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Efficiency and productivity of county‐level traditional Chinese medicine hospitals in Hubei Province, China: A retrospective study based on 17 years of panel data

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  • Jingkai Yue
  • Ying Zhou
  • Jie Ning
  • Gang Yin
  • Yaping Wu
  • Junyi Li
  • Hongbing Tao

Abstract

Background The county‐level traditional Chinese medicine hospitals have significantly expanded in recent decades. This study aims to assess the changes in the efficiency and productivity of the county‐level traditional Chinese medicine hospitals and explore the possible causes of such changes. Methods Sixty one hospitals spanning from 2001 to 2017 were selected as samples in this study. And a slacks‐based measure of super‐efficiency in Data Envelopment Analysis and Malmquist index were used to respectively measure the changes in the efficiency and productivity. Results The scale of sample hospitals in Hubei continuously expanded from 2001 to 2017. The mean values of technical efficiency, pure technical efficiency and scale efficiency in 2017 were 0.686, 0.74 and 0.933, respectively. The technical efficiency changes in 2017 was 1.97 times that of 2001, and the technological changes in 2017 was 1.45 times that of 2001. Conclusions The medical environment and resources have been greatly improved due to the expansion of the sample hospitals, but the technical efficiency value indicates that the operation efficiency of sample hospitals still needs to be significantly improved. Decision‐makers are advised to attach importance to the efficiency of operation management and consider the impact of multiple factors on the change in productivity.

Suggested Citation

  • Jingkai Yue & Ying Zhou & Jie Ning & Gang Yin & Yaping Wu & Junyi Li & Hongbing Tao, 2021. "Efficiency and productivity of county‐level traditional Chinese medicine hospitals in Hubei Province, China: A retrospective study based on 17 years of panel data," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(4), pages 1308-1325, July.
    • Handle: RePEc:bla:ijhplm:v:36:y:2021:i:4:p:1308-1325
    DOI: 10.1002/hpm.3171
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    1. Hu, Hsin-Hui & Qi, Qinghui & Yang, Chih-Hai, 2012. "Analysis of hospital technical efficiency in China: Effect of health insurance reform," China Economic Review, Elsevier, vol. 23(4), pages 865-877.
    2. R. D. Banker & A. Charnes & W. W. Cooper, 1984. "Some Models for Estimating Technical and Scale Inefficiencies in Data Envelopment Analysis," Management Science, INFORMS, vol. 30(9), pages 1078-1092, September.
    3. Charnes, A. & Cooper, W. W. & Rhodes, E., 1978. "Measuring the efficiency of decision making units," European Journal of Operational Research, Elsevier, vol. 2(6), pages 429-444, November.
    4. Ng, Ying Chu, 2011. "The productive efficiency of Chinese hospitals," China Economic Review, Elsevier, vol. 22(3), pages 428-439, September.
    5. Tone, Kaoru, 2001. "A slacks-based measure of efficiency in data envelopment analysis," European Journal of Operational Research, Elsevier, vol. 130(3), pages 498-509, May.
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