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Health resource allocation within the close-knit medical consortium after the Luohu healthcare reform in China: efficiency, productivity, and influencing factors.
Gong, Fangfang; Zhou, Ying; Luo, Junxia; Hu, Guangyu; Lin, Hanqun.
Afiliación
  • Gong F; Department of Hospital Group Office, Shenzhen Luohu Hospital Group Luohu People's Hospital, (The Third Affiliated Hospital of Shenzhen University), Shenzhen, China.
  • Zhou Y; Department of Hospital Group Office, Shenzhen Luohu Hospital Group Luohu People's Hospital, (The Third Affiliated Hospital of Shenzhen University), Shenzhen, China.
  • Luo J; Department of Hospital Group Office, Shenzhen Luohu Hospital Group Luohu People's Hospital, (The Third Affiliated Hospital of Shenzhen University), Shenzhen, China.
  • Hu G; Institute of Medical Information, Center for Health Policy and Management, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
  • Lin H; Department of Hospital Group Office, Shenzhen Luohu Hospital Group Luohu People's Hospital, (The Third Affiliated Hospital of Shenzhen University), Shenzhen, China.
Front Public Health ; 12: 1395633, 2024.
Article en En | MEDLINE | ID: mdl-39267642
ABSTRACT

Objective:

This study aims to assess the efficiency and productivity of the Luohu Hospital Group after the reform and to identify factors influencing the efficiency to support the future development of medical consortia.

Methods:

Data on health resources from Shenzhen and the Luohu Hospital Group for the years 2015 to 2021 were analyzed using the super-efficiency slack-based measure data envelopment analysis (SE-SBM-DEA) model, Malmquist productivity index (MPI), and Tobit regression to evaluate changes in efficiency and productivity and to identify determinants of efficiency post-reform.

Results:

After the reform, the efficiency of health resource allocation within the Luohu Hospital Group improved by 33.87%. Community health centers (CHCs) within the group had an average efficiency score of 1.046. Moreover, the Luohu Hospital Group's average total factor productivity change (TFPCH) increased by 2.5%, primarily due to gains in technical efficiency change (EFFCH), which offset declines in technical progress change (TECHCH). The efficiency scores of CHCs were notably affected by the ratio of general practitioners (GPs) to health technicians and the availability of home hospital beds.

Conclusion:

The reform in the Luohu healthcare system has shown preliminary success, but continuous monitoring is necessary. Future strategies should focus on strengthening technological innovation, training GPs, and implementing the home hospital bed policy. These efforts will optimize the efficiency of health resource allocation and support the integration and development of resources within the medical consortium.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Reforma de la Atención de Salud / Eficiencia Organizacional / Asignación de Recursos Límite: Humans País/Región como asunto: Asia Idioma: En Revista: Front Public Health Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Reforma de la Atención de Salud / Eficiencia Organizacional / Asignación de Recursos Límite: Humans País/Región como asunto: Asia Idioma: En Revista: Front Public Health Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Suiza