IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i3p995-d485670.html
   My bibliography  Save this article

Ranking the Healthcare Resource Factors for Public Satisfaction with Health System in China—Based on the Grey Relational Analysis Models

Author

Listed:
  • Xinxin Peng

    (School of Business, Macau University of Science and Technology, Macao 999078, China
    School of Business, Jiangsu University of Technology, Changzhou 213000, China)

  • Xiaolei Tang

    (School of Business, Macau University of Science and Technology, Macao 999078, China)

  • Yijun Chen

    (School of Business, Macau University of Science and Technology, Macao 999078, China)

  • Jinghua Zhang

    (School of Business, Macau University of Science and Technology, Macao 999078, China)

Abstract

(1) Background: Public satisfaction with the health system is a very important comprehensive indicator. Given the limited healthcare resources in a society, it is always important for policymakers to have full information about the priority and the ranking order of the factors of healthcare resources for improving public satisfaction. (2) Methods: Grey Relational Analysis (GRA) is advantageous for satisfaction analysis because satisfaction is a “grey concept” of “having a clear boundary but vague connotation”. The data were from the CGSS and the China Health Statistics Yearbook (2013 and 2015), with a total of 15,969 samples (average satisfaction score = 68.5, age = 51.9, female = 49.4%). (3) Results: The government’s percentage of total expenditure on healthcare was ranked as the most important factor for public satisfaction with the health system in China in both 2013 and 2015. The second most important factor changed from “Out-of-pocket percentage of individuals” in 2013 to “Hospital beds per thousand populations” in 2015. Meanwhile, “Healthcare workforce per thousand populations” increased from the least important factor in 2013 to the 3rd in 2015. Disparities in the ranking orders of the factors among regions of China were identified too. (4) Conclusions: The analysis results suggest that during recent years the priority of Chinese residents’ healthcare satisfaction for healthcare resources has shifted on the national level from economic affordability to more intensive “people-centered” services, while the regional disparities and gaps need to receive more attention and be further improved in the healthcare reform of next round.

