Research ArticleOpen AccessGoogle Scholar indexed
Efficiency Evaluation of China’s Medical Service
Antai College of Economics & Management, Shanghai Jiao Tong University, China
Public health College, Shanghai Jiao Tong University, China
Shanghai Municipal Center for Disease Control & Prevention
Shanghai Municipal Center for Disease Control & Prevention
- 1 Antai College of Economics & Management, Shanghai Jiao Tong University, China
- 2 Public health College, Shanghai Jiao Tong University, China
- 3 Shanghai Municipal Center for Disease Control & Prevention
- 4 Shanghai Municipal Center for Disease Control & Prevention
Copy link · social · email
Abstract
How t o improve healthcare system’ efficiency has been highly concerned by Chinese government. The objectives of this paper are to establish production function of medical service and analyze returns to scale; to measure technical efficiency; and to highlight possible policy implications of the results for policy makers. Stochastic Frontier Approach (SFA) is employed in this paper based on data from 2010 China Health Statistical Yearbook. These findings suggest that increasing investment on human resource is a key factor for raising CHS’ efficiency. Operation model and institution will contribute to technology efficiency of CHS.
KeywordsMedicalServiceEfficiency
- K. Ersoy, S. Kavuncubasi, Y. A. Ozcan, et al., “Technical Efficiencies of Turkish Hospital: DEA Approach,” Journal of Medical System, Vol. 21, No. 2, 1997, pp. 67-74. doi:10.1023/A:1022801222540
- V. Vivian, K. Lilani and L. Jongkol, “Capacity in Thai Public Hospitals and the Production of Care for Poor and Nonpoor Patients,” Health Services Research, Vol. 39, No. 6, 2004, pp. 2117-2134.
- M. Linna and U. Hakkinen, “Comparing Hospital Cost Efficiency between Norway and Finland,” Health Policy, 2005, pp.1-11.
- T. J. Coelli, D. S. P. Rao, C. J. O'Donnell and G. E. Battese, “An Introduction to Efficiency and Productivity Analysis,” Second Edition, New York: Springer Science Business Media, Inc, 2005.
- C. L. Brye，J. B. Engherg and D. R. Wholey, “Comparing the Agreement Among Alternative Models in Evaluating HMO Efficiency,” Health Services Research, Vol. 35, No. 2, 2000, pp. 509-524.
- P. S. Hussey, Han de Vries, J. Romley, M. C. Wang, S. S. Chen, P. Shekelle and E. A. McGlynn, “A Systematic Review of Health Care Efficiency Measures,” Health Services Research, Vol. 44, No. 3, 2009, pp. 784-805. doi:10.1111/j.1475-6773.2008.00942.x
- H. Leleu, J. Moises and V. Valdmanis, “Optimal Productive Size of Hospital’s Intensive Care Units,”International Journal Production Economics, Vol. 136, No. 2, 2012, pp. 297-305.doi:10.1016/j.ijpe.2011.12.006
- T. Coelli, P. Rao and G. Battese, “An Introduction to Efficiency and Productivity Analysis,” Kluwer Academic Publishers, London, 1998. doi:10.1007/978-1-4615-5493-6
- S. Kumbhakar and C. A. K. Lovell, “Stochastic Frontier Analysis,” Cambridge University Press, New York, 2000. doi:10.1017/CBO9781139174411
- S. Grosskopf, S. Self and O. Zaim, “Estimating the Efficiency of the System of Healthcare Financing in Achieving Better Health,” Applied Economics, Vol.38, No.13, 2006, pp.1477-1488. doi:10.1080/00036840500424798
- R. Jacobs, P. Smith and A. Street, “Measuring Efficiency in health Care: Analytic Techniques and Health Policy,” Cambridge University Press, Cambridge, 2006. doi:10.1017/CBO9780511617492
- J. Spinks and B. Hollingsworth, “Cross-country Comparisons of Technical Efficiency of Health Production: A Demonstration of Pitfalls,” Applied Economics, Vol. 41, No. 4, 2009, pp.417-427. doi:10.1080/00036840701604354
- M. J. Farrell, “The Measurement of Productive Efficiency,” Journal of the Royal Statistical Society, Vol. 120, No. 2, 1957, pp. 253-290. doi:10.2307/2343100