Table 4.

The overall efficiency scores of medical institutions at various levels.

Years	Medical institutions at various levels
	Tertiary hospitals				Secondary hospitals				PHCs
	OTE	PTE	SE	RTS	OTE	PTE	SE	RTS	OTE	PTE	SE	RTS
2010	1.0412	1.0017	1.0394	IRS	0.8422	0.8453	0.9963	IRS	1.0139	1.087	0.9327	IRS
2011	0.9909	1.0027	0.9883	DRS	0.8833	0.8834	0.9999	IRS	0.9689	1.0024	0.9665	IRS
2012	0.988	1.0069	0.9812	DRS	1.005	1.0058	0.9993	IRS	1.0063	1.0107	0.9957	IRS
2013	0.9025	0.9825	0.9187	DRS	0.9865	0.9891	0.9974	DRS	1.0101	1.0194	0.9909	DRS
2014	0.8953	0.9878	0.9063	DRS	1.0075	1.0084	0.9991	DRS	0.9504	1.0021	0.9484	DRS
2015	0.8301	0.9463	0.8772	DRS	0.9004	0.9217	0.9768	DRS	0.9092	0.9586	0.9485	DRS
2016	0.8695	0.9652	0.9008	DRS	0.8943	0.9381	0.9533	DRS	0.9013	0.9735	0.9258	DRS
2017	0.8975	0.9735	0.9218	DRS	0.8724	0.9398	0.9284	DRS	0.8725	1.0053	0.8679	DRS
2018	0.9098	0.9733	0.9347	DRS	0.8400	0.9177	0.9154	DRS	0.8226	0.9776	0.8414	DRS
2019	1.0140	1.0638	0.9532	DRS	0.8066	0.8981	0.8981	DRS	0.7878	1.0076	0.7818	DRS
Mean	0.93388	0.99037	0.94216		0.90382	0.93474	0.9664		0.9243	1.00442	0.91996
APC(%)	−4.46* (2010–2015, P = 0.003); 4.13* (2015–2019, P = 0.019)	−0.79* (2010–2017, P = 0.028); 4.84(2017–2019, P = 0.06)	−3.21* (2010–2015, P < 0.001); 2.20* (2015–2019, P = 0.009)		10.82* (2010–2012, P = 0.036); −3.11* (2012–2019, P = 0.001)	9.66* (2010–2012, P = 0.043); −1.48* (2012–2019, P = 0.023)	−0.02 (2010–2014, P = 0.88); −2.15* (2014–2019, P < 0.001)		0.01 (2010–2013, P = 0.993); −3.73* (2013–2019, P = 0.001)	−0.64 (2010–2019, P = 0.081)	2.38 (2010–2013, P = 0.182); −3.74* (2013–2019, P = 0.001)
AAPC(%)	−0.73(2010–2019, P = 0.298)	0.43(2010–2019, P = 0.366)	−0.84* (2010–2019, P = 0.007)		−0.17(2010–2019, P = 0.844)	0.9(2010–2019, P = 0.288)	−1.21* (2010–2019, P < 0.001)		−2.50* (2010–2019, P < 0.001)		−1.74* (2010–2019, P = 0.004)

*Indicates that the APC or AAPC is significantly different from zero at the alpha = 0.05 level.