Efficiency analysis of primary health care resources: DEA and Tobit regression evidence from village clinics in Jiangsu Province

Frontiers in Public Health, Journal Year: 2025, Volume and Issue: 13

Published: April 23, 2025

Background Village clinics are essential for delivering primary health care in rural China, yet their resource allocation efficiency remains a concern. Many face challenges such as low technical efficiency, imbalanced distribution, and insufficient technological progress, which may hinder the delivery of quality healthcare services. Methods This study evaluates village across 13 cities Jiangsu Province, using Data Envelopment Analysis. The Malmquist Productivity Index was applied to assess changes over time, Tobit regression employed identify influencing factors. Results overall clinic Province is suboptimal. In 2022, average 0.869, with seven classified inefficient. Among them, three exhibited decreasing returns scale, while four demonstrated increasing scale. Reducing number technicians medical revenue could improve efficiency. From 2015 0.96, significant decline 11.6% 2021–2022, primarily due 6.8% decrease change. Random-effects revealed that population density positively correlates (coefficient = 0.0014, p < 0.05), whereas per capita disposable income, fiscal expenditure, urbanization rate showed no statistically effects. Conclusion insufficient, change being key driver fluctuations. Population plays role variation. To enhance optimizing strategies promoting advancements strengthening care.

Language: Английский

Understanding the Difference Between Spatial Accessibility and Perceived Accessibility of Public Service Facilities in Coastal Towns and Villages

Sustainability, Journal Year: 2024, Volume and Issue: 16(24), P. 10908 - 10908

Published: Dec. 12, 2024

The discrepancy between the physical accessibility and perceived of public service facilities in coastal towns villages Fujian, China, was investigated this study. Through a spatial distribution analysis education medical Liushui Town Xingchen Town, equity coverage levels various were evaluated based on residents’ travel costs perceptions. results show pronounced heterogeneity across different regions. Our findings suggest that, while certain areas boast lot access to facilities, is significantly influenced by factors such as terrain, transportation conditions, types available tools. study provide scientific basis for optimizing allocation rural aiming bridge foundational gap urban promote equitable development living environments.

Language: Английский