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Efficiency and Productivity of County-level Public Hospitals Based on the Data Envelopment Analysis Model and Malmquist Index in Anhui, China.

Chin Med J (Engl) · 2017 · PMC5717863 · PMID 29176142

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a decreasing trendno p-value reported
Conclusions: In 2010–2015, the relative service efficiency of 12 county-level public hospitals in Anhui Province showed a decreasing trend, and the service efficiency of each hospital changed.

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an increasing trendno p-value reported
D ISCUSSION The efficiency of county level public hospitals shows an increasing trend, but the SE still needs to be strengthened.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.