Science Journal of Public Health
Volume 7, Issue 3, May 2019, Pages: 83-90
Received: May 6, 2019;
Accepted: Jun. 5, 2019;
Published: Jun. 24, 2019
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Yunying Yan, School of Public Health and Management, Research Center for Medicine and Social Development, Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing, China
Xue Lei, School of Public Health and Management, Research Center for Medicine and Social Development, Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing, China
Huawei Tan, Research Center for Hospital Cost Management of Chongqing, The Ninth People’s Hospital of Chongqing, Chongqing, China
Ling Yu, College of Foreign Languages, Chongqing Medical University, Chongqing, China
Peilin Zhang, Research Center for Hospital Cost Management of Chongqing, The Ninth People’s Hospital of Chongqing, Chongqing, China
Fei Chen, School of Public Health and Management, Research Center for Medicine and Social Development, Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing, China
Background As one of the limited public resources, health resources is the material basis for maintaining health, and its allocation has a direct impact on the demand and utilization of health services, thus affecting the health status of the population. How to improve the performance of health resources allocation, to obtain the best social and economic benefits within the least input has become the hot spot of social concern in China. Therefore, the study aimed to evaluate the performance of China's health resources allocation from 2004 to 2015 under the constraint of medical expenses. Methods An input-output performance evaluation index system was constructed under the background of constraint of medical expenses China. This study used the SBM-undesirable model to measure the performance of health resources allocation in 31 provinces of China from 2004 to 2015. Results The performance of health resources allocation measured by the SBM-undesirable model at the national and regional levels was significantly lower than that of the traditional CCR model. The undesirable output redundancy rate and desirable output shortage rate at the national and regional levels were far greater than the health resource input redundancy rate. The reasons for the loss of performance of allocation of health resources in different provinces were different. Conclusions Traditional DEA model overestimated the performance of China's health resource allocation and was less sensitive to its changing characteristics. Undesirable output redundancy and desirable output shortage were the main reasons for the performance loss.
Evaluation of China's Health Resources Allocation Performance, Science Journal of Public Health.
Vol. 7, No. 3,
2019, pp. 83-90.
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