Efficiency trends of essential public health services and possible influencing factors since the new round health reform in China: a case study from Hainan Province.

ABSTRACT:

Objective

This article aimed to evaluate the efficiency trends and influencing factors of essential public health services in Hainan Province after the healthcare reform launched in 2009 in China.

Methods

The efficiency of essential public health services (EPHS) at primary health institutions was assessed using data envelopment analysis (DEA), and the efficiency change was analyzed by employing the Malmquist productivity index (MPI). We used Tobit regression to identify the influence of environmental factors on the efficiency of public health services. The bootstrap method was adopted to reduce the impact of random errors on the result.

Results

The bootstrapping bias-corrected efficiency revealed that the average values of technical efficiency, pure technical efficien

SUBMITTER: Tian Y 

PROVIDER: S-EPMC10657853 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature