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发布日期：2016-10-17 05:49 来源：北京大学国家发展研究院
时间：2016年10月21日上午10:00-12:00
地点： 北大经济学院202教室
主持人：刘国恩
主讲人：潘杰 (四川大学)
Topic : The Impact of Competition on Hospital Efficiency: Evidence from Sichuan Province, China
Abstract：
Objective: To analyze the impact of competition on hospitals’ efficiency in China.
Methods: A three-stage Data envelopment analysis (DEA) was employed to estimate the efficiency of hospitals in Sichuan Province during 2009~2014. We use Herfindahl-Hirschman Index (HHI) based on fixed radius for the proxy variable of competition. Fixed-effect and quantile regression are used.
Results: The total number of hospitals in Sichuan Province has increased between 2009 and 2014. The number and proportion of for-profit hospitals raised year by year. To get a productivity growth, hospitals had to use more medical resources. However, when hospitals faced a more competitive environment over the period 2009~2014, they can provide the same health-care services with less medical resources. Because the quantile regression results showed that HHI was negative associated with the technical efficiency of hospitals in most quantiles. It seems that the rank, the ownership and whether for-profit don’t affect hospitals’ efficiency, but special hospitals is more inefficient than general hospitals. Our results are robust when varying the service radius of hospitals.
Conclusions: Hospital competition improves the technical efficiency of these hospitals. When facing a more competitive environment, hospitals can provide the same medical services with less medical resources. This may help to relieve the tension of “kan bing nan, kan bing gui”, which means the poor accessibility and more expensive medical care. Our study provides implication on reforming China’health market and regional health plan policies.
Speaker: Dr. Jay Pan is an Associate Professor of Health Policy and Economics at the West China School of Public Health, Sichuan University, and Research Fellow of West China Research Center for Rural Health Development. He holds a PhD in Economics, and received post-doctoral training in Epidemiology and Health Statistics from Sichuan University in 2013. His research focuses on the study of health system evaluation and the spatial allocation of health care resources. His works have been funded, among others, by the National Natural Science foundation (China), the National Health and Family Planning Commission (China), and the China Medical Board (US). He is the author of more than 30 peer-reviewed journal articles. The journals include Health Economics, Social Science & Medicine, China Economic Review, Social Indicators Research, Health Policy & Planning, Geospatial Health, and Journal of Asian Public Policy. His most recent book is Government Intervention and Market Mechanism: Empirical Studies on Health Care System Reform in China (2014).
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首页
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教学项目展开 / 收起
sidenav background教学项目
sidenav header background[10月21日]卫生workshop
发布日期：2016-10-17 05:49 来源：北京大学国家发展研究院
时间：2016年10月21日上午10:00-12:00
地点： 北大经济学院202教室
主持人：刘国恩
主讲人：潘杰 (四川大学)
Topic : The Impact of Competition on Hospital Efficiency: Evidence from Sichuan Province, China
Abstract：
Objective: To analyze the impact of competition on hospitals’ efficiency in China.
Methods: A three-stage Data envelopment analysis (DEA) was employed to estimate the efficiency of hospitals in Sichuan Province during 2009~2014. We use Herfindahl-Hirschman Index (HHI) based on fixed radius for the proxy variable of competition. Fixed-effect and quantile regression are used.
Results: The total number of hospitals in Sichuan Province has increased between 2009 and 2014. The number and proportion of for-profit hospitals raised year by year. To get a productivity growth, hospitals had to use more medical resources. However, when hospitals faced a more competitive environment over the period 2009~2014, they can provide the same health-care services with less medical resources. Because the quantile regression results showed that HHI was negative associated with the technical efficiency of hospitals in most quantiles. It seems that the rank, the ownership and whether for-profit don’t affect hospitals’ efficiency, but special hospitals is more inefficient than general hospitals. Our results are robust when varying the service radius of hospitals.
Conclusions: Hospital competition improves the technical efficiency of these hospitals. When facing a more competitive environment, hospitals can provide the same medical services with less medical resources. This may help to relieve the tension of “kan bing nan, kan bing gui”, which means the poor accessibility and more expensive medical care. Our study provides implication on reforming China’health market and regional health plan policies.
Speaker: Dr. Jay Pan is an Associate Professor of Health Policy and Economics at the West China School of Public Health, Sichuan University, and Research Fellow of West China Research Center for Rural Health Development. He holds a PhD in Economics, and received post-doctoral training in Epidemiology and Health Statistics from Sichuan University in 2013. His research focuses on the study of health system evaluation and the spatial allocation of health care resources. His works have been funded, among others, by the National Natural Science foundation (China), the National Health and Family Planning Commission (China), and the China Medical Board (US). He is the author of more than 30 peer-reviewed journal articles. The journals include Health Economics, Social Science & Medicine, China Economic Review, Social Indicators Research, Health Policy & Planning, Geospatial Health, and Journal of Asian Public Policy. His most recent book is Government Intervention and Market Mechanism: Empirical Studies on Health Care System Reform in China (2014).
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