The effect of private hospitals development on the operational efficiency of public hospitals in Chi-na:An empirical analysis based on the Malmquist-Tobit method / 中国卫生政策研究

ABSTRACT

Objective: To analyze the effect of private hospitals development on the operational efficiency of public hospitals. Methods: The effect was performed using the Malmquist-Tobit Method. Results: The results found that from 2010 to 2015, the average factor of Total Productivity Index ( TPI) of the Chinese public hospitals was 1. 036 and the contribution rates of technological progress and technical efficiency were 66. 7% and 33. 3% , respec-tively. The coefficients of correlation between total productivity index, technological progress and technical efficiency were 0. 328, 0. 742. The structure optimization of private hospitals exerted a very significant inhibitory effect on the operating efficiency of public hospitals. The core resources of private hospitals were significantly promoted, and the number of public hospitals and scale of industries were not significant as per results revealed. Conclusion: The opera-tional efficiency of the public hospitals in China was in the overall improvement stage, but there was a threat of irreg-ular negative growth associated with regional and inter-provincial differentiation. The operational efficiency was driven by the technical progress and efficiency double paths. The effect of private hospitals on operational efficiency of pub-lic hospitals was characterized by heterogeneity, asymmetry and threshold characteristics under the framework of structural competition between private and public hospitals.