The transition in the People's Republic of China from a centrally planned economy to a market-based economy is widely acclaimed for leading to unprecedented economic growth, but there is a growing awareness of the social strains accompanying that growth such as the lagging development of the...

Background China started a pilot public hospital reform in 2012 to improve governance and efficiency in healthcare services delivery among county-level hospitals. This study aims to investigate the impact of the pilot reform on hospital efficiency and productivity by using a unique dataset of...