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Shifting Health Care Regimes In Urban China And The Impact On The Urban Poor
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Book Synopsis SHIFTING HEALTH CARE REGIMES I by : Hui Yang
Download or read book SHIFTING HEALTH CARE REGIMES I written by Hui Yang and published by Open Dissertation Press. This book was released on 2017-01-26 with total page 350 pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Shifting Health Care Regimes in Urban China and the Impact on the Urban Poor" by Hui, Yang, 杨慧, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. DOI: 10.5353/th_b4514200 Subjects: Medical care - China Health care reform - China Urban health - China Health services accessibility - China Urban poor - China
Download or read book 中国医疗卫生体制转型及其对城市贫困人口的影响 written by 杨慧 and published by . This book was released on 2013 with total page 420 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Shifting Health Care Regimes in Urban China and the Impact on the Urban Poor by : Hui Yang (Ph. D.)
Download or read book Shifting Health Care Regimes in Urban China and the Impact on the Urban Poor written by Hui Yang (Ph. D.) and published by . This book was released on 2010 with total page 332 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Health Care Transition in Urban China by : Shenglan Tang
Download or read book Health Care Transition in Urban China written by Shenglan Tang and published by Routledge. This book was released on 2017-03-02 with total page 273 pages. Available in PDF, EPUB and Kindle. Book excerpt: The on-going transition to a market economy in China is having a profound effect on health services. As a result, the government has made health one of the key policy areas, and there is now a general recognition of the need to reform urban health services. Multidisciplinary in scope, this exceptional volume draws on a prestigious report to explore how changes in health finance have affected the performance of urban health services in terms of equity and efficiency. Based on empirical evidence from the cities of Nantong, Jiangsu Province and Zibo, Shandong Province (selected for their innovative approach to health system development), the book offers an in-depth understanding of the relationship between transition, health reform and health system performance in urban settings. It features collaboration between European and Chinese academics and Chinese practitioners and officials, providing valuable background and contextual information on a complex system of healthcare, and presenting an analysis of policy impact and likely future direction.
Book Synopsis China's Urban Health Care Reform by : Chack-kie Wong
Download or read book China's Urban Health Care Reform written by Chack-kie Wong and published by Lexington Books. This book was released on 2006 with total page 192 pages. Available in PDF, EPUB and Kindle. Book excerpt: The authors find that economic growth does not automatically improve health care, and that prioritizing health care as China has done does not necessarily lead to cost efficiency and equity in health care for the whole nation.
Book Synopsis Commercialisation of Medical Care in China by : Rama V. Baru
Download or read book Commercialisation of Medical Care in China written by Rama V. Baru and published by Taylor & Francis. This book was released on 2019-08-30 with total page 145 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explores the changing landscapes of the commercialisation of medical care in China. It is the first work of its kind, and discusses how the rise of market socialism, coupled with decollectivisation of agriculture and autonomisation of hospitals in rural and urban China, have fragmented the health service system. The book examines public hospital reforms; the rise of the medical–industrial complex; the emerging public–private partnerships in the health sector; the challenges of financing; and the growing inequalities in access to health services, to present a comprehensive view of the Chinese health care system over the last four decades. This topical book will be useful to scholars and researchers of Chinese studies, Chinese economy, public health, health management, social health and medicine, medical sociology, sociology, political economy, public policy and public administration as well as policymakers and practitioners.
