Health Insurance Reform and Efficiency of Township Hospitals in Rural China: An Analysis from Survey Data

Abstract

La série des Etudes et Documents du CERDI est consultable sur le site : Les commentaires et analyses développés n'engagent que leurs auteurs qui restent seuls responsables des erreurs et insuffisances. Abstract In the rural health-care organization of China, township hospitals ensure the delivery of basic medical services. Particularly damaged by the economic reforms implemented from 1975 to the end of the 1990s, township hospitals efficiency is questioned, mainly with the implementation since 2003 of the reform of health insurance in rural areas. From a database of 24 randomly selected township hospitals observed over the period 2000-2008 in Weifang prefecture (Shandong), the study examines the efficiency of township hospitals through a two-stage approach. As curative and preventive medical services delivered at township hospital level use different production processes, two data envelopment analysis models are estimated with different orientation chosen to compute scores. Results show that technical efficiency declines over time. Factors explaining the technical efficiency are mainly environmental characteristics rather than internal factors, but our results suggest also that in the context of China, the efficiency of township hospitals is influenced by unobservable factors.

7 Figures and Tables

Cite this paper

@inproceedings{AUDIBERT2012HealthIR, title={Health Insurance Reform and Efficiency of Township Hospitals in Rural China: An Analysis from Survey Data}, author={Martine AUDIBERT and Jacky MATHONNAT and Aurore PELISSIER and Anning MA and Martine Audibert and Jacky Mathonnat and Aurore P{\'e}lissier and Xiaoxian Huang and Anning Ma and Catherine Araujo Bonjean}, year={2012} }