Xinju He

Year of Award


Degree Type


Degree Name

Doctor of Philosophy (PhD)


Department of Economics.

Principal Supervisor

Li, Sung-ko


China ; Evaluation ; Health care reform ; Medical care ; Public health




This thesis investigates the treatment quality of medical services in the hospital sector from different angles: theory, measures and application in China. This thesis includes three essays. The first essay (Chapter 2) is a critical review about the quality assessment. It shows that the environmental performance index is suitable for measuring treatment quality. The second essay (Chapter 3) introduces alternative approaches to environmental performance indices to solve the infeasibility problem of current measures. Environmental performance indices are measures to evaluate the production of undesirable outputs relative to desirable outputs. My new measures are more accurate using the sequential frontier and various reference vectors. The last essay (Chapter 4) is an empirical case study in the Chinese hospital sector that examines how the degree of government involvement and the degree of market competition affect the performance of treatment quality. Using the environmental performance indices of Essay 2 to evaluate treatment quality, I find that the performance of treatment quality of Chinese hospitals improved during the 2009-2014 period. Therefore, the marketisation of hospitals and government subsidies contribute to this sustained improvement


Principal supervisor: Dr. Li Sung Ko ; Thesis submitted to the Department of Economics ; Thesis (Ph.D.)--Hong Kong Baptist University, 2019.


Includes bibliographical references (pages 122-139)

Available for download on Sunday, October 17, 2021