Study on efficiency differences of urban and rural primary health care institutions and its influence factors

CHENG Di, PAN Xi-long, NONG Sheng

Soft Science of Health ›› 2020, Vol. 34 ›› Issue (12) : 6-11.

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Soft Science of Health ›› 2020, Vol. 34 ›› Issue (12) : 6-11. DOI: 10.3969/j.issn.1003-2800.2020.12.002

Study on efficiency differences of urban and rural primary health care institutions and its influence factors

  • CHENG Di1, PAN Xi-long1, NONG Sheng2
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Abstract

Objective To know the changes of difference in service efficiency among urban and rural primary health care institutions in China from 2008 to 2017,and explore the factors of influencing efficiency difference. Methods The bootstrap-DEA method was used to analyze average annual efficiency of township health centers and community health service centers,calculate the efficiency and Theil index of each influence factor,rank influence factor according to significance through gray correlation analysis. Results The technical efficiency range of township health centers was from 0.696 to 0.757,Theil index average value was 0.023. The first influence factor was the number of practicing(assistant)doctors in township health centers per 1000 rural population. The technical efficiency range of community health centers was from 0.398 to 0.499,Theil index average value was 0.060. The first influence factor was per capita disposable income. Conclusions Compared to community health centers,the overall efficiency of township health centers was higher while the regional difference is smaller. The balanced allocation of resources and technology is conducive to efficiency improvement of primary health care institutions.

Key words

primary healthcare institutions / service efficiency / data envelopment analysis / Theil index / grey correlation analysis

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CHENG Di, PAN Xi-long, NONG Sheng. Study on efficiency differences of urban and rural primary health care institutions and its influence factors[J]. Soft Science of Health, 2020, 34(12): 6-11 https://doi.org/10.3969/j.issn.1003-2800.2020.12.002

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