Analysis on the Measurement and Spatial Characteristics of Medical Service Efficiency in County-Level TCM Hospitals in China

Liao Cui; Zheng Gelin; Yang Yongsheng

Abstract：Objective:To measure the medical service efficiency of county-level TCM hospitals in China in 2023,and systematically analyze the efficiency spatial distribution characteristics,in order to provide references for promoting the high-quality development of county-level TCM hospitals.Methods:The super-efficiency Slack Based Measure(SBM)model was used to measure the medical service efficiency of county-level TCM hospitals,and the overall network space characteristics,individual network space characteristics and clustering characteristics of efficiency distribution of county-level TCM hospitals in various provinces were analyzed with social network analysis method.Results:The medical service efficiency level of county-level TCM hospitals in China was not high,and the connection between hospitals was weak.Due to the remote location of some hospitals,breaking the administrative division to export medical and health resources to the outside world is easy to increase the cost of hospital management,and the independence is strong.However,there are still some dual-way spillover and reception effects between hospitals,which tend to develop harmoniously between provinces.Conclusion:All provincial and county-level TCM hospitals should develop according to local conditions,use the spatial correlation characteristics to gradually narrow the gap between hospitals,and achieve coordinated development.At the same time,urban agglomerations can be used to break the restriction of administrative divisions and strengthen cooperation among counties.For hospitals with weak competitiveness and remote location,resource advantages can be utilized to exert agglomeration effect and improve the overall regional medical service efficiency.