Analysis on the individual and allocation efficiencies of health resources in China: 2008–2021
摘要
The contradictions between the insufficient supply of health services and the growing healthcare demand in China is still prominent. It is necessary to study the changes of China’s main health resource individual and allocation efficiencies in recent years for improving the health services in China.
MethodsData were collected from the National Data published on the website of the National Bureau of Statistics of the People’s Republic of China and the Statistical Bulletin on the Development of Healthcare in China. The “Proportion Weight Method (PWM)” was used to establish some simple models of health resource efficiency under the multi-input and multi-output conditions for analyzing the health resource efficiencies. PWM is an objective valuation method to determine the weight of the indicators based on their own values. It means that the weight of one indicator is equal to the proportion of this indicator’s value in all related indicators’ values. If one indicator has larger proportion in all, it shows that this indicator plays a more important and effective role than others in representing or distinguishing its unit among all decision making units (DMUs).
ResultsIt was found that the efficiency of health institution of China showed an increasing trend from 0.77 in 2008 to 0.91 in 2021, with the largest value of 1.0 in 2019 and an average of 0.89, while the efficiencies of health personnel, health expenditure and health institution beds all showed downward trends from 1.0 in 2008 to 0.71, 0.26, 0.58 in 2021 respectively, with averages of 0.89, 0.54 and 0.79. The health resource allocation efficiency showed a slight downward trend from 0.99 in 2008 to 0.92 in 2021, with the average of 0.95.
ConclusionThe health resource allocation efficiency in China is overall at a high level with a downward trend, which is mainly due to the rapid declines of health expenditure efficiency and health institution bed efficiency. The models of health resource individual and allocation efficiencies established in this study are simple and practical, which are convenient to adopt targeted measures to upgrade the efficiency of resource allocation.