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      Efficiency of community health service in urban and suburban areas of Shanghai: based on production function

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          Abstract

          Objective: To analyze the efficiency of community health service in urban and suburban areas of Shanghai.

          Methods: Fifty community health centers in Shanghai that registered to create “National Demonstration Community Health Center” in 2013 were included in our study. The service efficiency was analyzed with the methods of econometrics based on Cobb-Douglas production function.

          Results: Two production functions were formulated for urban community health services and those in suburban areas; the equation for urban areas was: lnY=7.778+0.450lnL+0.350lnK+μ; and the equation for suburban areas was: lnY=6.329+0.728lnL+0.350lnK+μ. The results showed that among the inputs, labor had more effect on output than capital did. It also showed that marginal benefit of labor was different in urban and suburban areas. Urban community health centers were in the interval of decreasing returns to scale, while suburban community health centers were in the interval of constant returns to scale.

          Conclusion: Increasing human resource investment is a key factor for increasing community health service output. Due to the difference of scale merit between urban and rural areas, government or other policy makers should make the development policy for them accordingly. Those community health centers in urban areas should pay more attention to the service efficiency and service innovation.

          Most cited references8

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          Principles of economics

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            Some thought on human resource allocation of community health in China

            X Lang, MC Li (2002)
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              Intermediate Microeconomics: A Modern Approach (Chinese version)

              HR Varian (2009)
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                Author and article information

                Journal
                FMCH
                Family Medicine and Community Health
                FMCH
                Family Medicine and Community Health & American Chinese Medical Education Association (USA )
                xxx-xxx
                2305-6983
                June 2013
                May 2014
                : 1
                : 2
                : 5-8
                Affiliations
                [1] 1Antai College of Economics and Management, Shanghai Jiao Tong University, Shanghai 200052, China
                [2] 2Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China
                [3] 3School of Public Health, Shanghai Jiao Tong University, Shanghai 200025, China
                Author notes
                CORRESPONDING AUTHOR: Yong Bao School of Public Health, Shanghai Jiao Tong University, Shanghai, 200025, China 13651673015@ 123456139.com
                Funding: This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
                Article
                fmch20130201
                10.15212/FMCH.2013.0201
                34108d0f-0322-4dce-8443-a534c4fe8e3a
                Copyright © 2013 Family Medicine and Community Health

                This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

                History
                Categories
                Original Research

                General medicine,Medicine,Geriatric medicine,Occupational & Environmental medicine,Internal medicine,Health & Social care
                Community health service,Urban,Efficiency,Suburban,Production function

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