The efficiency of provincial government health care expenditure after China’s new health care reform

Xuesong Guo, Jun Zhang, Zhiwei Xu, Xin Cong and Zhenli Zhu

PLOS ONE, 2021, vol. 16, issue 10, 1-16

Abstract: Objective: We aim to estimate the total factor productivity and analyze factors related to the Chinese government’s health care expenditure in each of its provinces after its implementation of new health care reform in the period after 2009. Materials and methods: We use the Malmquist DEA model to measure efficiency and apply the Tobit regression to explore factors that influence the efficiency of government health care expenditure. Data are taken from the China statistics yearbook (2004–2020). Results: We find that the average TFP of China’s 31 provincial health care expenditure was lower than 1 in the period 2009–2019. We note that the average TFP was much higher after new health care reform was implemented, and note this in the eastern, central and western regions. But per capita GDP, population density and new health care reform implementation are found to have a statistically significant impact on the technical efficiency of the provincial government’s health care expenditure (P

Date: 2021
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0258274

DOI: 10.1371/journal.pone.0258274

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