A metafrontier and Malmquist productivity index approach for analyzing biased technological and efficiency change in Taiwanese traditional Chinese medicine

This study assesses changes in resource productivity in traditional Chinese medicine (TCM) system across Taiwanese counties and cities from 2016 to 2019, stratifying the analysis by population densities. Employing a data envelopment analysis (DEA) metafrontier Malmquist productivity index model, thi...

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Main Authors: Kuan-Chen Chen, Hsiang-An Yu, Ming-Miin Yu
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Healthcare Analytics
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772442524000741
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author Kuan-Chen Chen
Hsiang-An Yu
Ming-Miin Yu
author_facet Kuan-Chen Chen
Hsiang-An Yu
Ming-Miin Yu
author_sort Kuan-Chen Chen
collection DOAJ
description This study assesses changes in resource productivity in traditional Chinese medicine (TCM) system across Taiwanese counties and cities from 2016 to 2019, stratifying the analysis by population densities. Employing a data envelopment analysis (DEA) metafrontier Malmquist productivity index model, this research relaxes Hicks' neutrality assumption of technical change, allowing for the measurement of biased technological change and technical gap ratio changes. The empirical findings reveal a decline in TCM system productivity, primarily attributed to reduced technological advancements. Notably, higher productivity changes were observed in counties and cities with lower population densities, contrasting with those having higher population densities, where productivity changes were limited. The results suggest that areas with lower population densities hold significant potential for technological enhancement, as evidenced by intergroup technology updates and technological leadership indices. Furthermore, the estimates of productivity change and technological bias underscore the inadequacy of assuming Hicks’ neutral technological change for analyzing TCM system productivity in Taiwan. These findings highlight the need for improved TCM system technology and innovation within the healthcare system to address the urban-rural gap effectively.
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spelling doaj-art-50fd67713d664c5b8e8aa3fa7be4945c2024-12-19T11:02:46ZengElsevierHealthcare Analytics2772-44252024-12-016100372A metafrontier and Malmquist productivity index approach for analyzing biased technological and efficiency change in Taiwanese traditional Chinese medicineKuan-Chen Chen0Hsiang-An Yu1Ming-Miin Yu2Department of Health Care Management, National Taipei University of Nursing and Health Sciences, Taipei, TaiwanDepartment of Health Care Management, National Taipei University of Nursing and Health Sciences, Taipei, TaiwanDepartment of Transportation Science, National Taiwan Ocean University, 2 Beining Rd., Jhongjheng District, Keelung City, 202, Taiwan; Corresponding author.This study assesses changes in resource productivity in traditional Chinese medicine (TCM) system across Taiwanese counties and cities from 2016 to 2019, stratifying the analysis by population densities. Employing a data envelopment analysis (DEA) metafrontier Malmquist productivity index model, this research relaxes Hicks' neutrality assumption of technical change, allowing for the measurement of biased technological change and technical gap ratio changes. The empirical findings reveal a decline in TCM system productivity, primarily attributed to reduced technological advancements. Notably, higher productivity changes were observed in counties and cities with lower population densities, contrasting with those having higher population densities, where productivity changes were limited. The results suggest that areas with lower population densities hold significant potential for technological enhancement, as evidenced by intergroup technology updates and technological leadership indices. Furthermore, the estimates of productivity change and technological bias underscore the inadequacy of assuming Hicks’ neutral technological change for analyzing TCM system productivity in Taiwan. These findings highlight the need for improved TCM system technology and innovation within the healthcare system to address the urban-rural gap effectively.http://www.sciencedirect.com/science/article/pii/S2772442524000741Traditional Chinese medicineProductivity growthData envelopment analysisMetafrontierBiased technological change
spellingShingle Kuan-Chen Chen
Hsiang-An Yu
Ming-Miin Yu
A metafrontier and Malmquist productivity index approach for analyzing biased technological and efficiency change in Taiwanese traditional Chinese medicine
Healthcare Analytics
Traditional Chinese medicine
Productivity growth
Data envelopment analysis
Metafrontier
Biased technological change
title A metafrontier and Malmquist productivity index approach for analyzing biased technological and efficiency change in Taiwanese traditional Chinese medicine
title_full A metafrontier and Malmquist productivity index approach for analyzing biased technological and efficiency change in Taiwanese traditional Chinese medicine
title_fullStr A metafrontier and Malmquist productivity index approach for analyzing biased technological and efficiency change in Taiwanese traditional Chinese medicine
title_full_unstemmed A metafrontier and Malmquist productivity index approach for analyzing biased technological and efficiency change in Taiwanese traditional Chinese medicine
title_short A metafrontier and Malmquist productivity index approach for analyzing biased technological and efficiency change in Taiwanese traditional Chinese medicine
title_sort metafrontier and malmquist productivity index approach for analyzing biased technological and efficiency change in taiwanese traditional chinese medicine
topic Traditional Chinese medicine
Productivity growth
Data envelopment analysis
Metafrontier
Biased technological change
url http://www.sciencedirect.com/science/article/pii/S2772442524000741
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