The impact of policies controlling government hospital development on the number and scale of government and private hospitals: A DID analysis

Weizhen Chen ,Juan Mai

doi:10.24294/jipd10532

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The impact of policies controlling government hospital development on the number and scale of government and private hospitals: A DID analysis

Weizhen Chen

Juan Mai

Journal of Infrastructure Policy and Development 2025, 9(1), 10532; https://doi.org/10.24294/jipd10532

Submitted：25 Nov 2024

Accepted：31 Dec 2024

Published：13 Jan 2025

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Abstract

Since 2013, the state has introduced a number of policies to strictly control the number and scale of public hospitals and to control the rapid expansion of public hospitals. After the introduction of this series of policies, the number of public hospitals in China did not continue to grow, but the number of beds in public hospitals continued to grow. This paper uses difference-in-difference (DID) method to analyze the number of public hospitals with the corresponding data of the development of private hospitals after the introduction of the policy, and the results proves that the introduction of relevant policies has an impact on the number of public hospitals, but has a limited impact on the expansion of the scale of public hospitals. At the end of the article, positive policy suggestions are given to the development of hospitals in China, such as controlling the expansion of public hospitals, strictly controlling the number of beds in public hospitals, and vigorously developing private hospitals. Promoting the development of private hospitals is an important economic supplement to China's health care.

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References

Barber, S. L., Borowitz, M., Bekedam, H., & Ma, J. (2013). The hospital of the future in China: China’s reform of public hospitals and trends from industrialized countries. Health Policy and Planning, 29(3), 367-378. doi:10.1093/heapol/czt023 %J Health Policy and Planning

Basu, S., Meghani, A., & Siddiqi, A. (2017). Evaluating the Health Impact of Large-Scale Public Policy Changes: Classical and Novel Approaches. Annu Rev Public Health, 38, 351-370. https://doi.org/10.1146/annurev-publhealth-031816-044208

Callaway, B., & Sant’Anna, P. H. C. (2021). Difference-in-Differences with multiple time periods. Journal of Econometrics, 225(2), 200-230. https://doi.org/10.1016/j.jeconom.2020.12.001

CDM. (2016). Strictly control the overall and individual scale of public hospitals, J China Digital Medicine, 2016. 11(08): p. 78.

Fidler, A. H., Haslinger, R. R., Hofmarcher, M. M., et al. (2007). Incorporation of public hospitals: A “Silver Bullet” against overcapacity, managerial bottlenecks and resource constraints?: Case studies from Austria and Estonia. Health Policy, 81(2), 328-338. https://doi.org/10.1016/j.healthpol.2006.06.007

Griffin, B. A., Schuler, M. S., Stuart, E. A., et al. (2021). Moving beyond the classic difference-in-differences model: a simulation study comparing statistical methods for estimating effectiveness of state-level policies. BMC Med Res Methodol, 21(1), 279. https://doi.org/10.1186/s12874-021-01471-y

Health Commission Development and Reform Commission Ministry of Science and Technology Ministry of Finance Ministry of Human Resources Social Security Ministry of Natural Resources Ministry of Housing and Urban-Rural Development Ministry of Market Regulation Administration of Medical Insurance Bureau Banking and Insurance Regulatory Commission Notice on issuing Opinions on Promoting the Sustainable and Healthy Development of Private medical institutions Bulletin of The State Council. (2019). (29), 55-59.

Jiang, M. H. (2024). A breakthrough study on the dilemma of small and medium-sized private medical institutions participating in the construction of urban medical service system. Available online: https://link.cnki.net/doi/10.27162/d.cnki.gjlin.2024.000116 (accessed on20 October 2024).

Li, R., Yang, H., & Zhang, J. (2024). Agricultural tax reform, capital investment, and structural transformation in China. Structural Change and Economic Dynamics, 71, 509-522. https://doi.org/10.1016/j.strueco.2024.08.016

Liao, X. (2014). Public hospitals need to healthily “slim down” %J Decision Exploration (second half of the month). 2014(07), p. 42.

Liu, R., Zhao, R. (2015). Do national high-tech Zones promote regional economic development? - Verification of the world of management, J based on difference-difference method, 2015(08), 30-38.

Richardson, D. B., Ye, T., & Tchetgen Tchetgen, E. J. (2023). Generalized Difference-in-Differences. Epidemiology, 34(2), 167-174. https://doi.org/10.1097/ede.0000000000001568

Rothbard, S., Etheridge, J. C., & Murray, E. J. (2024). A Tutorial on Applying the Difference-in-Differences Method to Health Data. Current Epidemiology Reports, 11(2), 85-95. https://doi.org/10.1007/s40471-023-00327-x

Shi, C. Y., Su, M., Jia, F., et al. (2025). A comparative study on the medical service efficiency of public hospitals and private hospitals in China since the new healthcare reform, Health soft sciences, 39(03), 63-68.

Song, R. (2022). Research on the change of multi-medical management pattern in China from the perspective of Public hospitals and private hospital [Master’s thesis]. China medical university.

Wang, G., Hamad, R., & White, J. S. (2024). Advances in Difference-in-differences Methods for Policy Evaluation Research. National Library of Medicine, 35(5), 628-637. https://doi.org/10.1097/ede.0000000000001755

Wang. (2014) The Causes and control strategies of the scale expansion of public hospitals, J Health Economy research, 2014(06), 3-7.

Ye, T., Keele, L., Hasegawa, R., & Small, D. S. (2024). A Negative Correlation Strategy for Bracketing in Difference-in-Differences. Journal of the American Statistical Association, 119(547), 2256-2268. doi:10.1080/01621459.2023.2252576

Zhang, T., Luo, Ha., Zhang H. (2018). Characteristics and control Strategies of scale expansion of public hospitals in China. 15(09), 180-182.

Zhou, M. (2021). The scale expansion of public hospitals and its impact analysis [PhD thesis]. Southwest University of Finance and Economics.

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