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041 _afre
042 _adc
100 1 0 _aAudibert, Martine
_eauthor
700 1 0 _a Dukhan, Yohana
_eauthor
700 1 0 _a Mathonnat, Jacky
_eauthor
700 1 0 _a Chen, Ningshan
_eauthor
700 1 0 _a Ma, Aning
_eauthor
700 1 0 _a Yin, Aïtian
_eauthor
245 0 0 _aActivities and Performance of Township Hospitals in Rural China: Analysis of a Survey in Shandong Province
260 _c2008.
500 _a22
520 _aDecentralization in China in the 1990s placed township hospitals (TH) at the heart of rural Chinese health care. We collected data from a sample of 21 THs in Shandong province in order 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 perceived attractiveness of THs have positive effects on the number of outpatients and inpatients treated. The price of care has a negative effect and existing medical insurance schemes have no significant effect. The partial vertical integration of village health stations with THs seems to have slowed TH activity. The efficiency of THs has improved, with some convergence in our sample. Financial constraints, human resource issues, and institutional factors related to the regulation of hospitals by the supervisory body and to the governance of this body played important roles in this overall positive evolution.
690 _ainsurance
690 _aincentives
690 _ahospitals
690 _aMalmquist index
690 _ahealth care access
690 _aefficiency
690 _afinancial constraints
690 _ahealth system regulation
690 _apanel data
690 _ahealth financing
690 _aChina
690 _aDEA
786 0 _nRevue d’économie du développement | 16 | 1 | 2008-04-11 | p. 63-100 | 1245-4060
856 4 1 _uhttps://shs.cairn.info/journal-revue-d-economie-du-developpement-2008-1-page-63?lang=en&redirect-ssocas=7080
999 _c470426
_d470426