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The efficiency of resource allocation in primary healthcare institutions in Western China
  • Hui Liu,
  • Ayun Zhang,
  • Liyuan Kou
Hui Liu
Gansu University of Traditional Chinese Medicine

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Ayun Zhang
Gansu University of Traditional Chinese Medicine
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Liyuan Kou
Gansu University of Traditional Chinese Medicine
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Abstract

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.