Abstract

Objectives: To study the changes of TFP in TCM hospitals in Hubei Province from 2013 to 2019, so as to provide policy basis for improving service efficiency and promoting the development of TCM. Methods: The statistical reports of 90 public TCM hospitals in Hubei Province from 2013 to 2019 were collected using the Hubei Provincial Comprehensive Statistical Information System for TCM, and the TFP of TCM hospitals were dynamically analysed using the DEA-Malmquist index method. Results: From 2013 to 2019, the Total Factor Productivity Change (TFPCH) index of TCM Hospitals in Hubei Province increased by 0.8%; the Efficiency Change (EFFCH) index increased by 0.5%; the Technical Change (TECH) index increased by 0.3%; the Pure Efficiency Change (PECH) index increased by 0.2% and the Scale Efficiency Change (SECH) index increased by 0.4%. The mean values of the TFPCH index in the eastern, central, and western regions of Hubei Province were 1.001, 1.011, and 1.013, respectively, and the mean values of that in the secondary and tertiary hospitals were 1.004 and 1.024, respectively. Conclusions: The TFP of TCM hospitals in Hubei Province tends to improve on the whole. There are differences in the TFPCH index of TCM hospitals in different regions and levels. The stage development characteristics of core cities play a leading role and are worth learning.

Highlights

  • Hubei Province has a unique advantage in the development of TCM due to its abundant TCM resources and time-honored TCM culture

  • Public TCM hospitals are an important part of TCM service system, and their service capabilities and service efficiency can affect the future development of TCM

  • On the basis of the theory by Fare[3] et al in 1992—DEA theory[4] and combined with Malmquist TFP index established by Caves[5] et al, a DEA-Malmquist index model was constructed to explore the changes of TFP index of Decision Making Units (DMU) with multi-input and multi-output during continuous periods

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Summary

Introduction

Hubei Province has a unique advantage in the development of TCM due to its abundant TCM resources and time-honored TCM culture. Public TCM hospitals are an important part of TCM service system, and their service capabilities and service efficiency can affect the future development of TCM. We analyzed the TFP of 90 Public TCM hospitals in Hubei Province from 2013 to 2019 based on DEA-Malmquist index method to understand its dynamic changes and provide data support and policy suggestions for improving hospital service efficiency. The statistical reports of Public TCM Hospitals in Hubei Province from 2013 to 2019 were collected using the Hubei Provincial Comprehensive Statistical Information System for TCM. Excluding the newly built hospitals after 2013, a total of 90 TCM hospitals were included in this study, including 67 secondary hospitals and 23 tertiary hospitals

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