A Study on the regional differences and optimization paths of public health resource allocation efficiency in China: based on three-stage DEA model and panel Tobit

Corresponding author: ZHU Yi-xi, 37675096@qq.com

DOI: 10.12201/bmr.202301.00006

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  Abstract: With the continuous increase of public health expenditure and demand, how to allocate public health resources fairly and efficiently has become an important issue to be solved under the background of Great Health. This paper uses input-oriented three-stage DEA model to measure the overall and regional allocation efficiency of public health resources in China from 2013-2020, and dynamically examines TFP by constructing Malmquist index which excluding environmental factors and random errors, then tests the external economic factors and population characteristics affecting on the efficiency that by using the random effect panel Tobit model. The results show that the main reason of low overall allocation efficiency in various regions is due to the lower scale efficiency. The TFP shows that technological progress is the main reason that restricts its improvement. The level of economic development is the major factors to promote the optimization of the allocation efficiency, whereas the excessive investment scale is the key factor that hinder the efficiency promotion. Meanwhile, compared with other population characteristics, the proportion of the elderly population has a more significant impact on the efficiency optimization. Finally, this paper puts forward a series of suggestions to optimize the allocation efficiency.

  Key words: Health resources；Allocation efficiency; Three-stage DEA; Panel Tobit; 

  Submit time: 12 January 2023

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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