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Efficiency of Health Care System at the Sub-State Level in Madhya Pradesh, India

机译：印度中央邦次州一级卫生保健系统的效率

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This paper attempts a sub-state-level analysis of health system for a low-income Indian state, namely, Madhya Pradesh. The objective of our study is to establish efficiency parameters that may help health policy makers to improve district-level and thus state-level health system performance. It provides an idealized yardstick to evaluate the performance of the health sector by using stochastic frontier technique. The study was carried out in two stages of estimation, and our results suggest that life expectancy in the Indian state could be enhanced considerably by correcting the factors that are adversely influencing sub-state-level health system efficiency. Our results indicate that main factors within the health system for discrepancy in interdistrict performance are inequitable distribution of supplies, availability of skilled attention at birth, and inadequate staffing relative to patient load of rural population at primary health centers. Overcoming these factors through additional resources in the deficient districts, mobilized partly from grants in aid and partly from patient welfare societies, may help the state to improve life expectancy speedily and more equitably. Besides the direct inputs from the health sector, a more conducive environment for gender development, reducing inequality in opportunities for women in health, education and other rights may provide the necessary impetus towards reducing maternal morbidity and mortality and add to overall life expectancy in the state.View full textDownload full textKEYWORDSEfficiency, health care system, substate level, India, Madhya Pradesh, stochastic frontier model, life expectancy, actual, estimated, poorer state, districtsRelated var addthis_config = { ui_cobrand: "Taylor & Francis Online", services_compact: "citeulike,netvibes,twitter,technorati,delicious,linkedin,facebook,stumbleupon,digg,google,more", pubid: "ra-4dff56cd6bb1830b" }; Add to shortlist Link Permalink http://dx.doi.org/10.1080/19371910902877217
机译：本文尝试对印度低收入邦（中央邦）的卫生系统进行亚州级分析。我们研究的目的是建立效率参数，以帮助卫生政策制定者改善区级以及州级卫生系统的绩效。它提供了一种理想的标准，可以通过使用随机前沿技术来评估卫生部门的绩效。该研究是在两个估算阶段进行的，我们的结果表明，通过纠正不利影响亚州级卫生系统效率的因素，可以大大提高印度州的预期寿命。我们的结果表明，卫生系统内区域间绩效差异的主要因素是供应分配不均，出生时缺乏熟练的护理以及相对于初级卫生中心农村人口的患者负担而言人员不足。通过在贫困地区增加资源来克服这些因素，这些资源部分来自援助赠款，部分来自患者福利协会，可以帮助该州更快，更公平地改善预期寿命。除了卫生部门的直接投入外，更有利于性别发展的环境，减少妇女在卫生，教育和其他权利方面机会不平等的现象，可能会为降低孕产妇发病率和死亡率以及增加该州的总体预期寿命提供必要的动力。查看全文下载关键词效率，卫生保健系统，州以下级别，印度，中央邦，随机边界模型，预期寿命，实际，估计的，贫困州，地区相关var addthis_config = {ui_cobrand：“ Taylor＆Francis Online”，services_compact：“ citeulike，netvibes，twitter，technorati，美味，linkedin，facebook，stumbleupon，digg，google，更多”，发布：“ ra-4dff56cd6bb1830b”};添加到候选列表链接永久链接http://dx.doi.org/10.1080/19371910902877217

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