Technical efficiency and productivity of Chinese county hospitals: an exploratory study in Henan province, China.

Objectives: Chinese county hospitals have been excessively enlarging their scale during the healthcare reform since 2009. The purpose of this paper is to examine the technical efficiency and productivity of county hospitals during the reform process, and to determine whether, and how, efficiency is affected by various factors.

Setting And Participants: 114 sample county hospitals were selected from Henan province, China, from 2010 to 2012.