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Assessing Productivity Development of Public Hospitals: A Case Study of Shanghai, China

As the main provider of medical services for the general public, the productivity changes of public hospitals directly reflect the development of the healthcare system and the implementation effect of medical reform policies. Using the dataset of 126 public hospitals in China from 2013 to 2018, this...

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Autores principales: Du, Juan, Cui, Shuhong, Gao, Hong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7558166/
https://www.ncbi.nlm.nih.gov/pubmed/32948085
http://dx.doi.org/10.3390/ijerph17186763
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author Du, Juan
Cui, Shuhong
Gao, Hong
author_facet Du, Juan
Cui, Shuhong
Gao, Hong
author_sort Du, Juan
collection PubMed
description As the main provider of medical services for the general public, the productivity changes of public hospitals directly reflect the development of the healthcare system and the implementation effect of medical reform policies. Using the dataset of 126 public hospitals in China from 2013 to 2018, this paper improves the existing literature in both index selection and model formulation, and examines public hospitals’ total factor productivity (TFP) growth. Empirical results not only demonstrate the trend of productivity development but also point out the directions in how to improve the current running status. Our study demonstrates that there were no obvious productivity fluctuations in public hospitals during the recent observing years, indicating that the performance of China’s public health system was generally acceptable in coping with fast-growing medical demand. However, the effect of public hospital reform has not been remarkably shown; thus, no significant productivity improvement was observed in most hospitals. Tertiary hospitals witnessed a slight declining trend in TFP, while secondary hospitals showed signs of rising TFP. To effectively enhance the overall performance of public hospitals in China, practical suggestions are proposed from the government and hospital levels to further promote the graded medical treatment system.
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spelling pubmed-75581662020-10-29 Assessing Productivity Development of Public Hospitals: A Case Study of Shanghai, China Du, Juan Cui, Shuhong Gao, Hong Int J Environ Res Public Health Article As the main provider of medical services for the general public, the productivity changes of public hospitals directly reflect the development of the healthcare system and the implementation effect of medical reform policies. Using the dataset of 126 public hospitals in China from 2013 to 2018, this paper improves the existing literature in both index selection and model formulation, and examines public hospitals’ total factor productivity (TFP) growth. Empirical results not only demonstrate the trend of productivity development but also point out the directions in how to improve the current running status. Our study demonstrates that there were no obvious productivity fluctuations in public hospitals during the recent observing years, indicating that the performance of China’s public health system was generally acceptable in coping with fast-growing medical demand. However, the effect of public hospital reform has not been remarkably shown; thus, no significant productivity improvement was observed in most hospitals. Tertiary hospitals witnessed a slight declining trend in TFP, while secondary hospitals showed signs of rising TFP. To effectively enhance the overall performance of public hospitals in China, practical suggestions are proposed from the government and hospital levels to further promote the graded medical treatment system. MDPI 2020-09-16 2020-09 /pmc/articles/PMC7558166/ /pubmed/32948085 http://dx.doi.org/10.3390/ijerph17186763 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Du, Juan
Cui, Shuhong
Gao, Hong
Assessing Productivity Development of Public Hospitals: A Case Study of Shanghai, China
title Assessing Productivity Development of Public Hospitals: A Case Study of Shanghai, China
title_full Assessing Productivity Development of Public Hospitals: A Case Study of Shanghai, China
title_fullStr Assessing Productivity Development of Public Hospitals: A Case Study of Shanghai, China
title_full_unstemmed Assessing Productivity Development of Public Hospitals: A Case Study of Shanghai, China
title_short Assessing Productivity Development of Public Hospitals: A Case Study of Shanghai, China
title_sort assessing productivity development of public hospitals: a case study of shanghai, china
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7558166/
https://www.ncbi.nlm.nih.gov/pubmed/32948085
http://dx.doi.org/10.3390/ijerph17186763
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