Original Article

Analysis of the Efficiency of China’s Medical Service Resources under the Background of Hierarchical Medical Policy

Abstract

Background: Hierarchical medical system (HMS) is a good policy to promote the fairness of medical services for residents. Given the importance of HMS, it is necessary to know the implementation effect of the policy. Therefore, we aimed to analyze the efficiency of medical service resources in China under the background of hierarchical medical policy.

Methods: Based on the panel data of China's medical resources in 2015-2019, we used DEA model to calculate the technical efficiency (TE), pure technical efficiency (PTE) and scale efficiency (SE) of medical resources from both lateral and longitudinal aspects. We used Malmquist index to evaluate the change trend of efficiency, and further we compared the efficiency differences of regions and medical institutions.

Results: In lateral evaluation results, TE was relatively stable, while total factor productivity (TFP) was on the rise. In longitudinal evaluation results, TE and TFP showed a downward trend.

Conclusion: The government should consider the differences in development between regions and make health plans by regions. Medical institutions should strive to break down the constraints and make use of their advantages, which is conducive to improving efficiency.

1. Chen, R, Zhao, YL, Du, J, et al (2014). Health workforce equity in urban com-munity health service of China. PloS ONE, 9(12): e115988-e115988.
2. Li N, Zhang RT, Xing YP, (2019). A Novel Multi-attribute Decision-Making Method and Its Application in Solving the Downward Referral Problem in the Hier-archical Medical Treatment System in China. IEEE Access, 7:185205 – 185227.
3. Li HM, Chen YC, Gao HX, et al (2018). Ef-fectiveness evaluation of quota payment for specific diseases under global budget: A typical provider payment system re-form in rural China. BMC Health Serv Res, 18(1): 635.
4. Xiao XP, Huang YM, Li BE, et al (2019). Residents’ Awareness of Family Doctor Contract Services, Status of Contract with a Family Doctor, and Contract Service Needs in Zhejiang Province, China: A Cross-Sectional Study. Int J Environ Res Public Health, 16(18): 3312
5. Cai Y, Wen C, Tang L, et al (2018). Explora-tion and Consideration of the Medical Alliance Modes. Iran J Public Health, 47(08):1160-1165.
6. World Health Organization. Improving health system e¬ciency as a means of moving towards universal coverage. 2010. https://www.who.int/healthsystems/topics/financing/healthreport/28UCefficiency.pdf. [Accessed 30 September 2018].
7. Shwartz, M, Burgess, JF, Zhu J (2016). A DEA based composite measure of quality and its associated data uncertainty interval for health care provider profiling and pay-for-performance. European Journal of Operational Research, 253(02):489-502.
8. Yang YC, Xu X, Xiang N, et al (2019). Study on efficiency of tertiary traditional Chinese medicine public hospitals in China based on data envelopment analy-sis (DEA)-Malmquist index. Chinese Health Resources, 22(06):435-439.
9. Zhao L, Yang LC (2020). Operational Effi-ciency of Community Health Service Centers in Tianjin before and after the Implementation of Hierarchical Diagno-sis and Treatment. Chinese General Practice, 23(01):30-34.
10. Gao CS, Lei Z (2019). Effect and Trend of Hierarchical Medical Policy in High-Quality Development Stage. Academic Jour-nal of Zhongzhou, (11):65-72.
11. Yao JW, Peng LX, Ding GW, et al (2016). Hierarchical Diagnosis and Treatment Pi-lot Model and Effects Evaluation of Huining County of Gansu Province. Chi-nese General Practice, 19(22):2632-2635.
12. Bates LJ, Mukherjee K, Santerre RE (2006). Market Structure and Technical Efficiency in the Hospital Services Industry: A DEA Approach. Med Care Res Rev, 63(04):499-524.
13. Liu S, Zhang H, Zhang Q, et al (2020). Study on the Level and Equity of Health Human Resources Allocation in Guang-dong Province. Medicine and Society, 33(07):9-13.
Files
IssueVol 50 No 8 (2021) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/ijph.v50i8.6807
Keywords
Hierarchical medical system Medical service resources Efficiency

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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Wang S, Tao Q. Analysis of the Efficiency of China’s Medical Service Resources under the Background of Hierarchical Medical Policy. Iran J Public Health. 2021;50(8):1613-1623.