Abstract
The improvement of the efficiency of medical and health services is of great significance for improving the high-quality and efficient medical and health services system and meeting the increasingly diverse health needs of residents. Based on the panel data of 13 cities in Jiangsu Province, this research analyzed the relative effectiveness of medical and health services from 2015 to 2019 using the super efficiency slack-based measure-data envelopment analysis model, and the Malmquist index method was used to explore the changes in the efficiency of medical and health services from a dynamic perspective. Furthermore, the spatial autocorrelation analysis method was used to verify the spatial correlation of medical and health services efficiency. In general, there is room for improvement in the efficiency of medical and health services in 13 cities in Jiangsu Province. There are obvious differences in regional efficiency, and there is a certain spatial correlation. In the future, the medical and health services efficiency of China’s cities should be improved by increasing the investment in high-quality medical and health resources, optimizing their layout and making full use of the spatial spillover effects between neighboring cities to strengthen inter-regional cooperation and exchanges.
Highlights
Efficient and equitable delivery of services is an important goal of health systems [1].The efficiency of medical and health services is an important issue related to the people’s sense of contentment, well-being, and security
This study evaluated the efficiency of the second stage, that is, the efficiency of medical and health services, so the relevant elements of human and material resources of the medical and health were selected as input indicators
This study explored the spatial autocorrelation of the efficiency of 13 cities in Jiangsu
Summary
Efficient and equitable delivery of services is an important goal of health systems [1]. The efficiency of medical and health services is an important issue related to the people’s sense of contentment, well-being, and security. The core is how to rationally allocate the limited medical and health resources invested so as to maximize the effective output of medical and health services that can meet the diverse needs of residents [2,3]. Since the new health-care reform, China’s investment in medical and health services has increased steadily. The total national health expenditure increased from 1754.192 billion yuan in 2009 to 6584.139 billion yuan in 2019, with an annual growth rate of 11.37% to. The proportion of total health expenditure in GDP has increased year by year, from 5.03% in 2009 to 6.64% in 2019 [4].
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