Author :The World Bank;World Health Organization Publisher :World Bank Publications ISBN 13 :146481323X Total Pages :410 pages Book Rating :4.4/5 (648 download)
Book Synopsis Healthy China: Deepening Health Reform in China by : The World Bank;World Health Organization
Download or read book Healthy China: Deepening Health Reform in China written by The World Bank;World Health Organization and published by World Bank Publications. This book was released on 2019-04-04 with total page 410 pages. Available in PDF, EPUB and Kindle. Book excerpt: The report recommends that China maintain the goal and direction of its healthcare reform, and continue the shift from its current hospital-centric model that rewards volume and sales, to one that is centered on primary care, focused on improving the quality of basic health services, and delivers high-quality, cost-effective health services. With 20 commissioned background studies, more than 30 case studies, visits to 21 provinces in China, the report proposes practical, concrete steps toward a value-based integrated service model of healthcare financing and delivery, including: 1) Creating a new model of people-centered quality integrated health care that strengthens primary care as the core of the health system. This new care model is organized around the health needs of individuals and families and is integrated with higher level care and social services. 2) Continuously improve health care quality, establish an effective coordination mechanism, and actively engage all stakeholders and professional bodies to oversee improvements in quality and performance. 3) Empowering patients with knowledge and understanding of health services, so that there is more trust in the system and patients are actively engaged in their healthcare decisions. 4) Reforming public hospitals, so that they focus on complicated cases and delegate routine care to primary-care providers. 5) Changing incentives for providers, so they are rewarded for good patient health outcomes instead of the number of medical procedures used or drugs sold. 6) Boosting the status of the health workforce, especially primary-care providers, so they are better paid and supported to ensure a competent health workforce aligned with the new delivery system. 7) Allowing qualified private health providers to deliver cost-effective services and compete on a level playing field with the public sector, with the right regulatory oversight, and 8) Prioritizing public investments according to the burden of disease, where people live, and the kind of care people need on a daily basis.
Book Synopsis The Chinese Health System in Transition by : Lijie Fang
Download or read book The Chinese Health System in Transition written by Lijie Fang and published by Springer. This book was released on 2018-11-11 with total page 169 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides an overview of the ongoing transition in China’s health system, especially focusing on the new healthcare reform initiated in 2009. First, it reviews the changes in China’s healthcare system from the 1950s to 2008, establishing the situation when the reform was introduced. The book subsequently analyzes the social and economic context in which the health system is embedded. Since the primary focus is on the new healthcare reform, the book introduces the blueprint and the year-for-year development of the new healthcare reform, as well as the specific reforms in health financing, public hospitals, and primary care. Given its central importance in the health system, the book also described major trends in long-term care in the past several years. In addition, it examines the health policy-making process with a case study of the New Cooperative Medical Scheme of China. Lastly, the book assesses the performance of China’s health system and predicts future developmental trends.
Book Synopsis Health Care Reform in Urban China by :
Download or read book Health Care Reform in Urban China written by and published by . This book was released on with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This paper is intended to 1) present an overview of the Chinese urban health care system and its reforms in the past two decades; 2) discuss the pros and cons of the Chinese employment based health care insurance system, and 3) analyze the cost sharing health care insurance schemes, which has been introduced to the urban Chinese recently, and its impact to different social groups in urban areas, S. [...] Such pre-payments also shifted the financial risk to the provider's side by making the hospitals bear the financial burden if there is any shortage between the prepaid amount and the actual costs of the health care they provided. [...] Reform of the employee health protection system (1996 -) In early 1996, the State Commission for Economic Restructuring, the Ministry of Finance, the Ministry of Labor, and the Ministry of Health jointly drafted a document entitled "Opinions on Expanding the Number of Pilot Cities for Reform of the Employee Health Protection System". [...] Recent reform in the Chinese health care system The most recent health care system reform in China started with the issuing of the Decision on Health Care Reform and Development by the Chinese Central Committee and the State Council in 1997. [...] The main goals of the recent health care system changes in China are: 1) To establish a cost-sharing system, in order to control the growth of health care expenditure and ensure urban workers' basic health care; 2) To promote competition in the health care sectors, allowing patients to choose hospitals and doctors, and to improve service quality and efficiency; and 3) To break a regional and indus.
Book Synopsis China's Healthcare System and Reform by : Lawton Robert Burns
Download or read book China's Healthcare System and Reform written by Lawton Robert Burns and published by Cambridge University Press. This book was released on 2017-01-26 with total page 744 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume provides a comprehensive review of China's healthcare system and policy reforms in the context of the global economy. Following a value-chain framework, the 16 chapters cover the payers, the providers, and the producers (manufacturers) in China's system. It also provides a detailed analysis of the historical development of China's healthcare system, the current state of its broad reforms, and the uneasy balance between China's market-driven approach and governmental regulation. Most importantly, it devotes considerable attention to the major problems confronting China, including chronic illness, public health, and long-term care and economic security for the elderly. Burns and Liu have assembled the latest research from leading health economists and political scientists, as well as senior public health officials and corporate executives, making this book an essential read for industry professionals, policymakers, researchers, and students studying comparative health systems across the world.
