The Impact of Autonomy Reform on the Efficiency of Public Hospitals in China: A DEA-ITSA Combination Analysis
The reform has positively impacted public hospitals' total factor productivity(TFP). The TFP of the general hospitals was increasing before the policy intervention of autonomy hospitals, but the time of its implementation was associated with a more significant rise. Meanwhile, the TFP of specialty hospitals decreased before the intervention; however, its trend shifted to growth after the intervention. This research further emphasizes the applicability of the DEA-ITSA combination method as an effective tool for health policies evaluation using public data within China's healthcare framework.
Authors
- Jibin Li (ORCID: https://orcid.org/0000-0001-7632-3648)
- Oudong Xia (ORCID: https://orcid.org/0000-0001-5091-7384)
- Ni Xing
- Kaiyuan Luo
- Gang Sun (ORCID: https://orcid.org/0000-0002-9642-2886)
- Na An (ORCID: https://orcid.org/0000-0002-0951-3246)
- Quan Zou
Institutions
- Sun Yat-sen University (CN)
- Shantou University (CN)
- Third Affiliated Hospital of Guangzhou Medical University (CN)
- Shantou University Medical College (CN)
- Zhujiang Hospital (CN)
- Sun Yat-sen University Cancer Center (CN)
- Shenzhen Nanshan Center for Chronic Disease Control (CN)
- Southern Medical University (CN)
- Renmin University of China (CN)
- Guangzhou Medical University (CN)
Publication Details
- Journal
- Risk Management and Healthcare Policy
- Published
- 2025-04-01
- DOI
- https://doi.org/10.2147/rmhp.s514512
- Primary Topic
- Healthcare Systems and Reforms
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Ministry of Education of the People's Republic of China
- Southern Medical University