469580 19457243 |
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| DOI: | 10.1177/00469580231178122 |