Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

Investigating the efficiency of medical and health resources and its influencing factors in the Yangtze River Delta urban agglomerations

Based on the undesirable super-efficiency SBM-Malmquist-Tobit model

Bibliographic Data

ID22073437
AuthorsYi Chen (0000-0003-1828-1165, Anhui University, corresponding author), Qianlong Li (0009-0009-3220-0342, Anhui University), Yuting Zhang (0000-0002-6460-6779, Anhui University), Xiaoya Zhang (0000-0002-5425-8547, Anhui University), Handong Zheng (0000-0002-6318-8165, Hefei University of Technology)
Year2025
Volume13
Pages1527424-1527424
Publication date2025-05-09
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2025.1527424
PMID40416655
OpenAlexW4410247710
LanguageEN
Citations received2
References cited43

The medical and health resources in the Yangtze River Delta region are abundant, occupying a significant position in China’s medical and health system with wide service coverage. The efficient allocation of medical and health resources in this region is a key issue affecting the high-quality development of medical and health services. Existing research on the representative region of the Yangtze River Delta Urban Agglomeration remains relatively limited, with insufficient analysis of the efficiency of medical and health resource allocation in the area, as well as a lack of in-depth exploration into its influencing factors and barriers. This study employs the undesirable output super-efficiency SBM model to calculate the static super-efficiency values of medical and health resource allocation in 41 cities of the Yangtze River Delta urban agglomeration from 2015 to 2020. The Malmquist index is utilized to analyze the changes in dynamic efficiency, and the panel Tobit regression model is utilized to analyze the influencing factors of comprehensive efficiency of medical and health resource allocation in the Yangtze River Delta urban agglomeration. The study highlights that the Yangtze River Delta urban agglomeration confronts multiple systemic challenges, such as pronounced disparities in healthcare resource allocation, uneven dissemination of medical technological innovations, insufficiently effective policy implementation, severe pandemic-induced impacts, enduring gaps in urban–rural healthcare resources, and financial accessibility barriers in low-efficiency cities. By integrating empirical evidence from existing studies and performing comparative case analyses, this research puts forward actionable recommendations. These strategies are designed to improve the equity and efficiency of medical and health resource allocation within the region, while offering transferable insights for other regions facing similar institutional and operational challenges

Business · China · Economic geography · Economic growth · Economics · Environmental economics · Environmental resource management · Geography · Health care · Resource allocation · Tobit model · Urban agglomeration · Efficiency Analysis Using DEA · Global Health Care Issues · Healthcare Systems and Reforms

  • Integrated medical and elderly care utilisation and outcomes in China

    Open Access•Ziyu Li, Chao Cao et al.•Critical Public Health•2026

  • Research on the equity of health manpower resource allocation in the Yangtze River Delta region

    Open Access•Qinglian Li, Qingliang Li et al.•Frontiers in Public Health•2025

  • What is a resilient health system? Lessons from Ebola

    Open Access•Margaret E Kruk, Michael Myers et al.•The Lancet•2015

  • Index numbers and indifference surfaces

    Open Access•Sten Malmquist•Trabajos de Estadistica•1953

  • A slacks-based measure of efficiency in data envelopment analysis

    Open Access•Kaoru Tone•European Journal of Operational…•2001

  • Governmental Investments in Hospital Infrastructure Among Regions and Its Efficiency in China

    Open Access•Tianjiao Lan, Ting Chen et al.•Frontiers in Public Health•2021

  • Service Innovation, Inter-organizational Trust, and Performance in Hospital Platforms

    Open Access•Jianhong He, Chenxu Hu et al.•Frontiers in Public Health•2022

  • Spatio-Temporal Disparity and Driving Forces of the Supply Level of Healthcare Service in the Yangtze River Delta

    Open Access•Zaijun Li, Meijuan Hu•Frontiers in Public Health•2022

  • Impact of Catastrophic Health Expenditures on Chinese Household Consumption

    Open Access•Ning Wei, Wenhao Huang et al.•Frontiers in Public Health•2021

  • Analyzing the efficiency of Chinese primary healthcare institutions using the Malmquist-DEA approach

    Open Access•Junxu Zhou, Rong Peng et al.•Frontiers in Public Health•2023

  • Regional differences of individual and allocation efficiencies of health resources in China

    Open Access•Qinpu Liu, Yuling Guo•Frontiers in Public Health•2023

  • Artificial intelligence, machine learning and health systems

    Open Access•Trishan Panch, Peter Szolovits et al.•Journal of Global Health•2018

  • A prescription for health inequity

    Open Access•Asad Moten, Daniel F Schafer et al.•Journal of Global Health•2012

  • Urban and Rural Differences in Health Insurance and Access to Care

    Open Access•David Hartley, Lois Quam et al.•The Journal of Rural Health•1994

  • Differences in Rural and Urban Health Information Access and Use

    Open Access•Xuewei Chen, H Orom et al.•The Journal of Rural Health•2019

  • Analysis of the Operational Efficiency of Basic Medical Insurance for Urban and Rural Residents

    Open Access•Tong Liu, Yufei Gao et al.•International Journal of…•2022

  • Suggestions to ameliorate the inequity in urban/rural allocation of healthcare resources in China

    Open Access•Yiyi Chen, Zhou Yin et al.•International Journal for Equity…•2014

  • Macro-level efficiency of health expenditure

    Open Access•Simiao Chen, Michael Kühn et al.•Social Science & Medicine•2021

  • Analysis of the Efficiency Determinants of Health Systems in OECD Countries by DEA and Panel Tobit

    Open Access•Pınar Kaya Samut, Reyhan Cafri Açci et al.•Social Indicators Research•2016

Unique citing works2
Citations per year2
Citation span2025 - 2026 (2)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 1
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae