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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.

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          Most cited references 8

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          Intermediate Microeconomics: A Modern Approach (Chinese version)

           HR Varian (2009)
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            Some thought on human resource allocation of community health in China

             X Lang,  MC Li (2002)
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              Present status of human resource of community health service organization in China

               Z Jiang,  R Chen,  ZF Yang (2010)
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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
                1Antai College of Economics and Management, Shanghai Jiao Tong University, Shanghai 200052, China
                2Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China
                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
                Article
                fmch20130201
                10.15212/FMCH.2013.0201
                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/.

                Product
                Self URI (journal page): http://fmch-journal.org/
                Categories
                Original Research

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