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To evaluate the marginal effects of inputs on hospital outputs and the impacts of Integrated County Medical Community on hospital efficiency.
A stochastic frontier model was employed to estimate the production frontier and efficiency of each hospital, and a difference-in-difference method was utilized to identify the net effect of Integrated County Medical Community on hospital efficiency, including a heterogeneity analysis of this effect.
Our findings revealed that, in contrast to investments in fixed assets and equipment, hospital output exhibited a heightened elasticity in response to investments in beds, practicing physicians, and registered nurses. From 2016 to 2022, hospitals in Sichuan Province demonstrated an augmented level of efficiency, with a more conspicuous improvement observed subsequent to the initiation of Integrated County Medical Community. The net positive effect of this policy on hospital efficiency in was approximately 1.17 percentage points (P<0.001), where for-profit hospitals exhibited a greater sensitivity to this effect (P<0.05).
The Integrated County Medical Community pilot in Sichuan Province significantly improved the overall efficiency of hospitals, with a notably greater improvement observed in for-profit hospitals.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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