Performance Evaluation of Combining with Medical and Old-Age Care in Pension Institutions of China: A Two-Stage Data Envelopment Analysis

PURPOSE: The aim of this paper was to build a performance evaluation index system for the combination of medical and old-age care services in pension institutions of China. METHODS: A two-stage data envelopment analysis (DEA) is used to evaluate the performance of 30 pension institutions in China. RESULTS: The results show that the two-stage DEA accounted for a relatively high affiance of medical and nursing care services, but resource allocation still needs to be further optimized. Institutions with ineffective DEA need to reduce the five factors of operations, management, fixed assets, technology and services in the input dimension. CONCLUSION: In the output dimension, the service evaluation effect and safety management effect need to be improved. The performance of combined old-age care and medical care in old-age institutions can be improved in terms of investment in fixed assets, methods of capital subsidies, supervision and management, as well as standardized operations.