The impact of policies controlling government hospital development on the number and scale of government and private hospitals: A DID analysis
Vol 9, Issue 1, 2025
Abstract
Since 2013, the state has introduced a number of policies to strictly control the number and scale of public hospitals and to control the rapid expansion of public hospitals. After the introduction of this series of policies, the number of public hospitals in China did not continue to grow, but the number of beds in public hospitals continued to grow. This paper uses difference-in-difference (DID) method to analyze the number of public hospitals with the corresponding data of the development of private hospitals after the introduction of the policy, and the results proves that the introduction of relevant policies has an impact on the number of public hospitals, but has a limited impact on the expansion of the scale of public hospitals. At the end of the article, positive policy suggestions are given to the development of hospitals in China, such as controlling the expansion of public hospitals, strictly controlling the number of beds in public hospitals, and vigorously developing private hospitals. Promoting the development of private hospitals is an important economic supplement to China’s health care.
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Basu, S., A. Meghani, and A. Siddiqi, Evaluating the Health Impact of Large-Scale Public Policy Changes: Classical and Novel Approaches. Annu Rev Public Health, 2017. 38: p. 351-370.
Fidler, A.H., et al., Incorporation of public hospitals: A “Silver Bullet” against overcapacity, managerial bottlenecks and resource constraints?: Case studies from Austria and Estonia. Health Policy, 2007. 81(2): p. 328-338.
Griffin BA, Schuler MS, Stuart EA, Patrick S, McNeer E, Smart R, Powell D, Stein BD, Schell TL, Pacula RL. Moving beyond the classic difference-in-differences model: a simulation study comparing statistical methods for estimating effectiveness of state-level policies. BMC Med Res Methodol. 2021 Dec 13;21(1):279.
He Qianran, Zhu Min, Fang Pengqian. Research on reform strategy and development trend of public hospital management model from the perspective of new quality productivity. Chinese Journal of Hospital Management, 2018,44(12):12-16.
Health Commission, Development and Reform Commission, Ministry of Science and Technology, Ministry of Finance, Human Resources and Social Security, Ministry of Natural Resources, Housing and Urban-Rural Development, Ministry of Market Supervision, General Administration of Health Insurance, Banking and Insurance Regulatory Commission Notice on the issuance of opinions on promoting the sustainable and standardized development of social medical services %J Bulletin of The State Council of the People’s Republic of China. 2019(29): p. 55-59.
Jiang Meihui. A breakthrough study on the plight of small and medium-sized private medical institutions participating in the construction of urban medical service system. Jilin university, 2024. DOI: 10.27162 /, dc nki. Gjlin. 2024.000116.
Liao Xinbo, Public hospitals need to healthily “slim down” %J Decision Exploration (second half of the month). 2014(07): p. 42.
Liu Ruiming and Zhao Renjie, Do national high-tech Zones promote regional economic development? - Verification of the world of management %J based on difference-difference method. 2015(08): p. 30-38.
Measures for implementing the Law of the People’s Republic of China on the Protection of the Rights and Interests of the Elderly in Anhui Province. Anhui Daily. p. 007.
Meng D C.Empirical study on the impact of rural tax and fee reform on farmers’ income increase based on DID model. Financial and economic, 2012, (8) : 50 to 52 + 44.
Richardson DB, Ye T, Tchetgen Tchetgen EJ. Generalized Difference-in-Differences. Epidemiology. 2023 Mar 1;34(2):167-174.
Rothbard, S., Etheridge, J.C. & Murray, E.J. A Tutorial on Applying the Difference-in-Differences Method to Health Data. Curr Epidemiol Rep 11, 85–95 (2024). https://doi.org/10.1007/s40471-023-00327-x.
Shen Minjie, Practice and thinking of hospital “Triple one” decision-making mechanism. 2018(32): p. 180-182.
Song Ruomeng, Research on the change of multi-medical management pattern in China from the perspective of Public hospitals and private hospitals.. 2022.
Strictly control the overall and individual scale of public hospitals %J China Digital Medicine. 2016. 11(08): p. 78.
Wang, The Causes and control strategies of the scale expansion of public hospitals %J Health Economy research. 2014(06): p. 3-7.
Wang Z Y. Evaluation of equity and adequacy of health care resource allocation and construction of demand prediction model in the context of healthy aging. The Chinese people’s liberation army (PLA) army military medical university, 2024. The DOI: 10.27001 /, dc nki. Gtjyu. 2024.000020.
Wang, G., R. Hamad, and J.S. White, Advances in Difference-in-differences Methods for Policy Evaluation Research. 2024. 35(5): p. 628-637.
Ye, T., et al., A Negative Correlation Strategy for Bracketing in Difference-in-Differences. Journal of the American Statistical Association, 2024. 119(547): p. 2256-2268.
Zhang Tao, Luo Haoyu, and Zhang Hualing, Characteristics and control Strategies of scale expansion of public hospitals in China. 2018. 15(09): p. 180-182.
Zhou Li ‘an, Chen Ye. Policy effect of tax and fee reform in rural China: estimation based on differential model. Economic Research Journal,2005,(08):44-53.
Zhou Mei, The scale expansion of public hospitals and its impact analysis. 2021.
DOI: https://doi.org/10.24294/jipd10532
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