Evaluation of Operational Efficiency of Grassroots CDC Laboratories- A Case Study in China

Evaluation of Operational Efficiency of Grassroots CDC Laboratories- A Case Study in China | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Evaluation of Operational Efficiency of Grassroots CDC Laboratories- A Case Study in China Yuanlei Li, Guomei Tian, Bokai Zhang, Zheng Kang, Xiaoning Hao, and 7 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-333735/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Background Grassroots CDC laboratory efficiency can reflect and influence a country's capacity for disease control and prevention, improving the efficiency of the grassroots CDC laboratory is very important to national CDC system, this article is based on DEA method, on the basis of clearly defining the concept of efficiency, more methods to build grassroots CDC laboratory efficiency evaluation index, taking China as an example, the grassroots CDC laboratory efficiency study, discusses the current problems in the development of grassroots CDC laboratory operation efficiency. Methods Using data from China National Health Development Research Center, combined with some public data from National Bureau of Statistics and China Health Statistics Yearbook data, use data envelopment analysis (DEA) to analyze the operation of China's grassroots CDC disease control laboratories from 2017 to 2019 Efficiency, input-output improvement value and total factor productivity changes. Results From 2017 to 2019, the operational efficiency of grass-roots CDC laboratories in China showed a downward trend, and there was a serious problem of insufficient output, especially the grass-roots CDC laboratories in western China, which had the lowest operational efficiency. By analyzing the change of total factor productivity, it is found that the total factor productivity of grass-roots CDC laboratories in China generally shows a downward trend, and the technical level and management efficiency have declined to a certain extent, and the working ability of CDC laboratories has not been effectively improved. Conclusions The operational efficiency of grass-roots CDC laboratories is declining, and the technical level and management efficiency are declining. The unreasonable utilization of laboratory resources and unbalanced development are still outstanding, and the operational efficiency of laboratories needs to be further developed. Policymakers should pay attention to the imbalance of resource utilization and development of grass-roots CDC laboratories, give certain policy support to inferior CDC laboratories, and urge grass-roots CDC laboratories to strengthen management, improve technical level and management efficiency, increase the actual output of laboratories, and further enhance the working ability of grass-roots CDC laboratories. Health Economics & Outcomes Research Health Policy CDC laboratory operational efficiency DEA Figures Figure 1 Figure 2 Full Text Due to technical limitations, full-text HTML conversion of this manuscript could not be completed. However, the manuscript can be downloaded and accessed as a PDF. Additional Declarations No competing interests reported. Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-333735","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":18372187,"identity":"bdc7471c-9df8-4640-b6b7-f3cd8c152c63","order_by":0,"name":"Yuanlei Li","email":"","orcid":"","institution":"Harbin Medical University","correspondingAuthor":false,"prefix":"","firstName":"Yuanlei","middleName":"","lastName":"Li","suffix":""},{"id":18372188,"identity":"1f3f5fed-16b4-455e-ac64-50244f6146cc","order_by":1,"name":"Guomei Tian","email":"","orcid":"","institution":"Fourth Affiliated Hospital of Harbin Medical 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However, the manuscript can be downloaded and accessed as a PDF.\u003c/p\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":false,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":true,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"CDC, laboratory, operational efficiency, DEA","lastPublishedDoi":"10.21203/rs.3.rs-333735/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-333735/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003ch2\u003eBackground\u003c/h2\u003e \u003cp\u003eGrassroots CDC laboratory efficiency can reflect and influence a country's capacity for disease control and prevention, improving the efficiency of the grassroots CDC laboratory is very important to national CDC system, this article is based on DEA method, on the basis of clearly defining the concept of efficiency, more methods to build grassroots CDC laboratory efficiency evaluation index, taking China as an example, the grassroots CDC laboratory efficiency study, discusses the current problems in the development of grassroots CDC laboratory operation efficiency.\u003c/p\u003e\u003ch2\u003eMethods\u003c/h2\u003e \u003cp\u003eUsing data from China National Health Development Research Center, combined with some public data from National Bureau of Statistics and China Health Statistics Yearbook data, use data envelopment analysis (DEA) to analyze the operation of China's grassroots CDC disease control laboratories from 2017 to 2019 Efficiency, input-output improvement value and total factor productivity changes.\u003c/p\u003e\u003ch2\u003eResults\u003c/h2\u003e \u003cp\u003eFrom 2017 to 2019, the operational efficiency of grass-roots CDC laboratories in China showed a downward trend, and there was a serious problem of insufficient output, especially the grass-roots CDC laboratories in western China, which had the lowest operational efficiency. By analyzing the change of total factor productivity, it is found that the total factor productivity of grass-roots CDC laboratories in China generally shows a downward trend, and the technical level and management efficiency have declined to a certain extent, and the working ability of CDC laboratories has not been effectively improved.\u003c/p\u003e\u003ch2\u003eConclusions\u003c/h2\u003e \u003cp\u003eThe operational efficiency of grass-roots CDC laboratories is declining, and the technical level and management efficiency are declining. The unreasonable utilization of laboratory resources and unbalanced development are still outstanding, and the operational efficiency of laboratories needs to be further developed. Policymakers should pay attention to the imbalance of resource utilization and development of grass-roots CDC laboratories, give certain policy support to inferior CDC laboratories, and urge grass-roots CDC laboratories to strengthen management, improve technical level and management efficiency, increase the actual output of laboratories, and further enhance the working ability of grass-roots CDC laboratories.\u003c/p\u003e","manuscriptTitle":"Evaluation of Operational Efficiency of Grassroots CDC Laboratories- A Case Study in China","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2021-03-26 16:00:03","doi":"10.21203/rs.3.rs-333735/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"70326d59-0b0d-4d82-9cf7-ab0c170bdc08","owner":[],"postedDate":"March 26th, 2021","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[{"id":3235446,"name":"Health Economics \u0026 Outcomes Research"},{"id":3235447,"name":"Health Policy"}],"tags":[],"updatedAt":"2021-07-17T05:59:06+00:00","versionOfRecord":[],"versionCreatedAt":"2021-03-26 16:00:03","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-333735","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-333735","identity":"rs-333735","version":["v1"]},"buildId":"J0_U0BvcaRcwD8yVFaRlm","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}