Book Synopsis Reform of Health Care System in Urban China by : Mengyu Xie
Download or read book Reform of Health Care System in Urban China written by Mengyu Xie and published by . This book was released on 2017-01-26 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Reform of Health Care System in Urban China: a Case Study in Shanghai" by Mengyu, Xie, 謝孟渝, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Abstract Abstract of thesis entitled Reform of Health Care System in Urban China: A Case Study in Shanghai Submitted by Xie Mengyu for the degree of Master of Philosophy at the University of Hong Kong in February, 2005 Since early 1980s, the Chinese health care system has encountered great challenges. The challenges come with the economic reform and the health care expenditure keeps rising. Because of the demographic changes, the increase of the elderly population in particular, the demand of health care has greatly increased as well. In addition, the decentralization and privatization of the health care system have led to inequity of the accessibility to health care among different groups of people and different regions, and also to the competition among different health care providers. This study aims to explore the current problems in Chinese health care system through ia case study in Shanghai. The case study constitutes of document analysis, review of research literature, and in-depth interviews with medical insurance bureau officials and medical practitioners. It aims at scrutinizing how the health care policy in China is designed and implemented, and how the government departments liaison with concerned organizations in the implementation process. After identifying the strengths and weaknesses of current Chinese health care system, this study also reviews the health care reforms in Australia and Canada. For similar problems had been encountered and resolved in Australia and Canada before and, as two developed countries, their experiences can suggest some lessons that China can learn from . The research findings indicate that the current Chinese health care system has three major problems. Firstly, the government has excessively decentralized the responsibility of health care but invested too little in the system. Secondly, the public sectors have taken up the lion's share of health care provision in urban area and there is little competition in the Chinese health care market. Thirdly, there exists a great gap between the rich and poor in terms of the accessibility to health care. Finally, based on the analysis of different health care systems investigated above, this study concludes by making recommendations for the future reform of Chinese health care system. Implications for research, policy and practice are also presented. (327 words) ii DOI: 10.5353/th_b3136525 Subjects: Medical care - China - Shanghai
Book Synopsis The Reformed Public Health Insurance in Urban China by : Jihong Ding
Download or read book The Reformed Public Health Insurance in Urban China written by Jihong Ding and published by . This book was released on 2008 with total page 145 pages. Available in PDF, EPUB and Kindle. Book excerpt: With its transition to a market-oriented economy, China has gone through significant changes in health care delivery and financing systems in the last three decades. Since 1998, a new public health insurance program for urban employees, called Basic Medical Insurance Program (BMI), has been established. One theme of this reform was to control medical service over-consumption with new cost containment methods. This dissertation attempts to evaluate the effects of the reformed public health insurance on health care utilization, with in-depth studies. In the analytical investigation, I formulate a health care demand model based on the structure of health care delivery and health insurance systems in China. It is assumed in the model that physicians have pure monopoly power in determining patients' health care utilization. The major inference is that the insurance co-payment mechanism can not reduce medical service over-utilization effectively without any efforts to control physicians' behavior. Meanwhile, I use the calibrated simulation to demonstrate my hypothesis in the theoretical model. The main implication is that physicians' incentive to over utilize medical services for their own benefits is significant and severe in China. In the empirical studies, I explore the extent to which the public health insurance status affects individual's medical service utilization and medical expenditure over the period when the new urban public health insurance has been in effect. This study uses the 1997 and 2004 waves of China Health and Nutrition Surveys (CHNS) data with relevant econometric models such as the two-part model and difference-in-difference model. The empirical results provide evidences that (1) public health insurance in China has increasing effect on individual's medical service utilization and medical expenditure, i.e., there exists patients' ex post moral hazard; (2) China's public health insurance reform reduced the increasing effect of public insurance on the probability of utilizing medical services, i.e., reduced patients' ex post moral hazard; (3) China's public health insurance reform enlarged the increasing effect of public insurance on medical service expenditure, implying there exists physicians' severe incentive to over utilize medical services for their own benefits in China, which is consistent with the conclusions in my theoretical analysis.