Suggested Citation

  • Xinxin Peng & Xiaolei Tang & Yijun Chen & Jinghua Zhang, 2021. "Ranking the Healthcare Resource Factors for Public Satisfaction with Health System in China—Based on the Grey Relational Analysis Models," IJERPH, MDPI, vol. 18(3), pages 1-13, January.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:3:p:995-:d:485670
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/3/995/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/3/995/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Khalid Al‐Mugheed & Nurhan Bayraktar, 2020. "Patient safety attitudes among critical care nurses: A case study in North Cyprus," International Journal of Health Planning and Management, Wiley Blackwell, vol. 35(4), pages 910-921, July.
    2. Wang, Qing & Zhang, Donglan & Hou, Zhiyuan, 2016. "Insurance coverage and socioeconomic differences in patient choice between private and public health care providers in China," Social Science & Medicine, Elsevier, vol. 170(C), pages 124-132.
    3. Karen Eggleston & Yu-Chu Shen & Joseph Lau & Christopher H. Schmid & Jia Chan, 2008. "Hospital ownership and quality of care: what explains the different results in the literature?," Health Economics, John Wiley & Sons, Ltd., vol. 17(12), pages 1345-1362.
    4. Karen Eggleston & Li Ling & Meng Qingyue & Magnus Lindelow & Adam Wagstaff, 2008. "Health service delivery in China: a literature review," Health Economics, John Wiley & Sons, Ltd., vol. 17(2), pages 149-165, February.
    5. Huimin, Liu, 2013. "The impact of human behavior on ecological threshold: Positive or negative?—Grey relational analysis of ecological footprint, energy consumption and environmental protection," Energy Policy, Elsevier, vol. 56(C), pages 711-719.
    6. Quan-Hoang Vuong & Thu-Trang Vuong & Tung Manh Ho & Ha Viet Nguyen, 2017. "Psychological and Socio-Economic Factors Affecting Social Sustainability through Impacts on Perceived Health Care Quality and Public Health: The Case of Vietnam," Sustainability, MDPI, vol. 9(8), pages 1-13, August.
    7. Karen Eggleston & Yu‐Chu Shen & Joseph Lau & Christopher H. Schmid & Jia Chan, 2008. "Hospital ownership and quality of care: what explains the different results in the literature?," Health Economics, John Wiley & Sons, Ltd., vol. 17(12), pages 1345-1362, December.
    8. Nazim Habibov & Alena Auchynnikava & Rong Luo & Lida Fan, 2018. "Who wants to pay more taxes to improve public health care?," International Journal of Health Planning and Management, Wiley Blackwell, vol. 33(4), pages 944-959, October.
    9. Costa-Font, Joan & Sato, Azusa & Rovira Forns, Joan, 2017. "Identifying health system value dimensions: more than health gain?," Health Economics, Policy and Law, Cambridge University Press, vol. 12(3), pages 387-400, July.
    10. Eddy Adang & George Borm, 2007. "Is there an association between economic performance and public satisfaction in health care?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 8(3), pages 279-285, September.
    11. Limei Jing & Ru Chen & Lisa Jing & Yun Qiao & Jiquan Lou & Jing Xu & Junwei Wang & Wen Chen & Xiaoming Sun, 2017. "Development and enrolee satisfaction with basic medical insurance in China: A systematic review and stratified cluster sampling survey," International Journal of Health Planning and Management, Wiley Blackwell, vol. 32(3), pages 285-298, July.
    12. Aida Isabel Tavares & Pedro Lopes Ferreira, 2020. "Public satisfaction with health system coverage, empirical evidence from SHARE data," International Journal of Health Economics and Management, Springer, vol. 20(3), pages 229-249, September.
    13. Saad Ahmed Javed & Sifeng Liu & Amin Mahmoudi & Muhammad Nawaz, 2019. "Patients' satisfaction and public and private sectors' health care service quality in Pakistan: Application of grey decision analysis approaches," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(1), pages 168-182, January.
    14. Jason M. Hockenberry & Edmund R. Becker, 2016. "How Do Hospital Nurse Staffing Strategies Affect Patient Satisfaction?," ILR Review, Cornell University, ILR School, vol. 69(4), pages 890-910, August.
    15. Diogo Cunha Ferreira & Alexandre Morais Nunes & Rui Cunha Marques, 2020. "Operational efficiency vs clinical safety, care appropriateness, timeliness, and access to health care," Journal of Productivity Analysis, Springer, vol. 53(3), pages 355-375, June.
    16. Syed Abdul Hamid & Afroza Begum, 2019. "Responsiveness of the urban primary health care delivery system in Bangladesh: A comparative analysis," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(1), pages 251-262, January.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Yongdong Shi & Rongsheng Huang & Hanwen Cui, 2021. "Prediction and Analysis of Tourist Management Strategy Based on the SEIR Model during the COVID-19 Period," IJERPH, MDPI, vol. 18(19), pages 1-12, October.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Currie, Janet & Lin, Wanchuan & Zhang, Wei, 2011. "Patient knowledge and antibiotic abuse: Evidence from an audit study in China," Journal of Health Economics, Elsevier, vol. 30(5), pages 933-949.
