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Activité et performance des hôpitaux municipaux en Chine rurale. Une analyse sur données d'enquêtes dans la province de Shandong

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  • Martine Audibert
  • Yohana Dukhan
  • Jacky Mathonnat
  • Ningshan Chen
  • Aning Ma
  • Aïtian Yin

Abstract

Following decentralization, township hospitals (TH) have been set during the 90?s at the heart of the Chinese health care supply in rural area. We have collected data from a sample of 21 TH in Shandong province to analyze the determinants of their activities and assess their efficiency during the period 1986-2000. Among other results, and controlling for other factors, we find that local income per capita in the TH area of activity as well as the TH attractiveness have positive effects on the number of outpatients and inpatients treated. The price of care had a negative effect and existing medical insurance schemes have no significant effect. The vertical integration of a part of the village health stations activities within TH management seems to have slowed down the activity of the TH. The efficiency of TH has improved with a certain convergence in our sample. Financial constraints, human resources issues and institutional factors related to the regulation of hospitals by the supervision body and its stewardship behaviour played important roles in this overall positive evolution.

Suggested Citation

  • Martine Audibert & Yohana Dukhan & Jacky Mathonnat & Ningshan Chen & Aning Ma & Aïtian Yin, 2008. "Activité et performance des hôpitaux municipaux en Chine rurale. Une analyse sur données d'enquêtes dans la province de Shandong," Revue d’économie du développement, De Boeck Université, vol. 16(1), pages 63-100.
    • Handle: RePEc:cai:edddbu:edd_221_0063
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    Citations

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    Cited by:

    1. Martine Audibert & Xiao Xian Huang & Jacky Mathonnat & Aurore Pelissier & Anning Ma, 2012. "Health Insurance Reform and Efficiency of Township Hospitals in Rural China: An Analysis from Survey Data," CERDI Working papers halshs-00587799, HAL.
    2. Audibert, Martine & Mathonnat, Jacky & Pelissier, Aurore & Huang, Xiao Xian & Ma, Anning, 2013. "Health insurance reform and efficiency of township hospitals in rural China: An analysis from survey data," China Economic Review, Elsevier, vol. 27(C), pages 326-338.
    3. Jacky MATHONNAT & Yong HE & Martine AUDIBERT, 2013. "Two-Period Comparison of Healthcare Demand with Income Growth and Population Aging in Rural China: Implications for Adjustment of the Healthcare Supply and Development," Working Papers 201315, CERDI.
    4. Esso-hanam Atake, 2015. "Technical efficiency of public hospitals in Togo: A directional distance function approach," Economics Bulletin, AccessEcon, vol. 35(3), pages 1752-1764.
    5. Martine AUDIBERT & Jacky MATHONNAT & Yong HE, 2010. "Income Growth, Price Variation and Health Care Demand: A Mixed Logit Model Applied to Tow-period Comparison in Rural China," Working Papers 201035, CERDI.
    6. Martine Audibert & Yong He & Jacky Mathonnat, 2011. "Income Growth, Price Variation and Health Care Demand: A Mixed Logit Model Applied to Tow-period Comparison in Rural China," CERDI Working papers halshs-00552192, HAL.
    7. Martine Audibert & Yong He & Jacky Mathonnat, 2013. "Two-Period Comparison of Healthcare Demand with Income Growth and Population Aging in Rural China: Implications for Adjustment of the Healthcare Supply and Development," CERDI Working papers halshs-00846088, HAL.

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