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August 13, 2026BMC Health Services ResearchOpen Access

The efficiency situation of public hospitals in underdeveloped regions of China under the “National Examination” model --- evidence from Guangxi Zhuang Autonomous Region of China

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Authors

YWYanlong WuJHJunjie HuangQDQian Ding

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Overview

Randomized trial measures the efficiency of public hospitals in underdeveloped areas, highlighting key challenges and improvements.

Key Points

  • This study aims to evaluate the efficiency levels of public hospitals in underdeveloped regions of China under the National Examination model.
  • Conducted a five-year longitudinal survey from 2019 to 2023 on 41 tertiary public hospitals in Guangxi, China.
  • Applied the Super Efficiency–Slack-Based Measure model and Global Malmquist Index for efficiency assessment.
  • Analyzed influencing factors using OLS regression and bootstrap truncated regression.
  • Mean technical efficiency index was 1.05, indicating operational improvements under the National Examination model.
  • Significant influence of medical insurance recovery rate on hospital efficiency (P < 0.05).
  • Identified lingering issues such as insufficient efficiency in hospital scale and inadequate investment in human resources.

Cite This Study

Wu et al. (2026) studied this question.

synapsesocial.com/papers/6a7d76792b0e0cff3f63fcebhttps://doi.org/10.1186/s12913-026-15322-3
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