    2. Pan, Jay & Qin, Xuezheng & Li, Qian & Messina, Joseph P. & Delamater, Paul L., 2015. "Does hospital competition improve health care delivery in China?," China Economic Review, Elsevier, vol. 33(C), pages 179-199.
    3. Nurhafiza Md Hamzah & Kok Fong See, 2019. "Technical efficiency and its influencing factors in Malaysian hospital pharmacy services," Health Care Management Science, Springer, vol. 22(3), pages 462-474, September.
    4. Zhou, Wenhui & Wan, Qiang & Zhang, Ren-Qian, 2017. "Choosing among hospitals in the subsidized health insurance system of China: A sequential game approach," European Journal of Operational Research, Elsevier, vol. 257(2), pages 568-585.
    5. Jongsay Yong & Ou Yang, 2024. "Caring for Older Patients: Quality and Efficiency of Australia's Healthcare System," Australian Economic Review, The University of Melbourne, Melbourne Institute of Applied Economic and Social Research, vol. 57(2), pages 160-167, June.
    6. Schmitz, Patrick W., 2023. "The proper scope of government reconsidered: Asymmetric information and incentive contracts," European Economic Review, Elsevier, vol. 157(C).
    7. Currie, Janet & Lin, Wanchuan & Meng, Juanjuan, 2013. "Social networks and externalities from gift exchange: Evidence from a field experiment," Journal of Public Economics, Elsevier, vol. 107(C), pages 19-30.
    8. Paul H. Jensen & Elizabeth Webster & Julia Witt, 2009. "Hospital type and patient outcomes: an empirical examination using AMI readmission and mortality records," Health Economics, John Wiley & Sons, Ltd., vol. 18(12), pages 1440-1460, December.
    9. Lapo Filistrucchi & Jens Prüfer, 2019. "Faithful Strategies: How Religion Shapes Nonprofit Management," Management Science, INFORMS, vol. 65(1), pages 188-208, January.
    10. Johannes S. Kunz & Carol Propper & Kevin E. Staub & Rainer Winkelmann, 2023. "Assessing the Quality of Public Services: For-profits, Chains, and Concentration in the Hospital Market," Papers 2023-01, Centre for Health Economics, Monash University.
    11. Cristian A Herrera & Gabriel Rada & Lucy Kuhn-Barrientos & Ximena Barrios, 2014. "Does Ownership Matter? An Overview of Systematic Reviews of the Performance of Private For-Profit, Private Not-For-Profit and Public Healthcare Providers," PLOS ONE, Public Library of Science, vol. 9(12), pages 1-18, December.
    12. José Luis Franco Miguel & Carmen Fullana Belda & Antonio Rúa Vieites, 2019. "Analysis of the technical efficiency of the forms of hospital management based on public‐private collaboration of the Madrid Health Service, as compared with traditional management," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(1), pages 414-442, January.
    13. Propper, Carol & Kunz, Johannes & Staub, Kevin & Winkelmann, Rainer, 2020. "Assessing the Quality of Public Services: Does Hospital Competition Crowd Out the For-Profit Quality Gap?," CEPR Discussion Papers 15045, C.E.P.R. Discussion Papers.
    14. Chiara Canta, 2021. "Efficiency, access, and the mixed delivery of health care services," Journal of Public Economic Theory, Association for Public Economic Theory, vol. 23(3), pages 510-533, June.
    15. Xinxin Peng & Xiaolei Tang & Jing Hua Zhang & Yijun Chen, 2023. "Smoking Bans and Circulatory System Disease Mortality Reduction in Macao (China): Using GRA Models," IJERPH, MDPI, vol. 20(5), pages 1-14, March.
    16. Philip H. Brown & Caroline Theoharides, 2009. "Health‐seeking behavior and hospital choice in China's New Cooperative Medical System," Health Economics, John Wiley & Sons, Ltd., vol. 18(S2), pages 47-64, July.
    17. Yu Xie & Di Liang & Jiayan Huang & Jiajie Jin, 2019. "Hospital Ownership and Hospital Institutional Change: A Qualitative Study in Guizhou Province, China," IJERPH, MDPI, vol. 16(8), pages 1-14, April.
    18. Carine Milcent & Saad Zbiri, 2022. "Supplementary private health insurance: The impact of physician financial incentives on medical practice," Health Economics, John Wiley & Sons, Ltd., vol. 31(1), pages 57-72, January.
    19. Margit Sommersguter-Reichmann, 2022. "Health care quality in nonparametric efficiency studies: a review," Central European Journal of Operations Research, Springer;Slovak Society for Operations Research;Hungarian Operational Research Society;Czech Society for Operations Research;Österr. Gesellschaft für Operations Research (ÖGOR);Slovenian Society Informatika - Section for Operational Research;Croatian Operational Research Society, vol. 30(1), pages 67-131, March.
    20. Yamei Bai & Aaron Yao & Yulei Song & Guihua Xu, 2018. "Redesigning the patient classification system in China: A pilot study," Nursing & Health Sciences, John Wiley & Sons, vol. 20(2), pages 181-186, June.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:3:p:995-:d:485670. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.