Abstract

This study investigates the spatiotemporal evolution of the efficiency of medical public–private partnerships (PPPs) and the decoupling of environmental pollution to promote public health, balanced development, and environmentalism. Based on the 2011–2020 data of medical PPPs in China, the results of a three-stage data envelopment analysis (DEA) and decoupling model show that, firstly, the spatiotemporal evolution of PPP efficiency of China in healthcare has forward periodic twists and turns, and alternating peaks and valleys, which fall into two stages: extensive development, and transformation and upgrading. Secondly, this development is either a type of stable, steady or a surge increase. Thirdly, PPP efficiency and environmental pollution show a weak decoupling state. That is, Northeast China (NEC) and Southwest China (SWC) are in a state of increasing connection, whereas Northwest China (NWC) is in an expanding negative decoupling state. The remaining regions are in a weak decoupling state. This study recommends the mode of ecology-oriented development (EOD) to promote a high-quality, integrated development of PPPs in medicine and healthcare that are especially conducive to a “green economy.” There should be a more coordinated development across regions in China as well.

Highlights

  • In China, the “14th 5-Year Plan” was drawn to especially achieve the second centenary goal of China

  • According to the results of the analysis shown in the previous section of this study, it can be seen that some medical private partnership (PPP) projects are in a state of inefficiency; it is necessary to further improve the efficiency and benefits of medical PPP projects

  • The data envelopment analysis (DEA) efficiency measurement results in the first stage show that the efficiency of most medical PPP projects in scope is low and overall shows a decreasing trend, and that there are regional disharmony and imbalance in the geographical and temporal distribution of efficiency

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Summary

Introduction

In China, the “14th 5-Year Plan” was drawn to especially achieve the second centenary goal of China It establishes the specific ideas, goals, tasks, requirements, and measures for the long-term economic and social development of country. Socioeconomic development planning is inseparable from infrastructure and public services, and this view is reaffirmed in the plan In this regard, the public–private partnership (PPP) model is identified for its use in an innovative means to enable government and social capital cooperation in infrastructure and public services. The public–private partnership (PPP) model is identified for its use in an innovative means to enable government and social capital cooperation in infrastructure and public services It helps accelerate construction and improves both quality and efficiency. Medical PPP entails the establishment of non-profit hospitals

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