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Measuring productivity of healthcare services under environmental constraints: evidence from China

Yu, Jinna and Zhang, Tingting and Abouhatab, Assem and Lan, Jing (2020). Measuring productivity of healthcare services under environmental constraints: evidence from China. BMC Health Services Research. 20 , 673
[Research article]

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Abstract

Background
Despite the growing literature on the efficiency and productivity of the Chinese healthcare system, less attention has been given to examining the undesirable outputs linked to healthcare services, including environmental pollution. Taking the atmospheric environmental pollution resulting from the incineration of medical waste as an undesirable output of the healthcare system, this study analyzed the growth and decomposition of Total Factor Productivity (TFP) of healthcare services across 31 Chinese provinces during the period 2005–2016.
Methods
The Meta-frontier undesirable super-efficiency slack-based measure (SBM) model and the Global Malmquist-Luenberger (GML) Index were employed to analyze the growth and decomposition of TFP using the Max DEA software.
Results
The results revealed that the years 2009 and 2015 marked significant changes in TFP of healthcare services in Chinese provinces. During the study period, the rate of technological change (TC) slowly declined, whereas the rate of efficiency change (EC) steadily increased. With the national average being the benchmark, the results indicated that: the TFP of 17 provinces and cities exceeded the average, the EC of 16 provinces and cities exceeded the average, the TC of 9 provinces and cities exceeded the average, and the value in the Technology Gap Ratio (TGR) changes of 13 provinces and cities were above the national average.
Conclusions
(1) The TFP of the healthcare services across China continued to decline slowly during the study period. (2) The effect of technical catch-up in the eastern, central, and western regions of China was significant across the three regions, whereas the effect of technical innovation was negative. (3) The TFP varied considerably among the Chinese provinces. These findings suggest that, under existing environmental constraints, relevant government departments should improve technical innovation in the supply of healthcare services and medical waste treatment, increase technical efficiency in the factor of healthcare production, strengthen regional health planning, and balance the development of regional healthcare.

Authors/Creators:Yu, Jinna and Zhang, Tingting and Abouhatab, Assem and Lan, Jing
Title:Measuring productivity of healthcare services under environmental constraints: evidence from China
Series Name/Journal:BMC Health Services Research
Year of publishing :2020
Volume:20
Article number:673
Number of Pages:14
ISSN:1472-6963
Language:English
Publication Type:Research article
Article category:Scientific peer reviewed
Version:Published version
Copyright:Creative Commons: Attribution 4.0
Full Text Status:Public
Subjects:(A) Swedish standard research categories 2011 > 5 Social Sciences > 502 Economics and Business > Economics
URN:NBN:urn:nbn:se:slu:epsilon-p-111956
Permanent URL:
http://urn.kb.se/resolve?urn=urn:nbn:se:slu:epsilon-p-111956
Additional ID:
Type of IDID
DOI10.1186/s12913-020-05496-9
ID Code:23754
Faculty:NJ - Fakulteten för naturresurser och jordbruksvetenskap
Department:(NL, NJ) > Dept. of Economics
Deposited By: SLUpub Connector
Deposited On:25 May 2021 09:03
Metadata Last Modified:25 May 2021 09:11

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