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#KOR TOR MOR OR DAKSEN HOW TO#
However, it is still unclear how to increase the efficiency of county hospitals under the interaction of multiple factors. The efficient operation of county-level medical institutions is a significant guarantee in constructing Chinese rural tertiary care service networks. There is need to incorporate hospital size, geographical location, training status and average length of stay in the resource allocation formula and adopt annual hospital efficiency assessments. Benchmarking performance of the efficient hospitals would help to guide performance improvement in the inefficient ones. The 69% average variable returns to scale technical efficiency indicates that the hospitals could generate the same volume of outputs using 31% (3439) less staff and 31% (3539) less beds. Hospital size, geographical location, training status and average length of stay were statistically significant determinants of efficiency at 5% level of significance. Some hospitals were persistently efficient while others were inefficient over this period. Technical efficiency generally increased from 2012/13 to 2014/15, and dropped by 2016/17.
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There was no statistically significant difference in the efficiency scores of public and private hospitals. The average constant returns to scale, variable returns to scale and scale efficiency of general hospitals for 2016/17 were 49% (95% CI, 44-54%), 69% (95% CI, 65-74%) and 70% (95% CI, 65-75%) respectively. Trends in technical efficiency was analysed using Excel while determinants of technical efficiency were analysed using Tobit Regression Model in STATA 15.1. We undertook input-oriented data envelopment analysis to estimate technical efficiency of 78 general hospitals using data abstracted from the Annual Health Sector Performance Reports for 2012/13, 2014//17. We assessed the levels, trends and determinants of technical efficiency of general hospitals in Uganda from 2012/13 to 2016/17. They accounted for 38% of government funding to health facilities, 8.8% of outpatient department visits and 28% of admissions in Uganda in the financial year 2016/17. General hospitals provide a wide range of primary and secondary healthcare services.