Evaluation of China's Health Resources Allocation Performance

Yunying Yan; Xue Lei; Huawei Tan; Ling Yu; Peilin Zhang; Fei Chen

doi:doi:10.11648/j.sjph.20190703.13

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Evaluation of China's Health Resources Allocation Performance

Yunying Yan, Xue Lei, Huawei Tan, Ling Yu, Peilin Zhang, Fei Chen

Published in Science Journal of Public Health (Volume 7, Issue 3)

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

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

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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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