An analysis of operational efficiency and its influencing factors in traditional Chinese medicine hospitals in Shaanxi Province, China
BackgroundOver the past decade, traditional Chinese medicine (TCM) hospitals in China have experienced significant growth. However, their developmental status remains unclear, posing challenges to the formulation and optimization of relevant healthcare policies. This study aimed to assess the operat...
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Frontiers Media S.A.
2025-08-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1499134/full |
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| author | Jieming Zhang Yan Li Huiyang Qu Penggang Chen |
| author_facet | Jieming Zhang Yan Li Huiyang Qu Penggang Chen |
| author_sort | Jieming Zhang |
| collection | DOAJ |
| description | BackgroundOver the past decade, traditional Chinese medicine (TCM) hospitals in China have experienced significant growth. However, their developmental status remains unclear, posing challenges to the formulation and optimization of relevant healthcare policies. This study aimed to assess the operational efficiency of TCM hospitals in Shaanxi Province and explore its influencing factors, thereby providing empirical evidence to support performance improvement.MethodsA total of 167 TCM hospitals in Shaanxi Province were included in this study. The Bootstrap Data Envelopment Analysis (Bootstrap-DEA) was utilized to calculate bias-corrected operational efficiency scores. Subsequently, Tobit regression analysis was used to identify significant determinants of efficiency, offering a comprehensive understanding of influencing factors.ResultsAfter bias-correction, operational efficiency scores decreased across all hospitals. Tertiary hospitals had the highest mean operational efficiency score (0.457), followed by secondary hospitals (0.374), unclassified hospitals (0.354), and primary hospitals (0.329). Tobit regression indicated that the total number of visits, number of discharged patients, and bed occupancy rate positively influenced efficiency scores (p < 0.05), whereas number of employees and average length of stay had a negative impact (p < 0.05).ConclusionThe development of TCM hospitals in Shaanxi Province remains uneven, and overall operational efficiency is suboptimal. Enhancing efficiency requires targeted strategies, such as optimizing staffing levels, reducing the average length of stay, and improving bed utilization. These findings offer practical insights for policymakers to support the sustainable development of TCM hospitals. |
| format | Article |
| id | doaj-art-9898fa2ef5184987ab9207fdb1dbd112 |
| institution | Kabale University |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj-art-9898fa2ef5184987ab9207fdb1dbd1122025-08-20T05:32:27ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-08-011310.3389/fpubh.2025.14991341499134An analysis of operational efficiency and its influencing factors in traditional Chinese medicine hospitals in Shaanxi Province, ChinaJieming ZhangYan LiHuiyang QuPenggang ChenBackgroundOver the past decade, traditional Chinese medicine (TCM) hospitals in China have experienced significant growth. However, their developmental status remains unclear, posing challenges to the formulation and optimization of relevant healthcare policies. This study aimed to assess the operational efficiency of TCM hospitals in Shaanxi Province and explore its influencing factors, thereby providing empirical evidence to support performance improvement.MethodsA total of 167 TCM hospitals in Shaanxi Province were included in this study. The Bootstrap Data Envelopment Analysis (Bootstrap-DEA) was utilized to calculate bias-corrected operational efficiency scores. Subsequently, Tobit regression analysis was used to identify significant determinants of efficiency, offering a comprehensive understanding of influencing factors.ResultsAfter bias-correction, operational efficiency scores decreased across all hospitals. Tertiary hospitals had the highest mean operational efficiency score (0.457), followed by secondary hospitals (0.374), unclassified hospitals (0.354), and primary hospitals (0.329). Tobit regression indicated that the total number of visits, number of discharged patients, and bed occupancy rate positively influenced efficiency scores (p < 0.05), whereas number of employees and average length of stay had a negative impact (p < 0.05).ConclusionThe development of TCM hospitals in Shaanxi Province remains uneven, and overall operational efficiency is suboptimal. Enhancing efficiency requires targeted strategies, such as optimizing staffing levels, reducing the average length of stay, and improving bed utilization. These findings offer practical insights for policymakers to support the sustainable development of TCM hospitals.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1499134/fullbootstrap DEA modelTobit modelhospital of traditional Chinese medicinetechnical efficiencyoperational efficiencyhealthcare management |
| spellingShingle | Jieming Zhang Yan Li Huiyang Qu Penggang Chen An analysis of operational efficiency and its influencing factors in traditional Chinese medicine hospitals in Shaanxi Province, China Frontiers in Public Health bootstrap DEA model Tobit model hospital of traditional Chinese medicine technical efficiency operational efficiency healthcare management |
| title | An analysis of operational efficiency and its influencing factors in traditional Chinese medicine hospitals in Shaanxi Province, China |
| title_full | An analysis of operational efficiency and its influencing factors in traditional Chinese medicine hospitals in Shaanxi Province, China |
| title_fullStr | An analysis of operational efficiency and its influencing factors in traditional Chinese medicine hospitals in Shaanxi Province, China |
| title_full_unstemmed | An analysis of operational efficiency and its influencing factors in traditional Chinese medicine hospitals in Shaanxi Province, China |
| title_short | An analysis of operational efficiency and its influencing factors in traditional Chinese medicine hospitals in Shaanxi Province, China |
| title_sort | analysis of operational efficiency and its influencing factors in traditional chinese medicine hospitals in shaanxi province china |
| topic | bootstrap DEA model Tobit model hospital of traditional Chinese medicine technical efficiency operational efficiency healthcare management |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1499134/full |
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