Research on Urban Medical and Health Services Efficiency and Its Spatial Correlation in China: Based on Panel Data of 13 Cities in Jiangsu Province

Tao

et al. 2022

Front. Public Health

BackgroundThe hierarchical medical system (HMS) refers to the classification of treatment according to disease priorities based on severity and difficulty to promote the fairness of medical services for residents, which is regarded as the key to the success of medical reform in China.MethodsIn the past decade of “New Medical Reform,” the efficiency of HMS, including secondary and tertiary hospitals and primary healthcare centers (PHCs), was measured horizontally and vertically by employing the combination of an output-oriented superefficiency slack-based model-data envelopment analysis (SE-SBM-DEA) model with the Malmquist total factor productivity index (MTFP). In the second stage, the overall technical efficiency (OTE) scores were regressed against a set of environmental characteristics and several managerial factors through bootstrapping truncated regression.ResultsOn average, the OTE score in tertiary hospitals was 0.93, which was higher than that in secondary hospitals and PHCs (0.9 and 0.92, respectively). In terms of trend, the OTE of tertiary hospitals declined at first and then increased. The opposite was true of secondary hospitals, in which the APC of the OTE was 10.82 and −3.11% in early and late 2012, respectively. The PHCs generally showed a fluctuating downward trend. In the aspects of productivity, all institutions showed a downturn by an annual average rate of 2.73, 0.51, and 2.70%, respectively. There was a significant negative relationship between the ratio of outpatients to inpatients and tertiary hospitals. Additionally, the medical technical personnel per 1,000 population negatively affected PHCs. In contrast, the GDP per capita had a significantly positive effect on tertiary hospitals, and the number of beds per 1,000 population positively influenced PHCs.ConclusionThe efficiency of medical institutions at various levels in HMS was unbalanced and took the form of an “inverted pyramid.” Multilateral factors influence the efficiency of HMS, and to address it, multi-intervention packages focusing on sinking high-quality medical resources and improving healthcare capacity, and guiding hierarchical medical practice should be adopted.

Section: Methodsmentioning

confidence: 99%

Levels, trends, and determinants of effectiveness on the hierarchical medical system in China: Data envelopment analysis and bootstrapping truncated regression analysis

Tao

et al. 2022

Front. Public Health

“…Management issues concerning individuals and organizations are integral to the research field of public health. By effectively utilizing health informatics techniques, valuable information can be extracted to provide deeper insights that support informed decision making [ 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 ].…”

Section: The Organization Of This Special Issuementioning

confidence: 99%

Health Informatics: The Foundations of Public Health

Lee

2023

Healthcare

Journal of Healthcare Engineering

“…As a global concept, Great Health focuses on people's food, clothing, housing, life, and death and pursues full-course, comprehensive, and all-factor health care, thus realizing individual physical and mental health. Pension is not only an industrial problem but also a social problem and a responsibility problem [17]. In China, there is still much room for progress and improvement in the industrial structure, operational capability, and industrial transformation of the big health care industry in its initial stage [18].…”

Section: Introductionmentioning

confidence: 99%

Analysis of Coupling Coordination Degree between Big Health Industry and Pension Service

Luo

2022

With the aging of the population, the problem of providing for the aged has been paid more and more attention. The big health industry and old-age care services will complement and promote each other in terms of industrial factors, industrial layout, and policy linkage and form a coupling effect in this process. Hospital services and pension services are professional property service formats, and they are also the exploration achievements of the property management industry in implementing the supply-side structural reform, transformation, upgrading, and development and are indispensable forces for the property management industry to participate in building a better life. The health and happiness of the elderly is an important symbol of social civilization and progress, and it is also an important content of implementing the Healthy China Action. The pension industry serving the healthy life of the aged population will form a huge demand for the big health industry, and its development will drive the big health industry. Based on the background of the big health system, this paper analyzes the current situation and crux of the development of aged care services in China and puts forward ways to improve the quality of aged care services by optimizing the effective supply of aged care services, improving the environment of aged care services, and strengthening the precise supervision of aged care services.