How Efficient are Basic Public Health Services Between Urban and Rural in Shandong Province, China? A Data Envelopment Analysis and Panel Tobit Regression Approach

Improving basic public health services efficiency becomes priority to guarantee its sustainability for Chinese government. This study aimed to explore basic public health services efficiency and its influencing factors between urban and rural in Shandong Province, China, providing policy implication...

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Bibliographic Details
Published in:Risk management and healthcare policy 2022-04, Vol.15, p.727-738
Main Authors: Cao, Fankun, Xi, Yan, Zheng, Chao, Bai, Tongyu, Sun, Qiang
Format: Article
Language:English
Subjects:
Analysis
basic public health services efficiency
data envelopment analysis
Expenditures, Public
Health care industry
Health care reform
Medical care, Cost of
Original Research
panel tobit regression
Political activity
Political aspects
Public health personnel
rural
Sustainable development
urban
Urban health
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Summary:Improving basic public health services efficiency becomes priority to guarantee its sustainability for Chinese government. This study aimed to explore basic public health services efficiency and its influencing factors between urban and rural in Shandong Province, China, providing policy implications to improve efficiency. This research assessed basic public health services efficiency of 54 districts (representing urban) and 83 counties (representing rural) in Shandong, China, from 2014 to 2019. The data were obtained from Medical Management Service Center of Shandong Health Commission and Statistical Yearbooks. Input variables were subsidy funds, public health staffs and material expenditures. Output variables were assessment indicators covered all service contents from national standard. The data envelopment analysis and panel tobit regression were used to measure efficiency scores and efficiency influencing factors. Basic public health services efficiency scores of urban were higher than those of rural during 2014 to 2019. Scale efficiency change and technological change promoted basic public health services total factor productivity change of urban and rural respectively. Panel tobit regression indicated that proportion of health expenditures in general public budget expenditures (P
ISSN:1179-1594
1179-1594
DOI:10.2147/RMHP.S354758