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Evaluation of China's Health Resources Allocation Performance

Received: 6 May 2019     Accepted: 5 June 2019     Published: 24 June 2019
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Abstract

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.

Published in Science Journal of Public Health (Volume 7, Issue 3)
DOI 10.11648/j.sjph.20190703.13
Page(s) 83-90
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Health Resources, Allocation Performance, SBM-Undesirable Model, Health Equity, China

References
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  • APA Style

    Yunying Yan, Xue Lei, Huawei Tan, Ling Yu, Peilin Zhang, et al. (2019). Evaluation of China's Health Resources Allocation Performance. Science Journal of Public Health, 7(3), 83-90. https://doi.org/10.11648/j.sjph.20190703.13

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    ACS Style

    Yunying Yan; Xue Lei; Huawei Tan; Ling Yu; Peilin Zhang, et al. Evaluation of China's Health Resources Allocation Performance. Sci. J. Public Health 2019, 7(3), 83-90. doi: 10.11648/j.sjph.20190703.13

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    AMA Style

    Yunying Yan, Xue Lei, Huawei Tan, Ling Yu, Peilin Zhang, et al. Evaluation of China's Health Resources Allocation Performance. Sci J Public Health. 2019;7(3):83-90. doi: 10.11648/j.sjph.20190703.13

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  • @article{10.11648/j.sjph.20190703.13,
      author = {Yunying Yan and Xue Lei and Huawei Tan and Ling Yu and Peilin Zhang and Fei Chen},
      title = {Evaluation of China's Health Resources Allocation Performance},
      journal = {Science Journal of Public Health},
      volume = {7},
      number = {3},
      pages = {83-90},
      doi = {10.11648/j.sjph.20190703.13},
      url = {https://doi.org/10.11648/j.sjph.20190703.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20190703.13},
      abstract = {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.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Evaluation of China's Health Resources Allocation Performance
    AU  - Yunying Yan
    AU  - Xue Lei
    AU  - Huawei Tan
    AU  - Ling Yu
    AU  - Peilin Zhang
    AU  - Fei Chen
    Y1  - 2019/06/24
    PY  - 2019
    N1  - https://doi.org/10.11648/j.sjph.20190703.13
    DO  - 10.11648/j.sjph.20190703.13
    T2  - Science Journal of Public Health
    JF  - Science Journal of Public Health
    JO  - Science Journal of Public Health
    SP  - 83
    EP  - 90
    PB  - Science Publishing Group
    SN  - 2328-7950
    UR  - https://doi.org/10.11648/j.sjph.20190703.13
    AB  - 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.
    VL  - 7
    IS  - 3
    ER  - 

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Author Information
  • 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

  • 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

  • Research Center for Hospital Cost Management of Chongqing, The Ninth People’s Hospital of Chongqing, Chongqing, China

  • College of Foreign Languages, Chongqing Medical University, Chongqing, China

  • Research Center for Hospital Cost Management of Chongqing, The Ninth People’s Hospital of Chongqing, Chongqing, China

  • 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

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