Data envelopment analysis on the efficiency of vaccination services and its influencing factors in Beijing, China
Abstract Objectives Vaccination is an important part of public health services. We aim to assess the efficiency of vaccination services in Beijing, the capital of China, and to further study the influencing factors of efficiency. Methods Using the immunization service data of Beijing, China in 2020,...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-07-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-023-09758-0 |
| _version_ | 1797784682920673280 |
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| author | Mingzheng Hu Yanshang Wang Ming Wang Dawei Zhu Wentao Li Rui Yu Jiang Wu Min Lv Ping He |
| author_facet | Mingzheng Hu Yanshang Wang Ming Wang Dawei Zhu Wentao Li Rui Yu Jiang Wu Min Lv Ping He |
| author_sort | Mingzheng Hu |
| collection | DOAJ |
| description | Abstract Objectives Vaccination is an important part of public health services. We aim to assess the efficiency of vaccination services in Beijing, the capital of China, and to further study the influencing factors of efficiency. Methods Using the immunization service data of Beijing, China in 2020, we firstly developed a data envelopment analysis (DEA) model to calculate the score of vaccination efficiency. Secondly, we used DEA model scenario simulations with different combinations of input–output factors to derive the magnitude of the effect of each input factor on the efficiency. Finally, combined with the data from the Beijing Regional Statistical Yearbook 2021, we developed the Tobit model to examine the effect of external social environmental factors on efficiency. Results The average scores of efficiency of POVs (Point of Vaccination) in different areas of Beijing vary greatly. Different input factors had different degrees of positive effects on the efficiency score. In addition, the number of populations served by POV was positively associated with efficiency, the GDP and financial allocation of the POVs’ district was also positively associated with efficiency score, while the total dependency ratio of the POVs’ district was negatively associated with efficiency score. Conclusion The efficiency of vaccination services varied considerably across POVs. Constrained by limited resources, efficiency scores can be increased by increasing input factors that have a larger impact on efficiency score and reducing those that have a smaller impact on efficiency. In addition, the social environment should be considered in allocating vaccination resources, and more resources should be invested in areas with low levels of economic development, low financial allocation, and high population. |
| first_indexed | 2024-03-13T00:43:23Z |
| format | Article |
| id | doaj.art-30bcce46efbd4873b99b5eca279c02bf |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-03-13T00:43:23Z |
| publishDate | 2023-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-30bcce46efbd4873b99b5eca279c02bf2023-07-09T11:09:52ZengBMCBMC Health Services Research1472-69632023-07-012311810.1186/s12913-023-09758-0Data envelopment analysis on the efficiency of vaccination services and its influencing factors in Beijing, ChinaMingzheng Hu0Yanshang Wang1Ming Wang2Dawei Zhu3Wentao Li4Rui Yu5Jiang Wu6Min Lv7Ping He8School of Public Health, Peking UniversitySchool of Public Health, Peking UniversitySchool of Public Health, Peking UniversityChina Center for Health Development Studies, Peking UniversityChina Center for Health Development Studies, Peking UniversityInstitute for Immunization and Prevention, Beijing Center for Disease Prevention and ControlInstitute for Immunization and Prevention, Beijing Center for Disease Prevention and ControlInstitute for Immunization and Prevention, Beijing Center for Disease Prevention and ControlChina Center for Health Development Studies, Peking UniversityAbstract Objectives Vaccination is an important part of public health services. We aim to assess the efficiency of vaccination services in Beijing, the capital of China, and to further study the influencing factors of efficiency. Methods Using the immunization service data of Beijing, China in 2020, we firstly developed a data envelopment analysis (DEA) model to calculate the score of vaccination efficiency. Secondly, we used DEA model scenario simulations with different combinations of input–output factors to derive the magnitude of the effect of each input factor on the efficiency. Finally, combined with the data from the Beijing Regional Statistical Yearbook 2021, we developed the Tobit model to examine the effect of external social environmental factors on efficiency. Results The average scores of efficiency of POVs (Point of Vaccination) in different areas of Beijing vary greatly. Different input factors had different degrees of positive effects on the efficiency score. In addition, the number of populations served by POV was positively associated with efficiency, the GDP and financial allocation of the POVs’ district was also positively associated with efficiency score, while the total dependency ratio of the POVs’ district was negatively associated with efficiency score. Conclusion The efficiency of vaccination services varied considerably across POVs. Constrained by limited resources, efficiency scores can be increased by increasing input factors that have a larger impact on efficiency score and reducing those that have a smaller impact on efficiency. In addition, the social environment should be considered in allocating vaccination resources, and more resources should be invested in areas with low levels of economic development, low financial allocation, and high population.https://doi.org/10.1186/s12913-023-09758-0VaccinationEfficiencyDEAInfluencing factorsChina |
| spellingShingle | Mingzheng Hu Yanshang Wang Ming Wang Dawei Zhu Wentao Li Rui Yu Jiang Wu Min Lv Ping He Data envelopment analysis on the efficiency of vaccination services and its influencing factors in Beijing, China BMC Health Services Research Vaccination Efficiency DEA Influencing factors China |
| title | Data envelopment analysis on the efficiency of vaccination services and its influencing factors in Beijing, China |
| title_full | Data envelopment analysis on the efficiency of vaccination services and its influencing factors in Beijing, China |
| title_fullStr | Data envelopment analysis on the efficiency of vaccination services and its influencing factors in Beijing, China |
| title_full_unstemmed | Data envelopment analysis on the efficiency of vaccination services and its influencing factors in Beijing, China |
| title_short | Data envelopment analysis on the efficiency of vaccination services and its influencing factors in Beijing, China |
| title_sort | data envelopment analysis on the efficiency of vaccination services and its influencing factors in beijing china |
| topic | Vaccination Efficiency DEA Influencing factors China |
| url | https://doi.org/10.1186/s12913-023-09758-0 |
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