Book Synopsis The Impact of Health Care on Consumption of Urban Households in China by : Zhichen Zhang
Download or read book The Impact of Health Care on Consumption of Urban Households in China written by Zhichen Zhang and published by . This book was released on 2012 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Impact of Urban-Rural Health Insurance Integration on Health Care by : Xian Huang
Download or read book Impact of Urban-Rural Health Insurance Integration on Health Care written by Xian Huang and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In recent years, Chinese local governments have experimented with integrating the social health insurance system segmented between rural and urban areas to unify the administration, policy, and funds of various health insurance programs. In this study, we take advantage of the staggered implementation of the urban-rural health insurance integration across cities over time to examine the impacts of the integration on rural residents' health care utilization and health outcomes. Based on an original city-year level policy dataset and the China Health and Retirement Longitudinal Study (CHARLS) for the years 2011, 2013, and 2015, we find that the integration significantly increases the middle-aged and older rural residents' inpatient care utilization and this positive effect is particularly salient in poor areas. Moreover, we find that the positive policy effect of integration is attributed to enhanced health insurance benefits, such as a higher reimbursement rate for inpatient care. However, the integration has limited impacts on the middle-aged and older rural residents' health outcomes. This study reveals the partial success of urban-rural health insurance integration to reduce health care inequality in China.
Download or read book Urban China written by World Bank and published by World Bank Publications. This book was released on 2014-07-29 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the last 30 years, China’s record economic growth lifted half a billion people out of poverty, with rapid urbanization providing abundant labor, cheap land, and good infrastructure. While China has avoided some of the common ills of urbanization, strains are showing as inefficient land development leads to urban sprawl and ghost towns, pollution threatens people’s health, and farmland and water resources are becoming scarce. With China’s urban population projected to rise to about one billion – or close to 70 percent of the country’s population – by 2030, China’s leaders are seeking a more coordinated urbanization process. Urban China is a joint research report by a team from the World Bank and the Development Research Center of China’s State Council which was established to address the challenges and opportunities of urbanization in China and to help China forge a new model of urbanization. The report takes as its point of departure the conviction that China's urbanization can become more efficient, inclusive, and sustainable. However, it stresses that achieving this vision will require strong support from both government and the markets for policy reforms in a number of area. The report proposes six main areas for reform: first, amending land management institutions to foster more efficient land use, denser cities, modernized agriculture, and more equitable wealth distribution; second, adjusting the hukou household registration system to increase labor mobility and provide urban migrant workers equal access to a common standard of public services; third, placing urban finances on a more sustainable footing while fostering financial discipline among local governments; fourth, improving urban planning to enhance connectivity and encourage scale and agglomeration economies; fifth, reducing environmental pressures through more efficient resource management; and sixth, improving governance at the local level.
Book Synopsis Impact of Health Insurance in Low- and Middle-income Countries by : Maria-Luisa Escobar
Download or read book Impact of Health Insurance in Low- and Middle-income Countries written by Maria-Luisa Escobar and published by Brookings Institution Press. This book was released on 2010 with total page 239 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the past twenty years, many low- and middle-income countries have experimented with health insurance options. While their plans have varied widely in scale and ambition, their goals are the same: to make health services more affordable through the use of public subsidies while also moving care providers partially or fully into competitive markets. Until now, however, we have known little about the actual effects of these dramatic policy changes. Understanding the impact of health insurance-based care is key to the public policy debate of whether to extend insurance to low-income populationsand if so, how to do itor to serve them through other means.
Book Synopsis Social Health Insurance for Developing Nations by : R. Paul Shaw
Download or read book Social Health Insurance for Developing Nations written by R. Paul Shaw and published by World Bank Publications. This book was released on 2007-01-01 with total page 188 pages. Available in PDF, EPUB and Kindle. Book excerpt: Specialist groups have often advised health ministers and other decision makers in developing countries on the use of social health insurance (SHI) as a way of mobilizing revenue for health, reforming health sector performance, and providing universal coverage. This book reviews the specific design and implementation challenges facing SHI in low- and middle-income countries and presents case studies on Ghana, Kenya, Philippines, Colombia, and Thailand.
