The efficiency of resource allocation in primary healthcare institutions
in Western China
Objective: The healthcare resource allocation efficiency of individual
provinces in Western China was analyzed to provide a reference for
optimizing regional health resource allocation. Methods: A comprehensive
analysis of grassroots healthcare resource allocation efficiency by
province in Western China from 2012 to 2021 was conducted using the data
envelopment analysis (DEA)-Malmquist model combined with rank-sum ratio
analysis. Results: 1) Five DEA regions were robustly effective in 2021.
Four non-DEA effective regions had different degrees of input redundancy
and output deficiency. 2) The mean total factor value productivity of
primary healthcare resources in Western China from 2012 to 2021 was
0.96, showing a decreasing trend. 3) Chongqing and Sichuan were ranked
third, indicating the highest efficiency of health resource allocation.
Conclusion: The overall efficiency of resource allocation of primary
healthcare institutions in Western China is declining. Furthermore,
technological progress is generally low and varies significantly by
region. Therefore, developing multifaceted and innovative efficiency
improvement strategies according to regional characteristics in a
targeted manner is required.